Prostate-specific antigen velocity in a prospective prostate cancer screening study of men with genetic predisposition View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-01

AUTHORS

Christos Mikropoulos, Christina G Hutten Selkirk, Sibel Saya, Elizabeth Bancroft, Emily Vertosick, Tokhir Dadaev, Charles Brendler, Elizabeth Page, Alexander Dias, D Gareth Evans, Jeanette Rothwell, Lovise Maehle, Karol Axcrona, Kate Richardson, Diana Eccles, Thomas Jensen, Palle J Osther, Christi J van Asperen, Hans Vasen, Lambertus A Kiemeney, Janneke Ringelberg, Cezary Cybulski, Dominika Wokolorczyk, Rachel Hart, Wayne Glover, Jimmy Lam, Louise Taylor, Monica Salinas, Lidia Feliubadaló, Rogier Oldenburg, Ruben Cremers, Gerald Verhaegh, Wendy A van Zelst-Stams, Jan C Oosterwijk, Jackie Cook, Derek J Rosario, Saundra S Buys, Tom Conner, Susan Domchek, Jacquelyn Powers, Margreet GEM Ausems, Manuel R Teixeira, Sofia Maia, Louise Izatt, Rita Schmutzler, Kerstin Rhiem, William D Foulkes, Talia Boshari, Rosemarie Davidson, Marielle Ruijs, Apollonia TJM Helderman-van den Enden, Lesley Andrews, Lisa Walker, Katie Snape, Alex Henderson, Irene Jobson, Geoffrey J Lindeman, Annelie Liljegren, Marion Harris, Muriel A Adank, Judy Kirk, Amy Taylor, Rachel Susman, Rakefet Chen-Shtoyerman, Nicholas Pachter, Allan Spigelman, Lucy Side, Janez Zgajnar, Josefina Mora, Carole Brewer, Neus Gadea, Angela F Brady, David Gallagher, Theo van Os, Alan Donaldson, Vigdis Stefansdottir, Julian Barwell, Paul A James, Declan Murphy, Eitan Friedman, Nicola Nicolai, Lynn Greenhalgh, Elias Obeid, Vedang Murthy, Lucia Copakova, John McGrath, Soo-Hwang Teo, Sara Strom, Karin Kast, Daniel A Leongamornlert, Anthony Chamberlain, Jenny Pope, Anna C Newlin, Neil Aaronson, Audrey Ardern-Jones, Chris Bangma, Elena Castro, David Dearnaley, Jorunn Eyfjord, Alison Falconer, Christopher S Foster, Henrik Gronberg, Freddie C Hamdy, Oskar Johannsson, Vincent Khoo, Jan Lubinski, Eli Marie Grindedal, Joanne McKinley, Kylie Shackleton, Anita V Mitra, Clare Moynihan, Gad Rennert, Mohnish Suri, Karen Tricker, , Sue Moss, Zsofia Kote-Jarai, Andrew Vickers, Hans Lilja, Brian T Helfand, Rosalind A Eeles

ABSTRACT

BACKGROUND: Prostate-specific antigen (PSA) and PSA-velocity (PSAV) have been used to identify men at risk of prostate cancer (PrCa). The IMPACT study is evaluating PSA screening in men with a known genetic predisposition to PrCa due to BRCA1/2 mutations. This analysis evaluates the utility of PSA and PSAV for identifying PrCa and high-grade disease in this cohort. METHODS: PSAV was calculated using logistic regression to determine if PSA or PSAV predicted the result of prostate biopsy (PB) in men with elevated PSA values. Cox regression was used to determine whether PSA or PSAV predicted PSA elevation in men with low PSAs. Interaction terms were included in the models to determine whether BRCA status influenced the predictiveness of PSA or PSAV. RESULTS: 1634 participants had ⩾3 PSA readings of whom 174 underwent PB and 45 PrCas diagnosed. In men with PSA >3.0 ng ml-l, PSAV was not significantly associated with presence of cancer or high-grade disease. PSAV did not add to PSA for predicting time to an elevated PSA. When comparing BRCA1/2 carriers to non-carriers, we found a significant interaction between BRCA status and last PSA before biopsy (P=0.031) and BRCA2 status and PSAV (P=0.024). However, PSAV was not predictive of biopsy outcome in BRCA2 carriers. CONCLUSIONS: PSA is more strongly predictive of PrCa in BRCA carriers than non-carriers. We did not find evidence that PSAV aids decision-making for BRCA carriers over absolute PSA value alone. More... »

PAGES

266

Journal

TITLE

British Journal of Cancer

ISSUE

2

VOLUME

118

Author Affiliations

  • Institute of Cancer Research
  • NorthShore University HealthSystem
  • Royal Marsden NHS Foundation Trust
  • Memorial Sloan Kettering Cancer Center
  • University of Manchester
  • Oslo University Hospital
  • Akershus University Hospital
  • University of Melbourne
  • Princess Anne Hospital
  • Vejle Sygehus
  • Leiden University Medical Center
  • Radboud University Nijmegen Medical Centre
  • Pomeranian Medical University
  • Birmingham Women's Hospital
  • Erasmus University Medical Center
  • Sheffield Children's Hospital
  • Royal Hallamshire Hospital
  • Huntsman Cancer Institute
  • University of Pennsylvania
  • University Medical Center Utrecht
  • University of Porto
  • Portuguese Oncology Institute
  • Guy's Hospital
  • University Hospital Cologne
  • McGill University
  • Royal Hospital for Sick Children
  • Antoni van Leeuwenhoek Hospital
  • Maastricht University Medical Centre
  • Prince of Wales Hospital
  • Churchill Hospital
  • St George's Hospital
  • Newcastle upon Tyne Hospitals NHS Foundation Trust
  • Monash Health
  • VU University Medical Center
  • Westmead Institute for Medical Research
  • Cambridge University Hospitals NHS Foundation Trust
  • Royal Brisbane and Women's Hospital
  • Kaplan Medical Center
  • University of Western Australia
  • The Kinghorn Cancer Centre
  • Institute of Oncology Ljubljana
  • Hospital de Sant Pau
  • Royal Devon and Exeter Hospital
  • Hospital Universitari Vall d'Hebron
  • London North West Healthcare NHS Trust
  • St. James's Hospital
  • Academic Medical Center
  • St Michael’s Hospital
  • National University Hospital of Iceland
  • University Hospitals of Leicester NHS Trust
  • Royal Melbourne Hospital
  • Tel Aviv University
  • Istituto Nazionale dei Tumori
  • Liverpool Women's Hospital
  • Temple University Health System
  • Tata Memorial Hospital
  • Národný Onkologický Ustav
  • The University of Texas MD Anderson Cancer Center
  • German Cancer Research Center
  • Spanish National Cancer Research Centre
  • University of Iceland
  • Imperial College Healthcare NHS Trust
  • Homes and Communities Agency
  • University Hospital of Umeå
  • University of Oxford
  • Peter MacCallum Cancer Centre
  • University College London Hospitals NHS Foundation Trust
  • Carmel Medical Center
  • Nottingham City Hospital
  • Queen Mary University of London
  • From Grant

  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/bjc.2017.429

    DOI

    http://dx.doi.org/10.1038/bjc.2017.429

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1100167394

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29301143


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