Evidence map›Paper›PMID 40066468›Full record

ArticleBJUI compass2025

Impact of prostate cancer screening in European ancestry un-affected men with germline DNA repair pathogenic variants.

Vittorio Fasulo, Giuseppe Chiarelli, Giuseppe Garofano, Carla Barbara Ripamonti, Monica Barile, Paolo Bianchi, Emanuela Morenghi, Alessio Benetti, Muhannad Aljoulani, Alessio Finocchiaro and 15 more

Abstract read
In one paragraph

Article in BJUI compass, 2025. 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. ComprehensiveFrontiers in cell and developmental biology · 2026
    Article
  3. 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

25 authors.

Vittorio FasuloDepartment of Biomedical Sciences Humanitas University Milan Italy.
Giuseppe ChiarelliDepartment of Biomedical Sciences Humanitas University Milan Italy.
Giuseppe GarofanoDepartment of Biomedical Sciences Humanitas University Milan Italy.
Carla Barbara RipamontiLaboratory Analysis Unit IRCCS-Humanitas Research Hospital Rozzano MI Italy.
Monica BarileLaboratory Analysis Unit IRCCS-Humanitas Research Hospital Rozzano MI Italy.
Paolo BianchiLaboratory Analysis Unit IRCCS-Humanitas Research Hospital Rozzano MI Italy.
Emanuela MorenghiDepartment of Biomedical Sciences Humanitas University Milan Italy.
Alessio BenettiDepartment of Urology IRCCS-Humanitas Research Hospital Milan Italy.
Muhannad AljoulaniDepartment of Biomedical Sciences Humanitas University Milan Italy.
Alessio FinocchiaroDepartment of Biomedical Sciences Humanitas University Milan Italy.
Marco PaciottiDepartment of Biomedical Sciences Humanitas University Milan Italy.ORCID https://orcid.org/0000-0002-8456-6495
Pier Paolo AvolioDepartment of Biomedical Sciences Humanitas University Milan Italy.
Edoardo BeatriciDepartment of Biomedical Sciences Humanitas University Milan Italy.
Paola ArenaDepartment of Biomedical Sciences Humanitas University Milan Italy.
Alberto SaitaDepartment of Urology IRCCS-Humanitas Research Hospital Milan Italy.
Rodolfo HurleDepartment of Urology IRCCS-Humanitas Research Hospital Milan Italy.
Federica MauraDepartment of Biomedical Sciences Humanitas University Milan Italy.
Giorgio Da RinDepartment of Biomedical Sciences Humanitas University Milan Italy.
Rosanna AsseltaDepartment of Biomedical Sciences Humanitas University Milan Italy.
Anita CapalboDepartment of Biomedical Sciences Humanitas University Milan Italy.
Giulia SoldàDepartment of Biomedical Sciences Humanitas University Milan Italy.
Paolo CasaleDepartment of Urology IRCCS-Humanitas Research Hospital Milan Italy.
Nicolò Maria BuffiDepartment of Biomedical Sciences Humanitas University Milan Italy.
Giovanni LughezzaniDepartment of Biomedical Sciences Humanitas University Milan Italy.ORCID https://orcid.org/0000-0003-3939-4521
Massimo LazzeriDepartment of Urology IRCCS-Humanitas Research Hospital Milan Italy.ORCID https://orcid.org/0000-0002-4411-3715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Prostate cancer (PCa) is a significant global health concern, ranking as the second most prevalent cancer among men worldwide. Genetic factors, particularly germline pathogenic variants (PVs) in DNA repair genes (DRGs), play a crucial role in PCa predisposition. Our study aimed to assess patients' adherence to a targeted PCa screening program targeting high-risk individuals with DRG PVs and evaluate the potential reduction in biopsy and MRI rates by employing our screening protocol. Methods: We conducted a prospective ongoing trial evaluating targeted PCa screening in men with documented PVs in DRGs. Screening involved annual assessment of medical history, physical examination, prostate-specific antigen (PSA) testing, Prostate Health Index (PHI), and multiparametric magnetic resonance imaging (mpMRI) when indicated. Descriptive statistics were used to analyse patient characteristics, and adherence to screening was evaluated at three time points: baseline (T0), one year (T1), and two years (T2) from enrolment. Key Findings and Limitations: A total of 101 high-risk individuals were enrolled, with a median age of 52 years. Adherence to screening was high, with 72.3% of patients attending the first annual follow-up (T1) and 100% attending the second follow-up (T2). Despite elevated PSA levels in some patients, no PCa was detected during the study period. However, our screening protocol demonstrated the potential in reducing unnecessary biopsies and MRIs, particularly in patients with elevated PSA but low PHI values. Limitations include the ongoing nature of the study, small sample size, and lack of non-carrier controls. Conclusions and Clinical Implications: Our findings described a new PCa screening strategy integrated with genetic risk factors. The incorporation of PHI shows promise in improving the efficiency of diagnostic procedures while minimizing unnecessary interventions. High adherence among high-risk individuals underscores the potential effectiveness of targeted screening programs.

Indexed as

BRCA 1–2DNA‐repair gene variantgenetic riskprostatic neoplasmscreening

Identifiers

PMID40066468
PMCPMC11891281

What OpenQuestion holds

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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.