Evidence map›Paper›PMID 39598158›Full record

ArticleLife (Basel, Switzerland)2024

The Role of Digital Rectal Examination for Early Detection of Significant Prostate Cancer in the Era of Magnetic Resonance Imaging.

Juan Morote, Nahuel Paesano, Natàlia Picola, Jesús Muñoz-Rodriguez, Xavier Ruiz-Plazas, Marta V Muñoz-Rivero, Ana Celma, Gemma García-de Manuel, Berta Miró, José M Abascal and 3 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

13 authors.

Juan MoroteDepartment of Urology, Vall d'Hebron University Hospital, 08035 Barcelona, Spain.
Nahuel PaesanoDepartment of Surgery, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain.
Natàlia PicolaDepartment of Urology, Hospital Universitari de Bellvitge, 08907 Hospitalet de Llobregat, Spain.
Jesús Muñoz-RodriguezDepartment of Urology, Hospital Universitari Parc Taulí, 08208 Sabadell, Spain.
Xavier Ruiz-PlazasDepartment of Urology, Hospital Universitari Joan XXIII, 43005 Tarragona, Spain.
Marta V Muñoz-RiveroDepartment of Urology, Hospital Univeritari Arnau de Vilanova, 25198 Lleida, Spain.
Ana CelmaDepartment of Urology, Vall d'Hebron University Hospital, 08035 Barcelona, Spain.
Gemma García-de ManuelDepartment of Urology, Hospital Universitari Josep Trueta, 17007 Girona, Spain.
Berta MiróStatistics Unit, Vall d´Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0001-6049-8697
José M AbascalDepartment of Urology, Parc de Salut Mar, 08003 Barcelona, Spain.ORCID 0000-0001-8374-6593
Pol ServianDepartment of Urology, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain.
Olga MéndezUrology Research Unit, Vall d´Hebron Research Institute, 08035 Barcelona, Spain.
Enrique TrillaDepartment of Urology, Vall d'Hebron University Hospital, 08035 Barcelona, Spain.

Funding

Ministerio de Asuntos Económicos y Transformación Digital (SP) MIA.2021.M02.0005
6 · The paper itself

Abstract

The role of digital rectal examination (DRE) in the early detection of significant prostate cancer (PCa) is being questioned in the era of magnetic resonance imaging (MRI). However, some men with suspected PCa may still be identified solely through DRE, even with low serum prostate-specific antigen (PSA) levels. Additionally, most predictive models designed to improve significant PCa diagnostic pathways incorporate DRE findings. We assessed the role of DRE among 5005 men with serum PSA levels > 3.0 ng/mL and/or suspicious DRE findings, who underwent pre-biopsy MRI and targeted and/or systematic biopsies, as part of the significant PCa opportunistic screening program in Catalonia (Spain) between 2016 and 2023. Significant PCa, defined as grade group > 2, was detected in 2097 men (41.9%). Suspicion of PCa was based solely on DRE in 206 cases (4.1%) with significant PCa detected in 50 of them (2.4%). Two pathways using the Barcelona predictive models, before and after MRI, with and without DRE findings showed specificities of 52.8 and 38.7%, respectively (

Indexed as

digital rectal examinationearly detectionprostate cancer

Identifiers

PMID39598158
PMCPMC11595409

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Registered trials

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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.