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. Author manuscript; available in PMC: 2018 Apr 3.
Published in final edited form as: Ann Intern Med. 2017 Sep 5;167(7):449–455. doi: 10.7326/M16-2586

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