Table 4.
Individual assessment of the enhancement in predictive accuracy associated with each definition of PSA dynamics for prediction of prostate-cancer–specific mortality, after adjustment for the pretreatment PSA level. Concordance indices are comparable only across each row and not comparable row by row as the patients included varied for each definition.
| Concordance Index | |||||
|---|---|---|---|---|---|
| Number of patients |
Dynamic Alone |
PSA Alone |
PSA plus PSA Dynamic |
Enhancement* (95% CI) |
|
| Doubling Time | |||||
| MSKCC26 | 565 | 0.525 | 0.688 | 0.680 | |
| Shulman18 | 561 | 0.523 | 0.689 | 0.681 | |
| MD Anderson 216 | 553 | 0.511 | 0.691 | 0.680 | |
| MD Anderson 116 | 545 | 0.509 | 0.688 | 0.682 | |
| Ward21 | 350 | 0.547 | 0.692 | 0.685 | |
| Freedland14 | 327 | 0.524 | 0.707 | 0.667 | |
| Egawa13 | 210 | 0.611 | 0.727 | 0.738 | |
| Trapasso22 | 194 | 0.576 | 0.658 | 0.661 | |
| Stephenson20 | 135 | 0.507 | 0.656 | 0.649 | |
| Hanks15 | 112 | 0.601 | 0.704 | 0.712 | |
| Smith19 | 59 | 0.692 | 0.763 | 0.798 | |
| D’Amico12 | 40 | 0.771 | 0.810 | 0.803 | |
| Velocity | |||||
| MSKCC26 | 594 | 0.582 | 0.692 | 0.673 | |
| Thompson25 | 589 | 0.585 | 0.693 | 0.673 | |
| D’Amico A4 | 492 | 0.601 | 0.677 | 0.626 | −0.051 (−0.070, 0.003) |
| D’Amico A >2 ng/mL/yr4 | 492 | 0.600 | 0.677 | 0.685 | 0.008 (−0.018, 0.036) |
| Rozhansky23 | 369 | 0.599 | 0.671 | 0.619 | |
| Sengupta17 | 327 | 0.617 | 0.707 | 0.671 | |
| D’Amico B5 | 90 | 0.730 | 0.773 | 0.746 | −0.027 (−0.059, 0.050) |
| D’Amico B >2 ng/mL/yr5 | 90 | 0.695 | 0.773 | 0.776 | 0.003 (−0.008, 0.033) |
| Thiel24 | 82 | 0.642 | 0.695 | 0.667 | |
| Smith19 | 59 | 0.662 | 0.763 | 0.728 | |
Enhancement in predictive accuracy (PSA plus PSA Dynamic versus PSA alone) given for PSA dynamics with adjustment for PSA.