Table 3.
Biochemical Failure |
Distant Metastasis |
||||||
---|---|---|---|---|---|---|---|
No. of Patients (5-year) | ASTRO* |
Nadir+2† |
|||||
Predictor | (5-Year) | P | (5-Year) | P | (5-Year) | P | |
T-stage | |||||||
T1-T2 | 606 | 37% | 26% | 4% | |||
T3-T4 | 61 | 59% | .0001 | 45% | .002 | 12% | .016 |
Gleason score | |||||||
2-6 | 357 | 48% | 25% | 3% | |||
7-10 | 310 | 42% | .559 | 31% | .042 | 8% | .002 |
iPSA (ng/mL) | |||||||
≤10 | 182 | 37% | 22% | 5% | |||
>10-20 | 337 | 30% | 23% | 4% | |||
>20 | 148 | 66% | <.0001 | 47% | <.0001 | 8% | .043 |
RT Dose (Gy) | |||||||
<74 | 224 | 50% | 32% | 8% | |||
74-76 | 270 | 36% | 29% | 4% | |||
>76 | 173 | 30% | <.0001 | 18% | .040 | 2% | .010 |
Abbreviations: ASTRO = American Society of Therapeutic Radiation Oncology; iPSA = initial pretreatment prostate-specific antigen level; RT = radiotherapy; Gy = Gray.
ASTRO definition of biochemical failure: 3 consecutive rises in PSA, with BF backdated to midpoint between nadir and the first rise (16).