Evidence map›Paper›PMID 30976102›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2019

Ki-67 is an independent predictor of prostate cancer death in routine needle biopsy samples: proving utility for routine assessments.

Solène-Florence Kammerer-Jacquet, Amar Ahmad, Henrik Møller, Holly Sandu, Peter Scardino, Geraldine Soosay, Luis Beltran, Jack Cuzick, Daniel M Berney

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03912883 (Prognostic Factors in Prostate Cancer for Patients Treated by Watchful Waiting), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT03912883 active not recruitingnot on this map

Prognostic Factors in Prostate Cancer for Patients Treated by Watchful Waiting

TypeobservationalSponsorQueen Mary University of LondonRan1999 to 2030Enrolled3,350ConditionsProstate Cancer
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. High Omega-3, Low Omega-6 Diet With Fish Oil for Men With Prostate Cancer on Active Surveillance: The CAPFISH-3 Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  15. Utility of Serum Ki-67 as a Marker for Malignancy in Dogs.Animals : an open access journal from MDPI · 2022
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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

9 authors at 5 institutions in 3 countries.

Solène-Florence Kammerer-JacquetDepartment of Molecular Oncology, Barts Cancer Institute, Queen Mary University of London, London, EC1A 7BE, UK. jacquet.sf@gmail.com.
Amar AhmadUK Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, EC1A 7BE, UK.
Henrik MøllerCancer Epidemiology and Population Health, King's College London, London, SE1 9RT, UK.
Holly SanduUK Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, EC1A 7BE, UK.
Peter ScardinoDepartment of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY, 10065 NY, USA.
Geraldine SoosayDepartment of Pathology, Queen's Hospital, RM7 0AG, Romford, Essex, UK.
Luis BeltranDepartment of Molecular Oncology, Barts Cancer Institute, Queen Mary University of London, London, EC1A 7BE, UK.
Jack CuzickUK Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, EC1A 7BE, UK.
Daniel M BerneyDepartment of Molecular Oncology, Barts Cancer Institute, Queen Mary University of London, London, EC1A 7BE, UK.
Queen Mary University of London · GBInstitut de Recherche en Santé, Environnement et Travail · FRKing's College London · GBMemorial Sloan Kettering Cancer Center · USQueen's Hospital · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
SPORE In Prostate CancerP50CA092629 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JAMES A EASTHAM · 2001 to 2026
$63.0M
CANCER PREVENTION AND ETIOLOGY GRANTT32CA009629 · NCI · UNIVERSITY OF ARIZONA · PI ALBERTS, DAVID S · 1990 to 2001
$130k
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA092629NCI NIH HHS T32 CA009629
6 · The paper itself

Abstract

Standard clinical parameters fail to accurately differentiate indolent from aggressive prostate cancer. Our previous studies showed that immunohistochemical testing for Ki-67 improved prediction of prostate cancer death in a previous cohort of conservatively treated clinically localized prostate cancer. However there is a need for validation of usage with whole biopsy sections rather than tissue micro-arrays for use in routine diagnostics. Prostate cancer biopsy cases were identified in the UK, between 1990 and 2003, treated conservatively. Tumor extent and prostate-specific antigen (PSA) serum measurements were available. Biopsy cases were centrally reviewed by three uropathologists and Gleason conformed to contemporary ISUP 2014 criteria. Follow-up was through cancer registries up until 2012. Deaths were divided into those from prostate cancer and those from other causes. The percentage of Ki-67 in tumor cells was evaluated by immunohistochemistry on whole biopsy sections and was available for 756 patients. This percentage was used in analysis of cancer specific survival using a Cox proportional hazards model. In univariate analysis, the interquartile hazard ratio (HR) (95% confidence intervals) for continuous Ki-67 was 1.68 (1.49, 1.89), χ

Indexed as

AgedBiomarkers, TumorBiopsy, NeedleHumansKi-67 AntigenMaleMiddle AgedPrognosisProstatic NeoplasmsBiomarkers, TumorKi-67 AntigenMKI67 protein, human

Identifiers

PMID30976102
PMCPMC8647491
OpenAlexW2936499758

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.