Evidence map›Paper›PMID 37204514›Full record

Observational studyJournal of cancer research and clinical oncology2023

Prostate health index (PHI) as an accurate prostate cancer predictor.

Y M Yáñez-Castillo, M T Melgarejo-Segura, C Funes-Padilla, M E Folgueral-Corral, J V García-Larios, M A Arrabal-Polo, T De Haro Muñoz, M Arrabal-Martín

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Overdiagnosis and Overtreatment in Prostate Cancer.Diseases (Basel, Switzerland) · 2025
    Review
  4. Review
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

8 authors at 1 institution in 1 country.

Y M Yáñez-CastilloDepartment of Urology, San Cecilio University Hospital, Granada, Spain.
M T Melgarejo-SeguraDepartment of Urology, San Cecilio University Hospital, Granada, Spain.
C Funes-PadillaDepartment of Urology, San Cecilio University Hospital, Granada, Spain.
M E Folgueral-CorralDepartment of Urology, San Cecilio University Hospital, Granada, Spain.
J V García-LariosDepartment of Clinical Analysis, San Cecilio University Hospital, Granada, Spain.
M A Arrabal-PoloDepartment of Urology, San Cecilio University Hospital, Granada, Spain. arrabalp29@gmail.com.
T De Haro MuñozDepartment of Clinical Analysis, San Cecilio University Hospital, Granada, Spain.
M Arrabal-MartínDepartment of Urology, San Cecilio University Hospital, Granada, Spain.
Instituto de Investigación Biosanitaria de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to compare the ability of the PHI versus tPSA test to predict the presence of PCa in our population.

methodsA prospective observational study was performed. We included patients with tPSA ≥ 2.5 ng/ml, biopsy naïve or previous negative biopsy, undergoing a blood test, which includes tPSA, fPSA, and p2PSA, and a prostate biopsy between March 2019 and March 2022. Patients with PCa found in the biopsy-Group A-were compared with patients with a negative biopsy result-Group B. Diagnostic accuracy of tPSA and PHI was assessed by receiver operating characteristic [ROC] curves and logistic regression.

results140 men were included. Fifty-seven (40.7%) had a positive prostate biopsy result (Group A), and 83 (59.3%) had a negative biopsy result (Group B). The mean age was similar in both groups (mean ± standard deviation), 66.86 ± 6.61 years. No difference was found in the tPSA value between the groups (Group A PSA: 6.11 ng/ml (3.56-17.01); Group B: 6.42 ng/ml (2.46-19.45), p = 0.41). The mean value of PHI was statistically different between groups (Group A 65.50 (29-146) vs. Group B 48 (16-233), p = 0.0001). The area under the curve 0.44 for tPSA and 0.77 for PHI. The multivariate logistic regression model applied to PHI showed a significant increase in its predictive accuracy: 72.14% in the model without PHI, 76.09% with PHI.

conclusionThe PHI test improves PCa detection compared to tPSA in our population.

Indexed as

Prostate-Specific AntigenProstatic NeoplasmsBiopsyHumansMaleProspective StudiesProstateROC CurveProstate-Specific AntigenBiomarkersproPSAProstate cancer diagnosisProstate health index

Identifiers

PMID37204514
PMCPMC11797507
OpenAlexW4377093266

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.