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@ARTICLE{HuynhLe:156801,
author = {M.-P. Huynh-Le and C. C. Fan and R. Karunamuni and E. I.
Walsh and E. L. Turner and J. A. Lane and R. M. Martin and
D. E. Neal and J. L. Donovan and F. C. Hamdy and J. K. K.
Parsons and R. A. Eeles and D. F. Easton and Z. Kote-Jarai
and A. Amin Al Olama and S. Benlloch Garcia and K. Muir and
H. Grönberg and F. Wiklund and M. Aly and J. Schleutker and
C. Sipeky and T. Tammela and B. G. Nordestgaard and T. J.
Key and R. C. Travis and P. D. P. Pharoah and N. Pashayan
and K.-T. Khaw and S. N. Thibodeau and S. K. McDonnell and
D. J. Schaid and C. Maier and W. Vogel and M. Luedeke and K.
Herkommer and A. S. Kibel and C. Cybulski and D. Wokolorczyk
and W. Kluzniak and L. A. Cannon-Albright and H. Brenner$^*$
and B. Schöttker$^*$ and B. Holleczek and J. Y. Park and T.
A. Sellers and H.-Y. Lin and C. K. Slavov and R. P. Kaneva
and V. I. Mitev and J. Batra and J. A. Clements and A. B.
Spurdle and M. R. Teixeira and P. Paulo and S. Maia and H.
Pandha and A. Michael and I. G. Mills and O. A. Andreassen
and A. M. Dale and T. M. Seibert},
title = {{A} genetic risk score to personalize prostate cancer
screening, applied to population data.},
journal = {Cancer epidemiology, biomarkers $\&$ prevention},
volume = {29},
number = {9},
issn = {1538-7755},
address = {Philadelphia, Pa.},
publisher = {AACR},
reportid = {DKFZ-2020-01118},
pages = {1731-1738},
year = {2020},
note = {2020 Sep;29(9):1731-1738},
abstract = {A polygenic hazard score (PHS)-the weighted sum of 54 SNP
genotypes-was previously validated for association with
clinically significant prostate cancer and for improved
prostate cancer screening accuracy. Here, we assess the
potential impact of PHS-informed screening.UK population
incidence data (Cancer Research UK) and data from the
Cluster Randomized Trial of PSA Testing for Prostate Cancer
were combined to estimate age-specific clinically
significant prostate cancer incidence (Gleason≥7, stage
T3-T4, PSA ≥10, or nodal/distant metastases). Using hazard
ratios estimated from the ProtecT prostate cancer trial,
age-specific incidence rates were calculated for various PHS
risk percentiles. Risk-equivalent age-when someone with a
given PHS percentile has prostate cancer risk equivalent to
an average 50-year-old man (50-years-standard risk)-was
derived from PHS and incidence data. Positive predictive
value (PPV) of PSA testing for clinically significant
prostate cancer was calculated using PHS-adjusted age
groups.The expected age at diagnosis of clinically
significant prostate cancer differs by 19 years between the
1st and 99th PHS percentiles: men with PHS in the 1st and
99th percentiles reach the 50-years-standard risk level at
ages 60 and 41, respectively. PPV of PSA was higher for men
with higher PHS-adjusted age.PHS provides individualized
estimates of risk-equivalent age for clinically significant
prostate cancer. Screening initiation could be adjusted by a
man's PHS.Personalized genetic risk assessments could inform
prostate cancer screening decisions.},
cin = {C070 / C120 / HD01},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32581112},
doi = {10.1158/1055-9965.EPI-19-1527},
url = {https://inrepo02.dkfz.de/record/156801},
}