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Cited by 274

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Can Urinary PCA3 Supplement PSA in the Early Detection of Prostate Cancer?

Open access
Wei, John T., Feng, Ziding, Partin, Alan W., Brown, Elissa, Thompson, Ian, Sokoll, Lori, Chan, Daniel W., Lotan, Yair, Kibel, Adam S., Busby, J. Erik, Bidair, Mohamed, Lin, Daniel W., Taneja, Samir S., Viterbo, Rosalia, Joon, Aron Y., Dahlgren, Jackie, Kagan, Jacob, Srivastava, Sudhir, Sanda, Martin G.·2014·Journal of Clinical Oncology

Abstract

Purpose: Given the limited sensitivity and specificity of prostate-specific antigen (PSA), its widespread use as a screening tool has raised concerns for the overdiagnosis of low-risk and the underdiagnosis of high-grade prostate cancer. To improve early-detection biopsy decisions, the National Cancer Institute conducted a prospective validation trial to assess the diagnostic performance of the prostate cancer antigen 3 (PCA3) urinary assay for the detection of prostate cancer among men screened with PSA. Patients and Methods: In all, 859 men (mean age, 62 years) from 11 centers scheduled for a diagnostic prostate biopsy between December 2009 and June 2011 were enrolled. The primary outcomes were to assess whether PCA3 could improve the positive predictive value (PPV) for an initial biopsy (at a score > 60) and the negative predictive value (NPV) for a repeat biopsy (at a score < 20). Results: For the detection of any cancer, PPV was 80% (95% CI, 72% to 86%) in the initial biopsy group, and NPV was 88% (95% CI, 81% to 93%) in the repeat biopsy group. The addition of PCA3 to individual risk estimation models (which included age, race/ethnicity, prior biopsy, PSA, and digital rectal examination) improved the stratification of cancer and of high-grade cancer. Conclusion: These data independently support the role of PCA3 in reducing the burden of prostate biopsies among men undergoing a repeat prostate biopsy. For biopsy-naive patients, a high PCA3 score (> 60) significantly increases the probability that an initial prostate biopsy will identify cancer.

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Metadata

Authors
Wei, J. T., Feng, Z., Partin, A. W., Brown, E., Thompson, I., Sokoll, L., Chan, D. W., Lotan, Y., Kibel, A. S., Busby, J. E., Bidair, M., Lin, D. W., Taneja, S. S., Viterbo, R., Joon, A. Y., Dahlgren, J., Kagan, J., Srivastava, S., & Sanda, M. G.
Venue
Journal of Clinical Oncology
Published
2014-12-20
Volume
32
Issue
36
Pages
4066-4072
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1970408952
Cited by
274
References
34
FWCI
21.57
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Can Urinary PCA3 Supplement PSA in the Early Detection of Prostate Cancer? https://app.cochat.ai/papers/10.1200/jco.2013.52.8505
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Wei, J. T., Feng, Z., Partin, A. W., Brown, E., Thompson, I., Sokoll, L., Chan, D. W., Lotan, Y., Kibel, A. S., Busby, J. E., Bidair, M., Lin, D. W., Taneja, S. S., Viterbo, R., Joon, A. Y., Dahlgren, J., Kagan, J., Srivastava, S., & Sanda, M. G. (2014). Can Urinary PCA3 Supplement PSA in the Early Detection of Prostate Cancer? Journal of Clinical Oncology. https://doi.org/10.1200/jco.2013.52.8505

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.