Table 3.
Hazard ratios for positive surgical margins predicting prostate cancer outcomes, stratified by pathological Gleason score, pathological stage, and PSA groups
| BCR
|
CRPC
|
Metastases
|
PC-specific mortality
|
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HR | 95% CI | P-value | HR | 95% CI | P-value | HR | 95% CI | P-value | HR | 95% CI | P-value | |
|
|
|
|
|
|||||||||
| Pathological Gleason score* | ||||||||||||
| 2–6 | 2.14 | 1.69–2.71 | <0.001 | 1.42 | 0.43–4.75 | 0.568 | 1.18 | 0.56–2.49 | 0.669 | 1.81 | 0.45–7.25 | 0.401 |
| 7 (3+4) | 1.92 | 1.59–2.34 | <0.001 | 0.82 | 0.36–1.89 | 0.647 | 1.12 | 0.50–2.54 | 0.780 | 1.58 | 0.51–4.84 | 0.427 |
| 7 (4+3) | 1.92 | 1.42–2.58 | <0.001 | 1.26 | 0.40–3.97 | 0.694 | 1.13 | 0.40–3.19 | 0.815 | 0.70 | 0.20–2.50 | 0.582 |
| 8–10 | 1.99 | 1.47–2.69 | <0.001 | 1.22 | 0.67–2.85 | 0.579 | 1.30 | 0.67–2.51 | 0.431 | 1.24 | 0.57–2.69 | 0.588 |
| Pathological Stage** | ||||||||||||
| T2 | 2.43 | 2.08–2.84 | <0.001 | 1.65 | 0.83–3.28 | 0.151 | 1.69 | 0.95–3.01 | 0.074 | 2.05 | 0.83–5.06 | 0.121 |
| T3/T4 | 1.28 | 1.06–1.55 | 0.010 | 0.90 | 0.52–1.54 | 0.693 | 0.99 | 0.61–1.63 | 0.981 | 1.08 | 0.59–1.97 | 0.803 |
| PSA*** | ||||||||||||
| <4 | 2.39 | 1.40–4.10 | 0.001 | 0.32 | 0.02–4.83 | 0.408 | 1.26 | 0.30–5.33 | 0.752 | N/A | - | - |
| 4–9.9 | 1.98 | 1.69–2.33 | <0.001 | 1.28 | 0.67–2.46 | 0.454 | 1.37 | 0.80–2.34 | 0.254 | 1.31 | 0.60–2.89 | 0.496 |
| 10–19.9 | 2.04 | 1.62–2.58 | <0.001 | 1.01 | 0.47–2.15 | 0.985 | 1.01 | 0.50–2.03 | 0.978 | 1.04 | 0.96–1.10 | 0.931 |
| ! | 2.22 | 1.43–3.44 | <0.001 | 1.46 | 0.46–4.61 | 0.521 | 1.55 | 0.44–5.47 | 0.496 | 1.05 | 0.23–4.84 | 0.950 |
HR are vs. negative surgical margins
Adjusted for age, race, preoperative PSA, seminal vesicle invasion, extracapsular extension, year of surgery, surgical center, and receipt adjuvant therapy
Adjusted for age, race, preoperative PSA, pathological Gleason score, year of surgery, surgical center, and receipt adjuvant therapy
Adjusted for age, race, pathological Gleason score, seminal vesicle invasion, extracapsular extension, year of surgery, surgical center, and receipt adjuvant therapy
N/A indicates that model did not converge because of low event counts