Evidence map›Paper›PMID 36318314›Full record

ArticleWorld journal of urology2022

Negative multiparametric magnetic resonance imaging for prostate cancer: further outcome and consequences.

Maximilian Haack, Vanessa Miksch, Zhe Tian, Gregor Duwe, Anita Thomas, Angelika Borkowetz, Kristina Stroh, Christian Thomas, Axel Haferkamp, Thomas Höfner and 1 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of urology, 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
1.1field-weighted citation impact, top 22% 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, 7 citations in OpenAlex.

  1. Article
  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

11 authors at 3 institutions in 2 countries.

Maximilian Haack *Department of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany. max.haack.mh@gmail.com.ORCID http://orcid.org/0000-0003-0957-2219
Vanessa Miksch *Department of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Zhe TianDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
Gregor DuweDepartment of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Anita ThomasDepartment of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Angelika BorkowetzDepartment of Urology and Pediatric Urology, Carl-Gustav-Carus University Medical Center, Dresden, Germany.
Kristina StrohDepartment of Diagnostic and Interventional Radiology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Christian ThomasDepartment of Urology and Pediatric Urology, Carl-Gustav-Carus University Medical Center, Dresden, Germany.
Axel HaferkampDepartment of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Thomas HöfnerDepartment of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Katharina BoehmDepartment of Urology and Pediatric Urology, Johannes-Gutenberg University Medical Center, Mainz, Germany.
Johannes Gutenberg University Mainz · DEUniversity Hospital Carl Gustav Carus · DEMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEAU guidelines recommend multiparametric MRI of the prostate (mpMRI) prior to biopsy to increase accuracy and reduce biopsies. Whether biopsy can be avoided in case of negative mpMRI remains unclear. Aim of this study is to evaluate predictors of overall prostate cancer (PCa) in negative mpMRI.

methodsA total of 216 patients from 2018 to 2020 with suspicion of PCa and negative mpMRI (PI-RADS ≤ 2) were interviewed by telephone about outcome and further follow-up. Clinically significant PCa (csPCa) was defined as ISUP ≥ 2. Patients with vs. without biopsy and with vs. without PCa were compared. Univariate and multivariate analyses were performed to evaluate predictors of PCa occurrence in patients with negative mpMRI.

results15.7% and 5.1% of patients with PI-RADS ≤ 2 on mpMRI showed PCa and csPCa, respectively. PCa patients had higher PSAD (0.14 vs. 0.09 ng/ml

conclusionsBiopsy for selected patient groups (higher age, prostate volume and free PSA as well as lower PSA-Density) with negative mpMRI can be avoided, if sufficient follow-up care is guaranteed. Detailed counseling regarding residual risk for undetected prostate cancer should be mandatory.

Indexed as

Multiparametric Magnetic Resonance ImagingProstatic NeoplasmsHumansImage-Guided BiopsyMagnetic Resonance ImagingMaleProstateProstate-Specific AntigenRetrospective StudiesProstate-Specific AntigenMRI of the prostatePI-RADSProstate biopsyProstate (carcinoma)

Identifiers

PMID36318314
PMCPMC9712318
OpenAlexW4307840276

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.