Table 3.
Prediction of pathologic stage in men treated with radical prostatectomy for clinically localized prostate cancer
Reference | Year | Prediction form | Outcome | No of Patients | Variables | Discrimination | Validation |
---|---|---|---|---|---|---|---|
Narayan et al. [133] | 1995 | Probability graph | Pathologic Stage | 813 | Biopsy based stage, biopsy Gleason sum, PSA | Not available | Not performed |
Partin et al. [18, 19, 134] | 1993, 1997, and 2007 | Probability table | Pathologic Stage | 703 and 4133 | Biopsy Gleason sum, clinical stage, PSA | Internal: 72% External: 84% |
External [135] and updated [19, 61, 136] |
Epstein et al. [137] | 1994 | Risk group | Clinically indolent cancer defined as pathologically organ confined, tumor volume ≤ 0.2 cc, Gleason sum < 7) | 157 | Biopsy Gleason sum, millimeter core with cancer, PSA density, no adverse pathologic findings on needle biopsy | Not available | External [138] |
Goto et al. [139] | 1996 | Risk group | Clinically indolent cancer defined as pathologically organ confined, tumor volume ≤0.5 cc, Gleason sum < 7) | 569 | PSA density, maximal millimeter cancer in any core | Not available | Not performed |
Kattan et al. [70] | 2003 | Probability nomogram development | Clinically indolent cancer defined as pathologically organ confined, tumor volume ≤0.5 cc, no Gleason grade 4 or 5 | 409 | PSA, primary and secondary biopsy Gleason sum | 64% | Internal and external [29] |
PSA, primary and secondary biopsy Gleason sum, percent positive cores, TRUS volume | 74% | Internal and external [29] | |||||
PSA, clinical stage, primary and secondary biopsy Gleason sum, TRUS volume, millimeter core with cancer, millimeter core without cancer | 79% | Internal and external [29] | |||||
Chun et al. [140] | 2006 | Probability nomogram development | Gleason upgrading between biopsy and radical prostatectomy | 2982 | PSA, clinical stage, primary and secondary biopsy Gleason sum | 80% | Internal |
Chun et al. [141] | 2006 | Probability nomogram development | Significant Gleason upgrading between biopsy and radical prostatectomy | 4789 | PSA, clinical stage, biopsy Gleason sum | 76% | Internal |
Steuber et al. [142] | 2006 | Probability nomogram development | Tumor location: transition versus peripheral zone | 945 | PSA, biopsy Gleason sum, positive biopsy cores at mid-prostate only, number of positive biopsy cores at base, cumulative percent biopsy tumor volume | 77% | Internal |
Peller et al. [143] | 1995 | Probability table | Tumor volume | 102 | Biopsy Gleason sum, number positive sextant cores, PSA | Not available | Not performed |
Ackerman et al. [144] | 1993 | Probability formula | Surgical margin positivity | 107 | Number positive sextant cores, PSA density | 70% | Not performed |
Rabbani et al. [145] | 1998 | Probability graph | Surgical margin positivity | 242 | Androgen deprivation, number ipsilateral positive cores, PSA | Not available | Not performed |
Bostwick et al. [146] | 1996 | Probability graph | Capsular penetration | 314 | Biopsy Gleason sum, percent cancer in biopsy cores, PSA | 78% | Not performed |
Gamito et al. [147] | 2000 | Neural network | Capsular penetration | 4133 | Age, race, PSA, PSA velocity, Gleason sum, clinical stage | 30–76% | External |
Gilliland et al. [148] | 1999 | Probability graph | Extracapsular extension | 3826 | Age, biopsy Gleason sum, PSA | 63% | Not performed |
Ohori et al. [62] | 2004 | Probability nomogram development | Side-specific extracapsular extension | 763 | PSA, clinical stage, side-specific biopsy Gleason sum, side-specific percent positive cores, side-specific percent of cancer in cores | 81% | External [63] |
Steuber et al. [63] | 2006 | Probability nomogram development | Side-specific extracapsular extension | 1118 | PSA, clinical stage, biopsy Gleason sum, percent positive cores, percent of cancer in positive cores | 84% | Internal |
Veltri et al. [149] Haese et al. [150] |
2001, 2003 | Ordinal logistic regression and neural network | Organ confined disease | 1287 | Age, PSA, No of cores positive, highest Gleason score, average % tumor involvement per core, presence of Gleason pattern 4/5, midcore with >5% tumor, base and/or midcore with >5% tumor | 93–98.6% | External |
Badalament et al. [151] | 1996 | Probability formula | Organ confined disease | 192 | Biopsy Gleason sum, involvement of greater than 5% of base with or without apex biopsy, nuclear grade, PSA, total percent tumor involvement | 86% | Not performed |
Bostwick et al. [146] | 1996 | Probability graph | Seminal vesicle invasion | 314 | Biopsy Gleason sum, percent cancer in cores, PSA | 76% | Not performed |
Pisansky et al. [152] | 1996 | Probability graph | Seminal vesicle invasion | 2953 | Biopsy Gleason primary grade, clinical stage, PSA | 80% | Internal |
Koh et al. [64] | 2003 | Probability nomogram development | Seminal vesicle invasion | 763 | PSA, clinical stage, primary and secondary Gleason sum, and percent of cancer at the base | 88% | Internal |
Baccala et al. [153] | 2007 | Probability nomogram development | Seminal vesicle invasion | 6740 | Age, PSA, Biopsy Gleason sum, clinical stage | 80% | Internal |
Gallina et al. [65] | 2007 | Probability nomogram development | Seminal vesicle invasion | 896 | PSA, clinical stage, biopsy Gleason sum, percent positive biopsy cores | 79% | Internal and external |
Ackerman et al. [144] | 1993 | Probability formula | Lymph node invasion assessed with limited pelvic lymphadenectomy | 107 | Number positive sextant cores, PSA | 94% | Not performed |
Roach et al. [154] | 1994 | Probability graph | Lymph node invasion assessed with limited pelvic lymphadenectomy | 212 | Biopsy Gleason sum, PSA | Not available | Not performed |
Bluestein et al. [155] | 1994 | Probability graph | Lymph node invasion assessed with limited pelvic lymphadenectomy | 816 | Biopsy Gleason sum, clinical stage, PSA | 82% | Internal |
Batuello et al. [156] | 2001 | Neural network | Lymph node invasion assessed with limited pelvic lymphadenectomy | 6454 | Biopsy Gleason sum, clinical stage, PSA | 77–81% | Internal and external |
Cagiannos et al. [66] | 2003 | Probability nomogram development | Lymph node invasion assessed with limited pelvic lymphadenectomy | 5510 | PSA, clinical stage, biopsy Gleason sum | 76% | Internal |
PSA, clinical stage, biopsy Gleason sum, institution | 78% | Internal | |||||
Briganti et al. [67, 157, 158] | 2006, 2007 | Probability nomogram development | Lymph node invasion assessed with extended pelvic lymphadenectomy (≥10 nodes) | 602 [67] | PSA, clinical stage, biopsy Gleason sum | 76% | Internal |
781 [157] | PSA, clinical stage, biopsy Gleason sum, number of lymph nodes | 79% | Internal | ||||
278 [158] | PSA, clinical stage, biopsy Gleason sum, percentage positive biopsy cores | 83% | Internal |
PSA = prostate-specific antigen; TRUS = transrectal ultrasound;