Serum insulin level, disease stage, prostate specific antigen (PSA) and Gleason score in prostate cancer
2002

Insulin Levels and Prostate Cancer Risk

Sample size: 163 publication Evidence: moderate

Author Information

Author(s): Lehrer S, Diamond E J, Stagger S, Stone N N, Stock R G

Primary Institution: Mount Sinai School of Medicine

Hypothesis

Is there a relationship between serum insulin levels and prostate cancer progression as indicated by disease stage, PSA, and Gleason score?

Conclusion

Higher serum insulin levels are associated with increased risk of advanced prostate cancer stages.

Supporting Evidence

  • Increased T stage was independently correlated with increased serum insulin levels.
  • Insulin levels of high risk patients were significantly higher than those of medium and low risk patients.
  • The positive correlation of log (PSA) and log (insulin) levels was significant.

Takeaway

The study found that men with higher insulin levels are more likely to have more serious prostate cancer.

Methodology

Participants were men with localized prostate cancer, divided into risk groups based on PSA, Gleason score, and T stage, with serum insulin levels measured using a chemoluminescent assay.

Limitations

Insulin levels were measured after therapy, which may affect results, and the intermediate risk group had fewer participants.

Participant Demographics

Participants were men aged 46 to 88, with an average age of 67.

Statistical Information

P-Value

P=0.003

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600526

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication