Evidence map›Paper›PMID 35348709›Full record

ReviewJournal of the National Cancer Institute2022

Grade Migration of Prostate Cancer in the United States During the Last Decade.

Leonardo D Borregales, Gina DeMeo, Xiangmei Gu, Emily Cheng, Vanessa Dudley, Edward M Schaeffer, Himanshu Nagar, Sigrid Carlsson, Andrew Vickers, Jim C Hu

Abstract readReview
In one paragraph

Review in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Leonardo D BorregalesDepartment of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.ORCID 0000-0002-9280-3307
Gina DeMeoDepartment of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.
Xiangmei GuDepartment of Healthcare Policy and Research, Weill Cornell Medicine, New York, NY, USA.
Emily ChengDepartment of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.
Vanessa DudleyDepartment of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.
Edward M SchaefferDepartment of Urology, Northwestern University, Chicago, IL, USA.
Himanshu NagarDepartment of Radiation Oncology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.
Sigrid CarlssonDepartment of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andrew VickersDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1525-6503
Jim C HuDepartment of Urology, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.

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
Evaluation of Transperineal Biopsy under Local Anesthesia, a Novel approach to Decrease Post-Biopsy Infections and Improve Cancer DetectionR01CA241758 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALLAF, MOHAMAD, HU, JIM · 2020 to 2024
$3.1M
Pelvic fascia spARing radical prostatectomy TrIAL (PARTIAL)R01CA259173 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Mohamad Allaf, Jim Hu · 2022 to 2026
$3.1M
Improving shared decision making in cancer screeningK22CA234400 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CARLSSON, SIGRID · 2019 to 2021
$621k
NCI NIH HHS K22 CA234400NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA092629NCI NIH HHS R01 CA241758NCI NIH HHS R01 CA259173
6 · The paper itself

Abstract

backgroundProstate cancer (PC) screening guidelines have changed over the last decade to reduce overdiagnosis and overtreatment of low-grade disease. We sought to examine and attempt to explain how changes in screening strategies have impacted temporal trends in Gleason grade group (GG) PC at diagnosis and radical prostatectomy pathology.

methodsUsing the Surveillance, Epidemiology, and End Results Registry database, we identified 438 432 men with newly diagnosed PC during 2010-2018. Temporal trends in incidence of GG at biopsy, radical prostatectomy pathology, prostate-specific antigen (PSA) level, and metastasis at diagnosis were examined. The National Health Interview Survey database was examined to evaluate trends in PSA-screening rates, and a literature review evaluating magnetic resonance imaging and biomarkers utilization during this period was performed.

resultsBetween 2010 and 2018, the incidence of low-grade PC (GG1) decreased from 52 to 26 cases per 100 000 (P < .001). The incidence of GG1 as a proportion of all PC decreased from 47% to 32%, and the proportion of GG1 at radical prostatectomy pathology decreased from 32% to 10% (P < .001). However, metastases at diagnosis increased from 3.0% to 5.2% (P < .001). During 2010-2013, PSA screening rates in men aged 50-74 years declined from 39 to 32 per 100 men and remained stable. Utilization rates of magnetic resonance imaging and biomarkers modestly increased from 7.2% in 2012 to 17% in 2019 and 1.3% in 2012 to 13% in 2019, respectively.

conclusionsWe found a significant decrease in the diagnosis and treatment of GG1 PC between 2010 and 2018. Changes in PSA screening practices appear as the primary contributor. Public health efforts should be directed toward addressing the increase in the diagnoses of metastatic PC.

Indexed as

Prostate-Specific AntigenProstatic NeoplasmsBiopsyHumansMaleNeoplasm GradingProstateProstatectomyUnited StatesProstate-Specific Antigen

Identifiers

PMID35348709
PMCPMC9275764

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.