Evidence map›Paper›PMID 32367011›Full record

ArticleProstate cancer and prostatic diseases2021

Telomere-based risk models for the early diagnosis of clinically significant prostate cancer.

Juan Manuel Rubio Galisteo, Luis Fernández, Enrique Gómez Gómez, Nuria de Pedro, Roque Cano Castiñeira, Ana Blanca Pedregosa, Ipek Guler, Julia Carrasco Valiente, Laura Esteban, Sheila González and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Prostate cancer and prostatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

16 authors.

Juan Manuel Rubio Galisteo *Department of Urology, Reina Sofía University Hospital, IMIBIC, UCO, Córdoba, Spain.
Luis Fernández *Life Length SL, Madrid, Spain.
Enrique Gómez Gómez *Department of Urology, Reina Sofía University Hospital, IMIBIC, UCO, Córdoba, Spain.
Nuria de Pedro *Life Length SL, Madrid, Spain.
Roque Cano CastiñeiraDepartment of Urology, Infanta Margarita Hospital, Córdoba, Spain.
Ana Blanca PedregosaDepartment of Urology, Reina Sofía University Hospital, IMIBIC, UCO, Córdoba, Spain.
Ipek GulerInstituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
Julia Carrasco ValienteDepartment of Urology, Reina Sofía University Hospital, IMIBIC, UCO, Córdoba, Spain.
Laura EstebanLife Length SL, Madrid, Spain.
Sheila GonzálezSermes CRO, Madrid, Spain.
Nila CastellóLife Length SL, Madrid, Spain.
Lissette OteroLife Length SL, Madrid, Spain.
Jorge GarcíaLife Length SL, Madrid, Spain.
Enrique SegoviaLife Length SL, Madrid, Spain.
María José Requena TapiaDepartment of Urology, Reina Sofía University Hospital, IMIBIC, UCO, Córdoba, Spain.
Pilar NajarroLife Length SL, Madrid, Spain. pnajarro@lifelength.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to explore telomere-associated variables (TAV) as complementary biomarkers in the early diagnosis of prostate cancer (PCa), analyzing their application in risk models for significant PCa (Gleason score > 6).

methodsAs part of a larger prospective longitudinal study of patients with suspicion of PCa undergoing prostate biopsy according to clinical practice, a subgroup of patients (n = 401) with PSA 3-10 ng/ml and no prior biopsies was used to evaluate the contribution of TAV to discern non-significant PCa from significant PCa. The cohort was randomly split for training (2/3) and validation (1/3) of the models. High-throughput quantitative fluorescence in-situ hybridization was used to evaluate TAV in peripheral blood mononucleated cells. Models were generated following principal component analysis and random forest and their utility as risk predictors was evaluated by analyzing their predictive capacity and accuracy, summarized by ROC curves, and their clinical benefit with decision curves analysis.

resultsThe median age of the patients was 63 years, with a median PSA of 5 ng/ml and a percentage of PCa diagnosis of 40.6% and significant PCa of 19.2%. Two TAV-based risk models were selected (TAV models 1 and 2) with an AUC ≥ 0.83 in the full study cohort, and AUC > 0.76 in the internal validation cohort. Both models showed an improvement in decision capacity when compared to the application of the PCPT-RC in the low-risk probabilities range. In the validation cohort, with TAV models 1 and 2, 33% /48% of biopsies would have been avoided losing 0/10.3% of significant PCa, respectively. The models were also tested and validated on an independent, retrospective, non contemporary cohort.

conclusionsTelomere analysis through TAV should be considered as a new risk-score biomarker with potential to increase the prediction capacity of significant PCa in patients with PSA between 3-10 ng/ml.

Indexed as

Early DiagnosisNeoplasm StagingAgedBiomarkers, TumorFollow-Up StudiesHumansMaleMiddle AgedNeoplasm GradingProspective StudiesProstate-Specific AntigenProstatic NeoplasmsRisk AssessmentRisk FactorsROC CurveTelomereBiomarkers, TumorProstate-Specific Antigen

Identifiers

PMID32367011
PMCPMC8012205

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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.