Table 4.
Association of Deferred Treatment Decision and Baseline Clinical and Pathologic Characteristics of HPFS Patients With Incident Clinical Metastasis or Death As a Result of Prostate Cancer
| Baseline Characteristic | No. of Patients | No. of Events | Age-Adjusted Hazard Ratio* | 95% CI | Multivariate Hazard Ratio† | 95% CI |
|---|---|---|---|---|---|---|
| Treated within 12 months | 2,940 | 199 | 1.00 | 1.00 | ||
| Deferred treatment | 341 | 20 | 0.82 | 0.49 to 1.37 | 1.03 | 0.61 to 1.75 |
| Age at diagnosis, years | ||||||
| 40 to < 60 | 434 | 25 | 0.77 | 0.48 to 1.23 | 0.89 | 0.55 to 1.43 |
| 60 to < 70 | 1,467 | 95 | 0.84 | 0.61 to 1.15 | 0.89 | 0.65 to 1.23 |
| 70+ | 1,380 | 99 | 1.00 | 1.00 | ||
| Stage at diagnosis | ||||||
| T1 | 1,630 | 65 | 1.00 | 1.00 | ||
| T2 | 1,306 | 116 | 1.73 | 1.24 to 2.44 | 1.71 | 1.21 to 2.42 |
| T3 | 168 | 31 | 3.70 | 2.32 to 5.92 | 2.24 | 1.38 to 3.66 |
| PSA at diagnosis, ng/mL | ||||||
| 0 to < 4 | 370 | 6 | 0.06 | 0.02 to 0.24 | 0.07 | 0.02 to 0.28 |
| 4 to < 10 | 1,853 | 91 | 0.50 | 0.37 to 0.69 | 0.58 | 0.43 to 0.80 |
| 10+ | 898 | 104 | 1.00 | 1.00 | ||
| Gleason score at diagnosis | ||||||
| 2-5 | 607 | 36 | 0.30 | 0.19 to 0.47 | 0.38 | 0.24 to 0.59 |
| 6 | 1,316 | 48 | 0.34 | 0.23 to 0.50 | 0.43 | 0.29 to 0.64 |
| > 6 | 934 | 97 | 1.00 | 1.00 |
NOTE. Fifty participants who had metastases at initial diagnosis were excluded from this calculation. For this time-to-event analysis, the starting point was the date of diagnosis. The end point was the date of metastases or death as a result of prostate cancer (PCa), or the end of follow-up, whichever came first. An event occurred if a PCa patient developed metastases or died as a result of PCa before the end of follow-up. A censoring occurred if a PCa patient's disease did not metastasize or the patient did not die as a result of PCa until the end of follow-up.
Abbreviations: HPFS, Health Professionals Follow-Up Study; PSA, prostate-specific antigen.
Adjusted for age and time of diagnosis.
Adjusted for age, time of diagnosis, clinical stage, PSA at diagnosis, and Gleason score.