Table 4.
Biochemical Failure |
Distant Metastasis |
||||||||
---|---|---|---|---|---|---|---|---|---|
ASTRO* |
Nadir+2† |
||||||||
Predictor | HR | 95% CI | P | HR | 95% CI | P | HR | 95% CI | P |
T-stage | |||||||||
T3-4 (vs T1-2) | 1.94 | 1.34 to 2.82 | .0005 | 1.76 | 1.19 to 2.60 | .004 | 2.49 | 1.20 to 5.16 | .014 |
Gleason score | |||||||||
7-10 (vs 2-6) | 1.48 | 1.13 to 1.95 | .005 | 1.80 | 1.34 to 2.41 | <.0001 | 3.56 | 1.90 to 6.67 | <.0001 |
iPSA (continuous) | |||||||||
1 ng/mL increase | 1.02 | 1.01 to 1.02 | <.0001 | 1.02 | 1.01 to 1.02 | <.0001 | 1.02 | 1.01 to 1.03 | .0001 |
RT Dose (continuous) | |||||||||
1 Gy increase | 0.92 | 0.88 to 0.95 | <.0001 | 0.93 | 0.90 to 0.97 | .001 | 0.88 | 0.80 to 0.96 | .006 |
Abbreviations: ASTRO = American Society of Therapeutic Radiation Oncology; iPSA = initial pretreatment prostate-specific antigen level; RT = radiotherapy; Gy = Gray; HR = hazard rate; CI = confidence interval.
ASTRO definition of biochemical failure: 3 consecutive rises in PSA, with BF backdated to midpoint between nadir and the first rise (16).