Evidence map›Paper›PMID 36600087›Full record

ReviewNature reviews. Urology2023

Prostate cancer risk, screening and management in patients with germline BRCA1/2 mutations.

Pawel Rajwa, Fahad Quhal, Benjamin Pradere, Giorgio Gandaglia, Guillaume Ploussard, Michael S Leapman, John L Gore, Andrzej Paradysz, Derya Tilki, Axel S Merseburger and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
8.8field-weighted citation impact, top 2% 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, 34 citations in OpenAlex.

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  6. RAD51-targeting small molecule degrader sensitizesActa pharmaceutica Sinica. B · 2026
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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

14 authors at 10 institutions in 10 countries.

Pawel RajwaDepartment of Urology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4073-6584
Fahad QuhalDepartment of Urology, Medical University of Vienna, Vienna, Austria.
Benjamin PradereDepartment of Urology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-7768-8558
Giorgio GandagliaDepartment of Urology and Division of Experimental Oncology, Urological Research Institute, IBCAS San Raffaele Scientific Institute, Milan, Italy.
Guillaume PloussardDepartment of Urology, La Croix du Sud Hospital, Quint Fonsegrives, France.ORCID 0000-0002-6004-2152
Michael S LeapmanDepartment of Urology, Yale School of Medicine, New Haven, CT, USA.
John L GoreDepartment of Urology, University of Washington, Seattle Cancer Care Alliance, Seattle, WA, USA.
Andrzej ParadyszDepartment of Urology, Medical University of Silesia, Zabrze, Poland.
Derya TilkiMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Axel S MerseburgerDepartment of Urology, University Hospital Schleswig-Holstein, Lübeck, Germany.
Todd M MorganDepartment of Urology, University of Michigan Medical School, Ann Arbor, MI, USA.ORCID 0000-0002-1140-0603
Alberto BrigantiDepartment of Urology and Division of Experimental Oncology, Urological Research Institute, IBCAS San Raffaele Scientific Institute, Milan, Italy.
Ganesh S PalapattuDepartment of Urology, University of Michigan Medical School, Ann Arbor, MI, USA.
Shahrokh F ShariatDepartment of Urology, Medical University of Vienna, Vienna, Austria. shahrokh.shariat@meduniwien.ac.at.ORCID 0000-0002-6627-6179
Medical University of Silesia · PLUniversity of Michigan · USAl-Ahliyya Amman University · JOKing Fahad Specialist Hospital · SAKoç University · TRLyon Genou Centre Albert Trillat · FRMedical University of Vienna · ATSeattle Cancer Care Alliance · USUniversity Hospital Schleswig-Holstein · DEYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the BRCA1 and BRCA2 tumour suppressor genes are associated with prostate cancer risk; however, optimal screening protocols for individuals with these mutations have been a subject of debate. Several prospective studies of prostate cancer incidence and screening among BRCA1/2 mutation carriers have indicated at least a twofold to fourfold increase in prostate cancer risk among carriers of BRCA2 mutations compared with the general population. Moreover, BRCA2 mutations are associated with more aggressive, high-grade disease characteristics at diagnosis, more aggressive clinical behaviour and greater prostate cancer-specific mortality. The risk for BRCA1 mutations seems to be attenuated compared with BRCA2. Prostate-specific antigen (PSA) measurement or prostate magnetic resonance imaging (MRI) alone is an imperfect indicator of clinically significant prostate cancer; therefore, BRCA1/2 mutation carriers might benefit from refined risk stratification strategies. However, the long-term impact of prostate cancer screening is unknown, and the optimal management of BRCA1/2 carriers with prostate cancer has not been defined. Whether timely localized therapy can improve overall survival in the screened population is uncertain. Long-term results of prospective studies are awaited to confirm the optimal screening strategies and benefits of prostate cancer screening among BRCA1/2 mutation carriers, and whether these approaches ultimately have a positive impact on survival and quality of life in these patients.

Indexed as

Prostatic NeoplasmsBRCA1 ProteinBRCA2 ProteinEarly Detection of CancerGenes, BRCA1Genetic Predisposition to DiseaseGerm CellsHumansMaleMutationProspective StudiesProstate-Specific AntigenQuality of LifeBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinProstate-Specific Antigen

Identifiers

PMID36600087
OpenAlexW4313546393

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.