Evidence map›Paper›PMID 33432506›Full record

ArticleWorld journal of urology2022

Should Grade Group 1 (GG1) be called cancer?

Craig V Labbate, Gladell P Paner, Scott E Eggener

Abstract read
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Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

3 authors.

Craig V LabbateSection of Urology, Department of Surgery, University of Chicago Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6749-4701
Gladell P PanerDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-5839-6640
Scott E EggenerSection of Urology, Department of Surgery, University of Chicago Medicine, Chicago, IL, USA. seggener@surgery.bsd.uchicago.edu.ORCID http://orcid.org/0000-0002-5748-3790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionISUP Grade Group 1 prostate cancer is the lowest histologic grade of prostate cancer with a clinically indolent course. Removal of the term 'cancer' has been proposed and has historical precedent both in urothelial and thyroid carcinoma.

methodsEvidence-based review identifying arguments for and against Grade Group 1 being referred to as cancer.

resultsGrade Group 1 has histologic evidence of tissue microinvasion and 0.3-3% rate of extraprostatic extension. Genomic evaluation suggests overlap of a minority of Grade Group 1 cancers with those of Grade Group 2. Conversely, Grade Group 1 tumors appear to have distinct genetic and genomic profiles from Grade Group 3 or higher tumors. Grade Group 1 has no documented ability for regional or distant metastasis and long-term follow up after treatment or active surveillance is safe with excellent oncologic outcomes. DISCUSSION: Grade Group 1 prostate cancer, while showing evidence of neoplasia on histology has a remarkably indolent natural history more akin to non-neoplastic precursor lesions. Consideration should be given to renaming Grade Group 1 prostate cancer, which has the potential to minimize overtreatment, treatment-related side effects, patient anxiety, and financial burden on the healthcare system.

Indexed as

Terminology as TopicHumansMaleNeoplasm GradingProstatic NeoplasmsActive surveillanceGleason GradingProstate cancer

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.