Evidence map›Paper›PMID 31640261›Full record

ArticleCancers2019

A Novel Predictor Tool of Biochemical Recurrence after Radical Prostatectomy Based on a Five-MicroRNA Tissue Signature.

Zhongwei Zhao, Sabine Weickmann, Monika Jung, Michael Lein, Ergin Kilic, Carsten Stephan, Andreas Erbersdobler, Annika Fendler, Klaus Jung

Abstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

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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.

Zhongwei ZhaoDepartment of Urology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. zhaozhongweixy@163.com.
Sabine WeickmannDepartment of Urology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. sabine.weickmann@charite.de.
Monika JungDepartment of Urology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. mchjung94@gmail.com.
Michael LeinDepartment of Urology, Sana Medical Center Offenbach, 63069 Offenbach am Main, Germany. michael.lein@sana.de.
Ergin KilicInstitute of Pathology, Hospital Leverkusen, 51375 Leverkusen, Germany. e.kilic@pathologie-leverkusen.de.
Carsten StephanDepartment of Urology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. carsten.stephan@charite.de.
Andreas ErbersdoblerInstitute of Pathology, University of Rostock, 18055 Rostock, Germany. andreas.erbersdobler@med.uni-rostock.de.
Annika FendlerMax Delbrueck Center for Molecular Medicine in the Helmholtz Association, Cancer Research Program, 13125 Berlin, Germany. annika.fendler@mdc-berlin.de.
Klaus JungDepartment of Urology, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. klaus.jung@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Within five to ten years after radical prostatectomy (RP), approximately 15-34% of prostate cancer (PCa) patients experience biochemical recurrence (BCR), which is defined as recurrence of serum levels of prostate-specific antigen >0.2 µg/L, indicating probable cancer recurrence. Models using clinicopathological variables for predicting this risk for patients lack accuracy. There is hope that new molecular biomarkers, like microRNAs (miRNAs), could be potential candidates to improve risk prediction. Therefore, we evaluated the BCR prognostic capability of 20 miRNAs, which were selected by a systematic literature review. MiRNA expressions were measured in formalin-fixed, paraffin-embedded (FFPE) tissue RP samples of 206 PCa patients by RT-qPCR. Univariate and multivariate Cox regression analyses were performed, to assess the independent prognostic potential of miRNAs. Internal validation was performed, using bootstrapping and the split-sample method. Five miRNAs (miR-30c-5p/31-5p/141-3p/148a-3p/miR-221-3p) were finally validated as independent prognostic biomarkers. Their prognostic ability and accuracy were evaluated using C-statistics of the obtained prognostic indices in the Cox regression, time-dependent receiver-operating characteristics, and decision curve analyses. Models of miRNAs, combined with relevant clinicopathological factors, were built. The five-miRNA-panel outperformed clinically established BCR scoring systems, while their combination significantly improved predictive power, based on clinicopathological factors alone. We conclude that this miRNA-based-predictor panel will be worth to be including in future studies.

Indexed as

biochemical recurrencemicroRNAsprediction accuracypredictive modelsprognostic biomarkersprostate cancerradical prostatectomytissue-based biomarkers

Identifiers

PMID31640261
PMCPMC6826532

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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.