Clash of the calculators: External validation of prostate cancer risk calculators in men undergoing mpMRI and transperineal biopsy Article Swipe
Gavin Wei
,
B.D. Kelly
,
Brennan Timm
,
Marlon Perera
,
Dara Lundon
,
Gregory S. Jack
,
Damien Bolton
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/bco2.58
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/bco2.58
Objective To compare the accuracy of the European Randomized Study of Screening for Prostate Cancer (ERSPC) RC, MRI‐ERSPC‐RC, and Prostate Biopsy Collaborative Group (PBCG) RC in patients undergoing transperineal prostate biopsy. Patients and methods We identified 392 patients who underwent mpMRI before transperineal prostate biopsy across multiple public and private institutions between January 2017 and August 2019. The estimated probabilities of detecting PCa and significant PCa were calculated using the MRI‐ERSPC‐RC, ERSPC‐RC, and PBCG‐RC. Receiver operating characteristic (ROC) curves for each calculator were generated and the area underneath the curve (AUC) was compared. Calibration and clinical utility were assessed with calibration plots and decision curve analysis, respectively. Results PCa was detected in 285 patients (72.7%) with significant PCa found in 200 patients (51.1%). ROC curve analysis found the MRI‐ERSPC‐RC outperformed the ERSPC‐RC and PBCG‐RC. For the prediction of PCa, the AUC was 0.756, 0.696, and 0.675 for the MRI‐ERSPC‐RC, ERSPC‐RC, and PBCG‐RC, respectively. The AUC for the prediction of significant PCa was 0.803, 0.745, and 0.746 for the MRI‐ERSPC‐RC, ERSPC‐RC, and PBCG‐RC, respectively. Conclusions Our study validated the ERSPC‐RC, MRI‐ERSPC‐RC, and PBCG‐RC in a cohort undergoing transperineal prostate biopsy with the MRI‐ERSPC‐RC performing the best. These RCs may enable improved shared decision making and help to guide patient selection for biopsy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/bco2.58
- OA Status
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- Cited By
- 9
- References
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- OpenAlex ID
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All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W3135056272Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/bco2.58Digital Object Identifier
- Title
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Clash of the calculators: External validation of prostate cancer risk calculators in men undergoing mpMRI and transperineal biopsyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-03-03Full publication date if available
- Authors
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Gavin Wei, B.D. Kelly, Brennan Timm, Marlon Perera, Dara Lundon, Gregory S. Jack, Damien BoltonList of authors in order
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https://doi.org/10.1002/bco2.58Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/bco2.58Direct OA link when available
- Concepts
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Medicine, Prostate cancer, Urology, Biopsy, Receiver operating characteristic, Prostate biopsy, Prostate, Internal medicine, CancerTop concepts (fields/topics) attached by OpenAlex
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9Total citation count in OpenAlex
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2024: 1, 2023: 2, 2022: 4, 2021: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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