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Gutman SI, Oliansky DM, Belinson S, et al. PCA3 Testing in the Diagnosis and Management of Prostate Cancer: Future Research Needs: Identification of Future Research Needs From Comparative Effectiveness Review No. 98 [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Apr. (Future Research Needs Papers, No. 24.)

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PCA3 Testing in the Diagnosis and Management of Prostate Cancer: Future Research Needs: Identification of Future Research Needs From Comparative Effectiveness Review No. 98 [Internet].

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Appendix FResults From PCA3 Research Needs Prioritization Survey

Table F.1Results from PCA3 future research needs prioritization survey

RankResearch needTotal votesTotal Score
1Lack of information on the comparative performance of PCA3 and currently used biomarkers to detect prostate cancer; lack of “matched studies” on comparators411
2Lack of studies on how PCA3 actually helps in treatment decisionmaking48
3Lack of information on the impact of PCA3 on short term outcomes such as biopsy decisionmaking47
4Uncertainty of impact of PCA3 in biopsy decisionmaking on long-term health outcomes36
5Lack of a definition of “clinically significant improvement” in diagnostic accuracy25
6Potential for comparisons of PCA3 with tPSA to be affected by inadequate clinical characterization of populations studied (e.g. verification bias)34
6Lack of clear endpoint to establish performance; when PCA3 disagrees with other inclusion criteria how do you know which is right?24
7Lack of information on the impact of PCA3 in treatment decisionmaking on long-term health outcomes23
8Lack of information on how demographics impact PCA3 test00

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