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. Author manuscript; available in PMC: 2023 Nov 1.
Published in final edited form as: J Urol. 2022 Jul 5;208(5):1037–1045. doi: 10.1097/JU.0000000000002852

Table 3.

Clinical consequences for decision rules with and without phi.

Rule Overall Confirmatory Subsequent
Biopsies avoided# (n, 95% CI) Reclassifications Missed# (n, 95% CI) AUC Biopsies avoided (n, 95% CI) Reclassifications Missed (n, 95% CI) AUC Biopsies avoided (n, 95% CI) Reclassifications Missed (n, 95% CI) AUC
R1: clinical only 123 (95 – 151) 6 (2 – 11) 0.720 51 (30 – 73) 2 (0 – 5) 0.724 193 (147 – 236) 10 (3 – 18) 0.693
R2: clinical then PHI 246 (210 – 282) 21 (14 – 28) * 187 (149 – 225) 14 (6 – 24) * 303 (252 – 356) 26 (15 – 37) *
R3: clinical + PHI
(linear)
177 (145 – 209) 14 (8 – 20) 0.727 97 (69 – 125) 8 (2 – 16) 0.745 255 (205 – 301) 18 (10 – 28) 0.681
R4: clinical or PHI 189 (158 – 222) 15 (9 – 22) * 133 (102 – 163) 14 (6 – 24) * 245 (195 – 297) 16 (8 – 26) *
#

The number of biopsies avoided, and reclassifications missed from a population of 1000 biopsies with an event rate of 21%, 26% and 15% for the overall, confirmatory, and subsequent biopsies respectively, which are estimated from the cohort of 821 biopsies from the validation set.

*

Unable to calculate due to multiple thresholds in rule.