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Tytuł pozycji:

The association between prostate weight and positive surgical margins in prostate cancer: A meta-analysis.

Tytuł :
The association between prostate weight and positive surgical margins in prostate cancer: A meta-analysis.
Autorzy :
He K; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Cao ZJ; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Peng LF; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Lu YL; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Wang X; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Bi LK; Departmemt of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
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Źródło :
Andrologia [Andrologia] 2020 Apr; Vol. 52 (3), pp. e13533. Date of Electronic Publication: 2020 Feb 06.
Typ publikacji :
Journal Article; Meta-Analysis
Język :
Imprint Name(s) :
Publication: : Berlin : Blackwell Pub.
Original Publication: Berlin, Grosse
MeSH Terms :
Margins of Excision*
Prostatic Neoplasms/*surgery
Humans ; Male ; Organ Size ; Prostate/surgery ; Prostatic Neoplasms/pathology
References :
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Grant Information :
81572507 National natural science foundation of China
Contributed Indexing :
Keywords: dose-response; meta-analysis; prostate weight; prostatectomy; surgical margins
Entry Date(s) :
Date Created: 20200207 Date Completed: 20201124 Latest Revision: 20201124
Update Code :
Czasopismo naukowe
There have been some conflicting claims whether larger prostate weight (PW) reduces the risk of positive surgical margins (PSMs). This study aims to examine the associations between PW and PSMs. PubMed, Web of Science and Cochrane library were systematically retrieved. Relative risks (RRs) and the corresponding 95% confidence intervals (CIs) were synthesised utilising random-effect models. Ultimately, 22 cohort studies met criteria were enrolled in this meta-analysis, of which 18 studies reporting the RR of the highest VS lowest category of PW yielded the combined RR of PSMs of 0.61 (95% CI 0.50-0.74). Subgroup analysis showed that geographic region and surgical modalities were considered as potential confounders of influence of PW on PSMs. The nonlinear dose-response relationship demonstrated that PSM risk decreased by 1% (RR = 0.99, 95% CI, 0.98-0.99) for every one gram increment in PW. This study suggests PW has a negative association with risk of PSMs, and having a appropriate PW is very important.
(© 2020 Blackwell Verlag GmbH.)
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