Evidence map›Paper›PMID 36216967›Full record

SynthesisProstate cancer and prostatic diseases2023

Oncological outcomes of cribriform histology pattern in prostate cancer patients: a systematic review and meta-analysis.

Giorgio Ivan Russo, Timo Soeterik, Ignacio Puche-Sanz, Giuseppe Broggi, Arturo Lo Giudice, Cosimo De Nunzio, Riccardo Lombardo, Giancarlo Marra, Giorgio Gandaglia, European Association of Urology Young Academic Urologists

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2023. 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
5.2field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 35 citations in OpenAlex.

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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

10 authors at 6 institutions in 3 countries.

Giorgio Ivan RussoUrology Section, University of Catania, Catania, Italy. giorgioivan1987@gmail.com.ORCID 0000-0003-4687-7353
Timo SoeterikDepartment of Urology, St Antonius Hospital, Utrecht, The Netherlands.
Ignacio Puche-SanzHospital Universitario Virgen de las Nieves (HUVN). Department of Urology. Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain.ORCID 0000-0003-4121-0162
Giuseppe BroggiDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Catania, Italy.
Arturo Lo GiudiceUrology Section, University of Catania, Catania, Italy.ORCID 0000-0003-1987-929X
Cosimo De NunzioDepartment of Urology, "Sant'Andrea" Hospital, "La Sapienza" University, Rome, Italy.ORCID 0000-0002-2190-512X
Riccardo LombardoDepartment of Urology, "Sant'Andrea" Hospital, "La Sapienza" University, Rome, Italy.ORCID 0000-0003-2890-3159
Giancarlo MarraDepartment of Surgical Sciences, University of Turin and Città della Salute e della Scienza, Turin, Italy.
Giorgio GandagliaUnit of Urology/Division of Oncology, IRCCS Ospedale San Raffaele, Milan, Italy.
European Association of Urology Young Academic Urologists
Azienda Ospedaliera Sant'Andrea · ITUniversity of Catania · ITInstituto de Investigación Biosanitaria de Granada · ESIRCCS Ospedale San Raffaele · ITSt. Antonius Ziekenhuis · NLUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges applied to the Prostate cancer (PCa) histopathology grading, where patients with cribriform patterns (CP) may be categorized as grade group 2 and could hypothetically be surveilled. However, CP has been associated with worse oncological outcomes. The aim of our study is to systematically review and meta-analyze the available evidence on CP in PCa patients.

methodsThis analysis was registered on PROSPERO (CRD42022298473). We performed a systematic literature search of PubMed, EMBASE and Scopus using Medical Subject Headings (MeSH) indexes, keyword searches, and publication types until December 2021. The search terms included: "prostate", "prostate cancer" and "cribriform". We also searched reference lists of relevant articles. Eligible studies included published journal articles that provided quantitative data on the association between cribriform patterns at radical prostatectomy and the presence of extra-prostatic extension (EPE), seminal vesicle invasion (SVI), positive surgical margins (PSM), biochemical recurrence (BCR) or cancer specific mortality (CSM).

resultsOverall, 31 studies were included for the quantitative analysis. All articles have been published during a span of 11 years (2011-2022) with a mean month of follow-up of 62.87 months. The mean quality of these studies, assessed with the Newcastle Ottawa Scale was 6.27. We demonstrated that CP was associated with greater risk of EPE (odds ratio [OR] 1.96; P < 0.0001), SVI (OR: 2.89; p < 0.01), and PSM (OR: 1.88; p < 0.0007). Our analyses showed that CP was associated with greater risk of BCR (hazard ratio [HR]: 2.14; p < 0.01) and of CSM (HR: 3.30, p < 0.01).

conclusionThe presence of CP is associated with adverse pathology at radical prostatectomy and worse biochemical recurrence and cancer specific mortality. These results highlight the importance of a better pathologic report of CP to advise clinician for a strict follow-up in PCa patients.

Indexed as

Prostatic NeoplasmsHumansMaleMargins of ExcisionNeoplasm GradingNeoplasm Recurrence, LocalProstateProstatectomyProstate-Specific AntigenProstate-Specific Antigen

Identifiers

PMID36216967
OpenAlexW4303982790

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.