Evidence map›Paper›PMID 30696944›Full record

ArticleProstate cancer and prostatic diseases2019

Allopurinol and the risk of prostate cancer in a Finnish population-based cohort.

Ville Kukko, Antti Kaipia, Kirsi Talala, Kimmo Taari, Teuvo L J Tammela, Anssi Auvinen, Teemu J Murtola

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In one paragraph

Article in Prostate cancer and prostatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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  3. 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

7 authors at 5 institutions in 1 country.

Ville KukkoUniversity of Tampere, Faculty of Medicine and Life Sciences, Tampere, Finland. kukko.ville.t@student.uta.fi.ORCID http://orcid.org/0000-0001-9584-8693
Antti KaipiaTampere University Hospital, Department of Urology, Tampere, Finland.
Kirsi TalalaFinnish Cancer Registry, Helsinki, Finland.
Kimmo TaariDepartment of Urology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Teuvo L J TammelaUniversity of Tampere, Faculty of Medicine and Life Sciences, Tampere, Finland.
Anssi AuvinenUniversity of Tampere, Faculty of Social Sciences, Tampere, Finland.
Teemu J MurtolaUniversity of Tampere, Faculty of Medicine and Life Sciences, Tampere, Finland.
Tampere University · FIFinnish Cancer Registry · FITampere University Hospital · FITampere University of Applied Sciences · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllopurinol reduces oxidative stress and may thus have an anti-inflammatory effect. Previous studies suggest that allopurinol use might decrease the risk of prostate cancer (PCa) among gout patients. We studied the association between allopurinol use and PCa incidence.

methodsThe cohort consists of 76,874 men without prevalent PCa, originally identified for the Finnish Randomized Study of Screening for Prostate Cancer (FinRSPC). The follow-up started at entry to the trial. We excluded men using allopurinol in the year before entry (wash-out). PCa cases detected during 1996-2015 were identified from the Finnish Cancer Registry. Information on tumor Gleason score and TNM stage were obtained from medical files. Information on PSA level was obtained from screening samples for men in the FinRSPC screening arm and from laboratory databases for men in the control arm. Information on BMI was based on a questionnaire sent to men in the FinRSPC screening arm in 2004-2008. Drug purchase information were obtained from the national prescription database. We used Cox regression (adjusted for age, FinRSPC trial arm, PCa family history and use of other medication) to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) of PCa risk by allopurinol use. We analyzed medication as a time-dependent variable to minimize immortal time bias.

resultsThere were 9062 new PCa diagnoses in the cohort. Follow-up time did not differ by allopurinol use (median 17 yr; IQR 11-19 vs median 17 yr; IQR 12.33-19). The risk of PCa did not differ by allopurinol use (multivariable adjusted HR 1.03; 95% CI 0.92-1.16). Allopurinol use did not associate with the risk of high-grade or metastatic cancer. Cumulative duration or average yearly dose of allopurinol use showed no association with PCa risk. No delayed risk associations were observed in the lag-time analyses.

conclusionsWe observed no difference in the PCa risk by allopurinol use.

Indexed as

AgedAllopurinolDatabases, FactualDrug PrescriptionsFinlandFollow-Up StudiesGoutGout SuppressantsHumansIncidenceMaleMass ScreeningMiddle AgedNeoplasm GradingProstate-Specific AntigenProstatic NeoplasmsAllopurinolGout SuppressantsProstate-Specific Antigen

Identifiers

PMID30696944
OpenAlexW2914738112

What OpenQuestion holds

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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.