Table 2.
Estimated mortality reduction relative to no screening | ||||||||||
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Cox regression analysis | Setting of ERSPC intervention arm | Setting of PLCO intervention arm | ||||||||
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Covariate | HR | 95% CI | P | MLT | Reduction | 95% CI | MLT | Reduction | 95% CI | |
Traditional analysis | ||||||||||
| ||||||||||
PLCO setting | 0.53 | (0.45–0.62) | <0.0001 | |||||||
Age | 1.13 | (1.11–1.14) | <0.0001 | |||||||
Intervention arm | 0.84 | (0.73–0.96) | 0.0099 | n/a | 16% | (4–27%) | n/a | 16% | (4–27%) | |
| ||||||||||
Extended analyses | ||||||||||
| ||||||||||
Empirical | PLCO setting | 0.57 | (0.48–0.67) | <0.0001 | ||||||
Age | 1.13 | (1.11–1.14) | <0.0001 | |||||||
MLT | 0.92 | (0.87–0.97) | 0.0027 | 3.96 | 29% | (11–43%) | 4.02 | 29% | (11–44%) | |
FHCRC | PLCO setting | 0.58 | (0.49–0.69) | <0.0001 | ||||||
Age | 1.13 | (1.11–1.14) | <0.0001 | |||||||
MLT | 0.93 | (0.88–0.97) | 0.0029 | 4.00 | 27% | (10–40%) | 4.10 | 27% | (10–41%) | |
MISCAN | PLCO setting | 0.63 | (0.51–0.77) | <0.0001 | ||||||
Age | 1.13 | (1.11–1.14) | <0.0001 | |||||||
MLT | 0.92 | (0.87–0.97) | 0.0032 | 3.49 | 25% | (9–38%) | 4.62 | 32% | (12–47%) | |
UMICH | PLCO setting | 0.57 | (0.48–0.68) | <0.0001 | ||||||
Age | 1.13 | (1.11–1.14) | <0.0001 | |||||||
MLT | 0.91 | (0.85–0.97) | 0.0029 | 3.83 | 31% | (12–45%) | 4.01 | 32% | (12–47%) |
ERSPC=European Randomized Study of Screening for Prostate Cancer; PLCO=Prostate, Lung, Colorectal, and Ovarian cancer screening trial; HR=hazard ratio; CI=confidence interval; PLCO setting=indicator of PLCO setting relative to the ERSPC setting to account for differential baseline risk of prostate cancer death; Age=participant age at randomization (continuous); Intervention arm=indicator of randomization to intervention arm; MLT=mean lead time (continuous) estimated in each trial arm by the specified estimation approach; FHCRC=Fred Hutchinson Cancer Research Center; MISCAN=Erasmus University Medical Center MIcrosimulation SCreening ANalysis; UMICH=University of Michigan