Table 2.
Factors associated with any PSM, specific PSM sites, and multiple PSM sites derived from multivariable logistic regression models (1998–2016).
| Factor | Any PSM |
Apex |
Bladder neck |
Posterolateral |
Multiple PSM sites |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR | 95% CI | p-Value | OR | 95% CI | p-Value | OR | 95% CI | p-Value | OR | 95% CI | p-Value | OR | 95% CI | p-Value | |
| Age at diagnosis, year | |||||||||||||||
| <60 | 1.0 | Reference | 0.76 | 1.0 | Reference | 0.61 | 1.0 | Reference | 0.94 | 1.00 | Reference | 0.09 | 1.0 | Reference | 0.41 |
| 60–69 | 0.9 | 0.8–1.1 | 0.46 | 1.1 | 0.8–1.4 | 0.59 | 0.9 | 0.6–1.4 | 0.72 | 0.8 | 0.6–1.0 | 0.08 | 0.9 | 0.6–1.4 | 0.63 |
| 70–79 | 1.0 | 0.7–1.3 | 0.75 | 1.1 | 0.7–1.7 | 0.66 | 1.0 | 0.6–1.7 | 0.93 | 0.7 | 0.5–1.1 | 0.10 | 0.7 | 0.4–1.4 | 0.34 |
| Treatment period | |||||||||||||||
| ≤2007 | 1.0 | Reference | 0.17 | 1.0 | Reference | 0.22 | 1.0 | Reference | 0.002 | 1.0 | Reference | 0.020 | 1.0 | Reference | 0.97 |
| 2008–2010 | 1.0 | 0.8–1.2 | 0.79 | 0.7 | 0.5–1.0 | 0.06 | 2.0 | 1.1–3.5 | 0.020 | 1.0 | 0.8–1.4 | 0.810 | 1.0 | 0.6–1.7 | 0.98 |
| 2011–2013 | 0.6 | 0.5–0.8 | 0.01 | 0.7 | 0.4–1.1 | 0.10 | 2.6 | 1.4–4.8 | 0.003 | 0.5 | 0.3–0.7 | <0.001 | 0.6 | 0.3–1.1 | 0.09 |
| 2014–2016 | 0.8 | 0.6–1.2 | 0.31 | 0.7 | 0.4–1.1 | 0.15 | 3.1 | 1.7–5.9 | 0.001 | 0.7 | 0.5–1.1 | 0.140 | 1.2 | 0.6–2.1 | 0.63 |
| Pre-treatment PSA, ng/mL | |||||||||||||||
| <5 | 1.0 | Reference | 0.39 | 1.0 | Reference | 0.20 | 1.0 | Reference | 0.89 | 1.0 | Reference | 0.78 | 1.0 | Reference | 0.73 |
| ≥5–<10 | 0.9 | 0.7–1.2 | 0.63 | 1.1 | 0.7–1.5 | 0.79 | 0.6 | 0.4–0.9 | 0.02 | 1.0 | 0.7–1.3 | 0.86 | 0.7 | 0.4–1.1 | 0.14 |
| ≥10–20 | 1.3 | 0.9–1.7 | 0.08 | 1.7 | 1.1–2.6 | 0.02 | 0.9 | 0.5–1.5 | 0.73 | 1.2 | 0.9–1.7 | 0.25 | 1.4 | 0.8–2.5 | 0.22 |
| ≥20 | 1.3 | 0.8–2.3 | 0.31 | 1.4 | 0.8–2.3 | 0.19 | 1.2 | 0.5–2.6 | 0.68 | 0.9 | 0.5–1.7 | 0.67 | 1.2 | 0.5–2.9 | 0.74 |
| RP Gleason score | |||||||||||||||
| ≤6 | 1.0 | Reference | 0.08 | 1.0 | Reference | 0.35 | 1.0 | Reference | 0.03 | 1.0 | Reference | 0.010 | 1.0 | Reference | 0.010 |
| 3+4 | 1.3 | 1.0–1.7 | 0.05 | 1.3 | 0.9–1.8 | 0.23 | 0.8 | 0.4–1.3 | 0.33 | 1.8 | 1.3–2.6 | <0.001 | 2.8 | 1.4–5.7 | 0.010 |
| 4+3 | 1.4 | 1.0–1.9 | 0.05 | 1.0 | 0.7–1.6 | 0.83 | 1.2 | 0.6–2.2 | 0.63 | 2.1 | 1.4–3.1 | <0.001 | 3.6 | 1.7–7.6 | 0.001 |
| 8 | 1.5 | 0.9–2.3 | 0.10 | 1.3 | 0.7–2.5 | 0.36 | 1.7 | 0.8–3.7 | 0.17 | 2.1 | 1.2–3.5 | 0.006 | 4.9 | 2.0–11.4 | <0.001 |
| 9–10 | 1.7 | 1.0–2.7 | 0.02 | 1.6 | 0.8–2.9 | 0.16 | 1.4 | 0.7–3.1 | 0.35 | 2.2 | 1.3–3.9 | 0.003 | 3.4 | 1.4–8.5 | 0.010 |
| pT | |||||||||||||||
| 2 | 1.0 | Reference | <0.001 | 1.0 | Reference | 0.01 | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 |
| 3a | 2.3 | 1.9–2.8 | <0.001 | 1.4 | 1.0–1.9 | 0.03 | 1.9 | 1.2–3.0 | 0.004 | 2.5 | 2.0–3.2 | <0.001 | 2.1 | 1.3–3.4 | 0.001 |
| 3b | 3.4 | 2.5–4.7 | <0.001 | 1.9 | 1.2–2.8 | 0.003 | 3.4 | 2.0–5.8 | <0.001 | 3.4 | 2.4–4.9 | <0.001 | 4.0 | 2.3–7.0 | <0.001 |
| Tumour volume, per 10 cm3 | |||||||||||||||
| Q1 (≤1.4) | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 | 1.0 | Reference | <0.001 |
| Q2 (>1.4–2.7) | 1.3 | 0.9–1.9 | 0.10 | 2.3 | 1.2–4.5 | 0.01 | 2.1 | 0.8–5.6 | 0.14 | 1.2 | 0.8–1.7 | 0.47 | 2.3 | 0.7–7.2 | 0.170 |
| Q3 (>2.7–5.4) | 1.7 | 1.2–2.5 | <0.001 | 3.7 | 2.2–7.5 | <0.001 | 3.0 | 1.2–7.6 | 0.02 | 0.9 | 0.6–1.4 | 0.62 | 1.7 | 0.5–5.5 | 0.380 |
| Q4 (>5.4) | 2.9 | 2.0–4.0 | <0.001 | 5.3 | 2.8–9.9 | <0.001 | 8.9 | 3.7–20.4 | <0.001 | 1.5 | 1.0–2.3 | 0.05 | 7.8 | 2.5–20.6 | <0.001 |
| Surgeon volumea | 0.93 | 0.88–0.98 | 0.004 | 0.96 | 0.89–1.03 | 0.26 | 0.90 | 0.82–0.97 | 0.010 | 0.91 | 0.87–0.97 | 0.003 | 0.85 | 0.76–0.95 | 0.003 |
| Nerve-sparing surgery | 0.9 | 0.7–1.2 | 0.45 | 1.1 | 0.7–1.5 | 0.78 | 0.7 | 0.4–1.0 | 0.070 | 0.9 | 0.6–1.1 | 0.32 | 0.7 | 0.4–1.1 | 0.110 |
PSM, positive surgical margin; OR, odds ratio; RP, radical prostatectomy; Q, quartile; CI, confidence interval; PSA, prostate-specific antigen; pT, pathological tumor stage.
Note: the “Reference” indicates the reference group for each variable considered.
Per 100 previous prostatectomies.