Table 3.
Predictors of metastases*
Variable | HR | 95% CI | p |
---|---|---|---|
Univariable analysis | |||
| |||
ADT PSA nadir relative to undetectable | |||
0.01–0.2 ng/ml | 3.04 | 1.19–7.76 | 0.020 |
>0.2 ng/ml | 16.50 | 8.33–32.70 | <0.001 |
ADT PSA nadir, continuous | 2.29 | 1.68–3.13 | <0.001 |
Pre-ADT PSA, log-transformed | 1.72 | 1.38–2.14 | <0.001 |
Black race | 0.78 | 0.40–1.53 | 0.471 |
Extracapsular extension | 1.07 | 0.58–1.98 | 0.823 |
Seminal vesicle invasion | 2.14 | 1.16–3.93 | 0.014 |
Surgical margin status | 0.94 | 0.49–1.79 | 0.852 |
Pathologic Gleason sum relative to 2–6 | |||
7 | 0.59 | 0.20–1.73 | 0.335 |
8–10 | 2.88 | 1.11–7.49 | 0.030 |
Age at the start of ADT | 0.98 | 0.94–1.02 | 0.382 |
Calendar year of RP | 0.98 | 0.92–1.05 | 0.626 |
Lymph node metastases | 2.08 | 0.80–5.40 | 0.131 |
Time to ADT nadir | 1.01 | 0.96–1.05 | 0.757 |
Salvage external-beam radiation therapy | 1.31 | 0.71–2.42 | 0.393 |
PSA persistence after RP | 1.25 | 0.63–2.49 | 0.520 |
| |||
Multivariable analysis using PSA nadir ADT as a continuous variable | |||
| |||
PSA nadir ADT | 1.64 | 1.17–2.29 | 0.004 |
Pre-ADT PSA, log-transformed | 1.73 | 1.33–2.25 | <0.001 |
Seminal vesicle invasion | 1.92 | 1.02–3.64 | 0.045 |
Gleason sum 8–10 relative to 2–6 | 1.56 | 0.58–4.18 | 0.374 |
| |||
Multivariable analysis using PSA nadir ADT as a categorical variable | |||
| |||
PSA nadir ADT relative to undetectable | |||
0.01–0.2 ng/ml | 3.98 | 1.50–10.55 | 0.006 |
>0.2 ng/ml | 12.42 | 5.85–26.37 | <0.001 |
Pre-ADT PSA, log-transformed | 1.61 | 1.20–3.84 | 0.002 |
Seminal vesicle invasion | 2.00 | 1.04–3.84 | 0.038 |
Gleason sum 8–10 relative to 2–6 | 2.02 | 0.75–5.39 | 0.163 |
HR = hazard ratio; CI = confidence interval; ADT = androgen-deprivation therapy; PSA = prostate-specific antigen; RP = radical prostatectomy.
n = 294; events = 42.