Evidence map›Paper›PMID 30478408›Full record

ArticleBritish journal of cancer2018

Development and validation of a novel risk score for the detection of insignificant prostate cancer in unscreened patient cohorts.

Lorenzo Dutto, Amar Ahmad, Katerina Urbanova, Christian Wagner, Andreas Schuette, Mustafa Addali, John D Kelly, Ashwin Sridhar, Senthil Nathan, Timothy P Briggs and 2 more

Erratum issuedAbstract readValidation Study
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Lorenzo DuttoProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany. Lor.dutto@gmail.com.ORCID http://orcid.org/0000-0001-8494-089X
Amar AhmadWolfson Institute of Preventive Medicine, Barts and The London School of Medicine, Queen Mary University of London, Centre for Cancer Prevention, London, UK.
Katerina UrbanovaProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany.
Christian WagnerProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany.
Andreas SchuetteProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany.
Mustafa AddaliProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany.
John D KellyDepartment of Urology, University College London Hospital, London, UK.
Ashwin SridharDepartment of Urology, University College London Hospital, London, UK.
Senthil NathanDepartment of Urology, University College London Hospital, London, UK.
Timothy P BriggsDepartment of Urology, University College London Hospital, London, UK.
Joern H WittProstatazentrum Nordwest, St. Antonius-Hospital, Klinik für Urologie, Kinderurologie und Urologische Onkologie, Gronau, Germany.
Gregory L ShawDepartment of Urology, University College London Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActive surveillance is recommended for insignificant prostate cancer (PCa). Tools exist to identify suitable candidates using clinical variables. We aimed to develop and validate a novel risk score (NRS) predicting which patients are harbouring insignificant PCa.

methodsWe used prospectively collected data from 8040 consecutive unscreened patients who underwent radical prostatectomy between 2006 and 2016. Of these, data from 2799 patients with Gleason 3 + 3 on biopsy were used to develop a multivariate model predicting the presence of insignificant PC at radical prostatectomy (ERSPC updated definition

resultsThe NRS (incorporating PSA, prostate volume, age, clinical T Stage, percent and number of positive biopsy cores) outperformed pre-existing predictive tools in derivation and validation cohorts (AUC 0.755 and 0.76, respectively). Selection bias due to analysis of a surgical cohort is acknowledged.

conclusionsThe advantage of the NRS is that it can be tailored to patient characteristics and may prove to be valuable tool in clinical decision-making.

Indexed as

AgedClinical Decision-MakingCohort StudiesHumansMaleMiddle AgedProstatectomyProstate-Specific AntigenProstatic NeoplasmsRiskProstate-Specific Antigen

Identifiers

PMID30478408
PMCPMC6288120

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Registered trials

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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.