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. Author manuscript; available in PMC: 2010 Sep 6.
Published in final edited form as: Future Oncol. 2009 Dec;5(10):1555–1584. doi: 10.2217/fon.09.121

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;

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