Evidence map›Paper›PMID 33672650›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Assessment of PSIM (Prostatic Systemic Inflammatory Markers) Score in Predicting Pathologic Features at Robotic Radical Prostatectomy in Patients with Low-Risk Prostate Cancer Who Met the Inclusion Criteria for Active Surveillance.

Matteo Ferro, Gennaro Musi, Deliu Victor Matei, Alessandro Francesco Mistretta, Stefano Luzzago, Gabriele Cozzi, Roberto Bianchi, Ettore Di Trapani, Antonio Cioffi, Giuseppe Lucarelli and 11 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Review
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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

21 authors.

Matteo FerroDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0002-9250-7858
Gennaro MusiDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Deliu Victor MateiDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Alessandro Francesco MistrettaDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Stefano LuzzagoDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Gabriele CozziDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.ORCID 0000-0001-6386-7013
Roberto BianchiDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Ettore Di TrapaniDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Antonio CioffiDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Giuseppe LucarelliDepartment of Emergency and Organ Transplantation, Urology, Andrology and Kidney Transplantation Unit, University of Bari, 70124 Bari, Italy.ORCID 0000-0001-7807-1229
Gian Maria BusettoDepartment of Urology and Renal Transplantation, University of Foggia Policlinico Riuniti, 71122 Foggia, Italy.
Francesco Del GiudiceDepartment of Urology, Sapienza Rome University Policlinico Umberto I, 00185 Rome, Italy.ORCID 0000-0003-3865-5988
Giorgio Ivan RussoDepartment of Urology, University of Catania, 95123 Catania, Italy.ORCID 0000-0003-4687-7353
Marina Di MauroDepartment of Urology, University of Catania, 95123 Catania, Italy.
Angelo PorrecaDepartment of Urology, Veneto Institute of Oncology, 31033 Padua, Italy.
Giuseppe RenneDepartment of Pathology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Michele CatellaniDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Danilo BotteroDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Antonio BresciaDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Giovanni CordimaDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Ottavio de CobelliDepartment of Urology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundcirculating levels of lymphocytes, platelets and neutrophils have been identified as factors related to unfavorable clinical outcome for many solid tumors. The aim of this cohort study is to evaluate and validate the use of the Prostatic Systemic Inflammatory Markers (PSIM) score in predicting and improving the detection of clinically significant prostate cancer (csPCa) in men undergoing robotic radical prostatectomy for low-risk prostate cancer who met the inclusion criteria for active surveillance.

methodswe reviewed the medical records of 260 patients who fulfilled the inclusion criteria for active surveillance. We performed a head-to-head comparison between the histological findings of specimens after radical prostatectomy (RP) and prostate biopsies. The PSIM score was calculated on the basis of positivity according to cutoffs (neutrophil-to-lymphocyte ratio (NLR) 2.0, platelets-to-lymphocyte ratio (PLR) 118 and monocyte-to-lymphocyte-ratio (MLR) 5.0), with 1 point assigned for each value exceeding the specified threshold and then summed, yielding a final score ranging from 0 to 3.

resultsmedian NLR was 2.07, median PLR was 114.83, median MLR was 3.69.

conclusionwe found a significantly increase in the rate of pathological International Society of Urological Pathology (ISUP) ≥ 2 with the increase of PSIM. At the multivariate logistic regression analysis adjusted for age, prostate specific antigen (PSA), PSA density, prostate volume and PSIM, the latter was found the sole independent prognostic variable influencing probability of adverse pathology.

Indexed as

active surveillancelymphocyte to monocyte rationeutrophil to lymphocyte ratioplatelet to lymphocyte ratioprognosisprostate cancer

Identifiers

PMID33672650
PMCPMC7924196

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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.