Table 5. Mcm5 signal test sensitivity in cancer patients categorized by PSA level, clinical stage and Gleason score.
|
Pre-massage
|
Post-massage
|
Highest Mcm5 signal
|
|||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | Mcm5, median (IQR) | Sensitivity % (CI) | P (n)* | P (t)† | n | Mcm5, median (IQR) | Sensitivity % (CI) | P (n) | P (t) | n | Mcm5, median (IQR) | Sensitivity % (CI) | P (n) | P (t) | |
| PSA, ng ml–1 | |||||||||||||||
| <5 | 25 | 2180 (<1800 to 4190) | 56 (34–76) | — | — | 20 | 3170 (1874 to 5587) | 75 (51–91) | — | — | 26 | 3170 (2152 to 5887) | 81 (61–93) | — | — |
| 5–15 | 26 | 2365 (<1800 to 3947) | 62 (41–80) | 0.77 | 0.21 | 23 | 3870 (2280 to 5160) | 83 (61–95) | 0.65 | 0.96 | 29 | 3870 (2250 to 5240) | 79 (60–92) | 0.95 | 0.80 |
| >15 | 29 | 3440 (<1800 to 5075) | 72 (53–87) | 0.24 | — | 16 | 3290 (1914 to5037) | 75 (48–93) | 1.00 | — | 30 | 4065 (2450 to 5337) | 83 (65–94) | 0.88 | — |
| Clinical stage | |||||||||||||||
| T1 | 23 | 2460 (<1800 to 5000) | 61 (39–80) | — | — | 18 | 4485 (3210 to 7797) | 94 (73–100) | — | — | 24 | 4505 (3007 to 6900) | 92 (73–99) | — | — |
| T2 | 30 | 2210 (<1800 to 3140) | 60 (41–77) | 0.98 | 0.70 | 28 | 2625 (<1800 to 4240) | 68 (48–84) | 0.08 | 0.06 | 33 | 2680 (2045 to 4445) | 79 (61–91) | 0.33 | 0.05 |
| T3/4 | 21 | 3470 (<1800 to 5290) | 67 (43–85) | 0.75 | — | 9 | 2560 (<1800 to 4300) | 67 (30–93) | 0.22 | - | 22 | 3500 (<1800 to 5330) | 68 (45–86) | 0.10 | — |
| Gleason score | |||||||||||||||
| ⩽6 | 32 | 2310 (<1800 to 3420) | 62 (44–79) | — | — | 24 | 3800 (2887 to5707) | 87 (68–97) | — | — | 32 | 3545 (2715 to 5707) | 91 (75–98) | — | — |
| 7 | 22 | 2125 (<1800 to 3580) | 55 (32–76) | 0.58 | 0.77 | 19 | 3660 (<1800 to 5160) | 74 (49–91) | 0.37 | 0.05 | 26 | 3375 (<1800 to 4830) | 69 (48–86) | 0.10 | 0.12 |
| 8–10 | 19 | 3530 (<1800 to 5660) | 68 (43–87) | 0.70 | — | 12 | 2340 (<1800 to 3212) | 58 (28–85) | 0.13 | — | 20 | 3255 (1942 to 5552) | 75 (51–91) | 0.27 | — |
Abbreviations: CI=confidence interval; Mcm=minichromosome maintenance; IQR=interquartile range; PSA=prostate-specific antigen.
*P-value for sensitivity, vs base category (χ2 test).
†P-value for trend across category.