Table 2.
Results of traditional and extended Cox regression analyses of prostate cancer death and estimated mortality reductions in the settings of the ERSPC and PLCO intervention arms relative to no screening
Estimated mortality reduction relative to no screening | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
|
||||||||||
Cox regression analysis | Setting of ERSPC intervention arm | Setting of PLCO intervention arm | ||||||||
| ||||||||||
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