Evidence map›Paper›PMID 34980493›Full record

ArticleEuropean urology2022

Defining the Impact of Family History on Detection of High-grade Prostate Cancer in a Large Multi-institutional Cohort.

Matthew B Clements, Emily A Vertosick, Lourdes Guerrios-Rivera, Amanda M De Hoedt, Javier Hernandez, Michael A Liss, Robin J Leach, Stephen J Freedland, Alexander Haese, Francesco Montorsi and 4 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in European urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 4% 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.

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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  12. The Association ofAdvanced biomedical research · 2025
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  20. The profile of Black South African men diagnosed with prostate cancer in the Free State, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 5 countries.

Matthew B ClementsUrology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Emily A VertosickDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lourdes Guerrios-RiveraDepartment of Surgery, Urology Section, Veterans Affairs Caribbean Healthcare System, San Juan, Puerto Rico, USA.
Amanda M De HoedtSection of Urology, Durham Veterans Administration Health Care System, Durham, NC, USA.
Javier HernandezDepartment of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Michael A LissDepartment of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Robin J LeachDepartment of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Stephen J FreedlandSection of Urology, Durham Veterans Administration Health Care System, Durham, NC, USA; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Alexander HaeseMartini-Clinic Prostate Cancer Center, University Clinic Eppendorf, Hamburg, Germany.
Francesco MontorsiDivision of Oncology/Unit of Urology, URI, IRCCS Hospital San Raffaele, Milano, Italy; Department of Medicine, Vita-Salute San Raffaele University, Milano, Italy.
Stephen A BoorjianDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Cedric PoyetDepartment of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Donna P AnkerstDepartment of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; Department of Mathematics, Technical University of Munich, Garching, Munich, Germany.
Andrew J VickersDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Electronic address: vickersa@mskcc.org.
The University of Texas Health Science Center at San Antonio · USMemorial Sloan Kettering Cancer Center · USCedars-Sinai Medical Center · USDurham VA Health Care System · USMayo Clinic in Arizona · USUniversität Hamburg · DEUniversity of Zurich · CHVA Caribbean Healthcare System · PRVita-Salute San Raffaele University · IT

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
Dynamic, multi-cohort prediction modeling of prostate biopsy outcomeR01CA179115 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ANKERST, DONNA PAULER, VICKERS, ANDREW J · 2014 to 2018
$2.3M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA092629NCI NIH HHS R01 CA179115
6 · The paper itself

Abstract

backgroundThe risk of high-grade prostate cancer, given a family history of cancer, has been described in the general population, but not among men selected for prostate biopsy in an international cohort.

objectiveTo estimate the risk of high-grade prostate cancer on biopsy based on a family history of cancer. DESIGN, SETTING, AND

participantsThis is a multicenter study of men undergoing prostate biopsy from 2006 to 2019, including 12 sites in North America and Europe. All sites recorded first-degree prostate cancer family histories; four included more detailed data on the number of affected relatives, second-degree relatives with prostate cancer, and breast cancer family history. OUTCOMES MEASUREMENTS AND STATISTICAL ANALYSIS: Multivariable logistic regressions evaluated odds of high-grade (Gleason grade group ≥2) prostate cancer. Separate models were fit for family history definitions, including first- and second-degree prostate cancer and breast cancer family histories. RESULTS AND LIMITATIONS: A first-degree prostate cancer family history was available for 15 799 men, with a more detailed family history for 4617 (median age 65 yr, both cohorts). Adjusted odds of high-grade prostate cancer were 1.77 times greater (95% confidence interval [CI] 1.57-2.00, p < 0.001, risk ratio [RR] = 1.40) with first-degree prostate cancer, 1.38 (95% CI 1.07-1.77, p = 0.011, RR = 1.22) for second-degree prostate cancer, and 1.30 (95% CI 1.01-1.67, p = 0.040, RR = 1.18) for first-degree breast cancer family histories. Interaction terms revealed that the effect of a family history did not differ based on prostate-specific antigen but differed based on age. This study is limited by missing data on race and prior negative biopsy.

conclusionsMen with indications for biopsy and a family history of prostate or breast cancer can be counseled that they have a moderately increased risk of high-grade prostate cancer, independent of other risk factors. PATIENT SUMMARY: In a large international series of men selected for prostate biopsy, finding a high-grade prostate cancer was more likely in men with a family history of prostate or breast cancer.

Indexed as

Breast NeoplasmsProstatic NeoplasmsAgedFamily HealthHumansMaleNeoplasm GradingProstateProstate-Specific AntigenRisk FactorsProstate-Specific AntigenBiopsyBreast cancerDiagnosisFamily historyProstate cancer

Identifiers

PMID34980493
PMCPMC9243191
OpenAlexW4205383638

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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.