Evidence map›Paper›PMID 29655620›Full record

ArticleUrologic oncology2018

Identification of men with low-risk biopsy-confirmed prostate cancer as candidates for active surveillance.

Daniel W Lin, E David Crawford, Thomas Keane, Brent Evans, Julia Reid, Saradha Rajamani, Krystal Brown, Alexander Gutin, Jonathan Tward, Peter Scardino and 3 more

Open access · greenAbstract read
In one paragraph

Article in Urologic oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Biomarkers in Localized Prostate Cancer: From Diagnosis to Treatment.International journal of molecular sciences · 2025
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Daniel W LinUniversity of Washington, Seattle, WA. Electronic address: dlin@uw.edu.
E David CrawfordUniversity of Colorado, Denver, CO.
Thomas KeaneMedical University of South Carolina, Charleston, SC.
Brent EvansMyriad Genetics, Inc, Salt Lake City, UT.
Julia ReidMyriad Genetics, Inc, Salt Lake City, UT.
Saradha RajamaniMyriad Genetics, Inc, Salt Lake City, UT.
Krystal BrownMyriad Genetics, Inc, Salt Lake City, UT.
Alexander GutinMyriad Genetics, Inc, Salt Lake City, UT.
Jonathan TwardUniversity of Utah Huntsman Cancer Hospital, Salt Lake City, UT.
Peter ScardinoMemorial Sloan-Kettering Cancer Center, New York City, NY.
Michael BrawerMyriad Genetics, Inc, Salt Lake City, UT.
Steven StoneMyriad Genetics, Inc, Salt Lake City, UT.
Jack CuzickWolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom.
Myriad Genetics · USMedical University of South Carolina · USMemorial Sloan Kettering Cancer Center · USQueen Mary University of London · GBUniversity of Colorado Denver · USUniversity of Utah · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Cancer Research UK 16891NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundA combined clinical cell-cycle risk (CCR) score that incorporates prognostic molecular and clinical information has been recently developed and validated to improve prostate cancer mortality (PCM) risk stratification over clinical features alone. As clinical features are currently used to select men for active surveillance (AS), we developed and validated a CCR score threshold to improve the identification of men with low-risk disease who are appropriate for AS.

methodsThe score threshold was selected based on the 90th percentile of CCR scores among men who might typically be considered for AS based on NCCN low/favorable-intermediate risk criteria (CCR = 0.8). The threshold was validated using 10-year PCM in an unselected, conservatively managed cohort and in the subset of the same cohort after excluding men with high-risk features. The clinical effect was evaluated in a contemporary clinical cohort.

resultsIn the unselected validation cohort, men with CCR scores below the threshold had a predicted mean 10-year PCM of 2.7%, and the threshold significantly dichotomized low- and high-risk disease (P = 1.2 × 10

conclusionsThe CCR score threshold appropriately dichotomized patients into low- and high-risk groups for 10-year PCM, and may enable more appropriate selection of patients for AS.

Indexed as

Population SurveillanceProstatectomyAgedBiopsyCohort StudiesFollow-Up StudiesHumansMaleMiddle AgedPrognosisProstatic NeoplasmsRisk Assessment

Identifiers

PMID29655620
PMCPMC8127807
OpenAlexW2797064726

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.