Evidence map›Paper›PMID 35003736›Full record

ArticleMolecular and clinical oncology2022

Real-world data in elderly men from Yokosuka City 15 years after introducing prostate-specific antigen-based population screening.

Takuma Nirei, Tadashi Tabei, Naoki Sakai, Hideshige Koh, Minoru Yoshida, Atsushi Fujikawa, Hiroki Ito, Sohgo Tsutsumi, Souichi Furuhata, Sumio Noguchi and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2022. 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
0.3field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
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

12 authors at 4 institutions in 1 country.

Takuma NireiDepartment of Urology, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa 238-8558, Japan.
Tadashi TabeiDepartment of Urology, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa 238-8558, Japan.
Naoki SakaiDepartment of Urology, Wakakusa Hospital, Yokohama, Kanagawa 236-8653, Japan.
Hideshige KohDepartment of Urology, Yokosuka City Uwamachi Hospital, Yokosuka, Kanagawa 238-8567, Japan.
Minoru YoshidaDepartment of Urology, Kinugasa Hospital, Yokosuka, Kanagawa 238-8588, Japan.
Atsushi FujikawaDepartment of Urology, Yokosuka City Hospital, Yokosuka, Kanagawa 240-0195, Japan.
Hiroki ItoDepartment of Urology, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa 238-8558, Japan.
Sohgo TsutsumiDepartment of Urology, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa 238-8558, Japan.
Souichi FuruhataFuruhata Hinyokika Clinic, Yokosuka, Kanagawa 238-0031, Japan.
Sumio NoguchiSatomi Jin-Hinyokika Clinic, Yokosuka, Kanagawa 238-0007, Japan.
Masataka TaguriDepartment of Data Science, School of Data Science, Yokohama City University, Yokohama, Kanagawa 236-0027, Japan.
Kazuki KobayashiDepartment of Urology, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa 238-8558, Japan.
Yokosuka Kyosai Hospital · JPHiratsuka City Hospital · JPSaiseikai Wakakusa Hospital · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mass screening based on prostate-specific antigen (PSA) reduces mortality in prostate cancer. However, the effectiveness of this screening in the elderly has not been demonstrated. In the city of Yokosuka, Japan, PSA screening has been conducted since 2001 and the present study examined the real-world status of PSA-based population screening in the elderly. It retrospectively evaluated 1,117 prostate cancer patients >75 years of age. The patients were divided into two groups: The screened group comprising patients diagnosed by PSA-based population screening or workplace screening and PSA follow-up patients at urology clinics; and the non-screened group comprising patients detected by other methods. Overall survival (OS), cancer-specific survival (CSS) and factors contributing to shorter CSS between the groups were compared. In patients >75 years of age, the screened group had significantly longer OS (171 vs. 154 months; P=0.019) and CSS (median not reached; P=0.020) but screening was not an independent factor associated with prolonged OS or CSS on multivariate analysis. The factors contributing to shorten CSS in the elderly were ≥T3 (odds ratio: 3.301 [1.704-6.369], P<0.001), M1 (odds ratio: 4.856 [2.809-8.393], P<0.001) and Gleason score ≥8 (odds ratio: 4.691 [2.479-8.876], P<0.001). In those with metastasis, PSA screening was not associated with prolonged OS or CSS. Real-world data 15 years after introducing PSA-based population screening was not an independent factor for both OS and CSS in multivariate analyses for patients >75 years of age.

Indexed as

early diagnosismass screeningmortalityprostate cancerprostatic neoplasm

Identifiers

PMID35003736
PMCPMC8739438
OpenAlexW4200333941

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.