Table 4.
Effect of Delay From Recurrence to Initiation of Salvage Radiotherapy on Multivariable Proportional Hazards Model for Risk of Prostate Cancer–Specific Mortality, 1982–2004a
| Delay <2 y (n = 552); (105 Deaths)b |
Delay ≥2 y (n = 480); (100 Deaths)c |
|||||
|---|---|---|---|---|---|---|
| Variables | HR (95% CI) | P Value | HR (95% CI) | P Value | ||
| Time from surgery to recurrence, y | 0.87 (0.79–0.96)d | .006 | 0.86 (0.77–0.96)d | .006 | ||
| Calendar year of surgery | 0.89 (0.85–0.94)d | <.001 | 0.93 (0.88–0.98)d | .006 | ||
| Postoperative Gleason score | ||||||
| ≤7 | 1 [Reference] | <.001 | 1 [Reference] | <.001 | ||
| 8–10 | 2.58 (1.73–3.85) | 2.67 (1.77–4.03) | ||||
| Salvage treatment | <.001e | .87f | ||||
| PSA doubling time <6 mo | ||||||
| No salvage therapy | 1 [Reference] | 1 [Reference] | ||||
| Radiotherapy (with or without hormonal therapy) | 0.14 (0.06–0.34) | 0.80 (0.11–5.93) | ||||
| PSA doubling time ≥6 mo | ||||||
| No salvage therapy | 1 [Reference] | 1 [Reference] | ||||
| Radiotherapy (with or without hormonal therapy) | 0.72 (0.36–1.46) | 0.84 (0.40–1.74) | ||||
Abbreviations: CI, confidence interval; HR, hazard ratio; PSA, prostate-specific antigen.
Survival time measured from date of recurrence.
A total of 103 received salvage radiotherapy alone and 52 received salvage radiotherapy plus hormonal therapy. Analysis included the entire cohort of 397 men who did not receive salvage therapy.
A total of 57 received salvage radiotherapy alone and 26 received salvage radiotherapy plus hormonal therapy. Analysis included the entire cohort of 397 men who did not receive salvage therapy.
The HR is per 1-year increase.
P value represents the likelihood ratio test for adding salvage treatment (1 variable) and 1 interaction term to the model: likelihood ratio .
P value represents the likelihood ratio test for adding salvage treatment (1 variable) and 1 interaction term to the model: likelihood ratio .