Evidence map›Paper›PMID 29902938›Full record

ArticleBiomarkers in medicine2018

Is Ki67 prognostic for aggressive prostate cancer? A multicenter real-world study.

Joseph J Fantony, Lauren E Howard, Ilona Csizmadi, Andrew J Armstrong, Amy L Lark, Colette Galet, William J Aronson, Stephen J Freedland

Abstract readMulticenter Study
In one paragraph

Article in Biomarkers in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Contemporary review of prognostic markers of prostate cancer from a pathologist perspective.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2025
    Review
  4. Framework for the Pathology Workup of Metastatic Castration-Resistant Prostate Cancer Biopsies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  5. MKI67 with arterial hypertension predict a poor survival for prostate cancer patients, a real-life investigation.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  6. Article
  7. The effect of metabolic syndrome on prognosis of diffuse large B-cell lymphoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  8. Article
  9. Metronomic Chemotherapy in Prostate Cancer.Journal of clinical medicine · 2022
    Review
  10. Can we use Ki67 expression to predict prostate cancer aggressiveness?Revista do Colegio Brasileiro de Cirurgioes · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. The role of androgen receptors in vascular and cell proliferation of the prostate adenocarcinomas.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
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

8 authors.

Joseph J FantonyDepartment of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Lauren E HowardUrology Section, Durham Veterans Affairs Medical Center, Durham, NC 27705, USA.
Ilona CsizmadiDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Andrew J ArmstrongDepartment of Medicine, Duke University School of Medicine, Durham, NC 27710, USA.
Amy L LarkDepartment of Pathology, Duke University Hospital, Durham, NC 27710, USA.
Colette GaletDepartment of Urology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
William J AronsonDepartment of Urology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
Stephen J FreedlandUrology Section, Durham Veterans Affairs Medical Center, Durham, NC 27705, USA.

Funding

Midcareer Investigator AwardK24CA160653 · NCI · DUKE UNIVERSITY · PI FREEDLAND, STEPHEN JAY · 2012 to 2016
$877k
NCI NIH HHS K24 CA160653
6 · The paper itself

Abstract

aimTo test if Ki67 expression is prognostic for biochemical recurrence (BCR) after radical prostatectomy (RP).

methodsKi67 immunohistochemistry was performed on tissue microarrays constructed from specimens obtained from 464 men undergoing RP at the Durham and West LA Veterans Affairs Hospitals. Hazard ratios (HR) for Ki67 expression and time to BCR were estimated using Cox regression.

resultsKi67 was associated with more recent surgery year (p < 0.001), positive margins (p = 0.001) and extracapsular extension (p < 0.001). In center-stratified analyses, the adjusted HR for Ki67 expression and BCR approached statistical significance for west LA (HR: 1.54; p = 0.06), but not Durham (HR: 1.10; p = 0.74).

conclusionThis multi-institutional 'real-world' study provides limited evidence for the prognostic role of Ki67 in predicting outcome after RP.

Indexed as

Biomarkers, TumorGene Expression Regulation, NeoplasticHumansKaplan-Meier EstimateKi-67 AntigenMaleMiddle AgedPrognosisProstatectomyProstatic NeoplasmsRiskTreatment OutcomeBiomarkers, TumorKi-67 Antigenbiochemical recurrencecastration-resistant prostate cancerimmunohistochemistryKi67metastasesprostate cancertissue microarray

Identifiers

PMID29902938
PMCPMC6219443

What OpenQuestion holds

Textmetadata
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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.