Research and Reports in Urology,
Год журнала:
2024,
Номер
Volume 16, С. 315 - 325
Опубликована: Ноя. 1, 2024
Serum
prostate-specific
antigen
(PSA)
is
a
widely
used
maker
for
prostate
cancer
(PCa)
screening.
However,
its
correlation
with
PCa
varies,
partly
due
to
ethnic
differences.
This
study
investigated
the
between
PSA
and
diagnosis
as
well
burden
of
disease
in
Tanzanian
community.
Cancers,
Год журнала:
2024,
Номер
16(21), С. 3675 - 3675
Опубликована: Окт. 30, 2024
Epidemiological
data
are
crucial
for
adopting
primary
and
secondary
prevention
strategies
to
develop
screening
protocols
against
prostate
cancer
(PCa).
Despite
the
comprehensive
characterization
of
PCa
across
White
Black
men,
there
is
a
lack
from
Mexican
population.
This
manuscript
presents
Can.Prost
registry
that
captures
trends
over
past
two
decades
in
Mexico
City;
furthermore,
we
aimed
compare
clinical
differences
oncological
outcomes
before
after
promotion
early
detection
actions
through
campaign
occurred
2014.
Black
men
in
the
United
States
experience
a
substantial
and
disproportionate
burden
from
prostate
cancer.
Compared
with
other
racial
ethnic
groups,
have
highest
cancer
incidence
mortality
rates,
rate
of
distant-stage
cancer,
are
diagnosed
at
younger
age.1
Microsimulation
models
suggest
that
annually
screening
45
to
69
years
age
could
substantially
reduce
while
limiting
overdiagnosis.2
The
American
Urological
Association
(AUA)
Cancer
Society
(ACS)
guidelines
long
recommended
earlier
for
men,
beginning
either
40
or
depending
on
family
history
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 4, 2024
ABSTRACT
Background
As
healthcare
moves
from
a
one-size-fits-all
approach
towards
precision
care,
individual
risk
prediction
is
an
important
step
in
disease
prevention
and
early
detection.
Biobank-linked
systems
can
generate
knowledge
about
genomic
test
the
impact
of
implementing
that
care.
Risk-stratified
prostate
cancer
screening
one
clinical
application
might
benefit
such
approach.
Methods
We
developed
translation
pipeline
for
genomics-informed
national
system.
used
data
585,418
male
participants
Veterans
Affairs
(VA)
Million
Veteran
Program
(MVP),
among
whom
101,920
self-identify
as
Black/African-American,
to
develop
validate
Prostate
CAncer
integrated
Risk
Evaluation
(P-CARE)
model,
model
based
on
polygenic
score,
family
history,
genetic
principal
components.
The
was
externally
validated
18,457
PRACTICAL
Consortium
participants.
A
novel
blended
genome-exome
(BGE)
platform
laboratory
assay
both
P-CARE
rare
variants
cancer-associated
genes,
including
additional
validation
74,331
samples
All
Us
Research
Program.
Results
In
overall
ancestry-stratified
analyses,
score
601
associated
with
any,
metastatic,
fatal
MVP
PRACTICAL.
Values
at
≥80th
percentile
multiancestry
cohort
were
hazard
ratios
(HR)
2.75
(95%
CI
2.66-2.84),
2.78
2.54-2.99),
2.59
2.22-2.97)
MVP,
respectively,
compared
median.
When
high–
low-risk
groups
defined
HR>1.5
HR<0.75
metastatic
cancer,
220,062
(37.6%)
high-risk
vs.146,826
(25.1%)
had
47.9%
vs.
14.1%,
9.3%
2.0%,
3.6%
0.8%
cumulative
cause-specific
incidence
by
age
90,
respectively.
reports
are
now
being
implemented
trial
VA
system
(Clinicaltrials.gov
NCT05926102
).
Conclusions
consisting
components
describes
clinically
gradient
diverse
patient
population
demonstrates
potential
learning
health
implement
evaluate
care
approaches.
Research and Reports in Urology,
Год журнала:
2024,
Номер
Volume 16, С. 315 - 325
Опубликована: Ноя. 1, 2024
Serum
prostate-specific
antigen
(PSA)
is
a
widely
used
maker
for
prostate
cancer
(PCa)
screening.
However,
its
correlation
with
PCa
varies,
partly
due
to
ethnic
differences.
This
study
investigated
the
between
PSA
and
diagnosis
as
well
burden
of
disease
in
Tanzanian
community.