Table 3.
Predicted immediate and long-term PCa outcomes per 1000 men with PSA between 4.0 and 10.0 ng/mL by screening age and biopsy strategy
| Screening age, y | Biopsy strategy* | Biopsies done, n | Biopsies,%Δ† | PCa diagnoses, n |
Over-diagnoses, n | Overdiagnoses, %Δ† | Deaths, n |
Lives saved, n | Lives saved,%Δ† | Overdiagnoses per life saved | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Low grade | High grade | PCa | Other | |||||||||
| 55 | No patients | 0 | 100.0 | 0 | 0 | 0 | 100.0 | 88 | 912 | 0 | 100.0 | — |
| T2:ERG >5 | 491 | 50.9 | 156 | 112 | 43 | 36.4 | 57 | 943 | 31 | 36.0 | 1.4 | |
| PCA3 >35 | 261 | 73.9 | 93 | 75 | 27 | 60.6 | 71 | 929 | 17 | 64.9 | 1.6 | |
| MiPS >30% | 569 | 43.1 | 188 | 151 | 53 | 21.2 | 49 | 951 | 39 | 19.6 | 1.4 | |
| MiPShg >10% | 732 | 26.8 | 203 | 160 | 57 | 15.0 | 45 | 955 | 42 | 13.1 | 1.4 | |
| IDEAL | 421 | 57.9 | 248 | 173 | 67 | 0.2 | 39 | 961 | 49 | 0.1 | 1.4 | |
| IDEALhg | 173 | 82.7 | 0 | 173 | 25 | 62.9 | 60 | 940 | 28 | 42.6 | 0.9 | |
| All patients | 1000 | 0.0 | 248 | 173 | 67 | 0.0 | 39 | 961 | 49 | 0.0 | 1.4 | |
| 65 | No patients | 0 | 100.0 | 0 | 0 | 0 | 100.0 | 42 | 958 | 0 | 100.0 | — |
| T2:ERG >5 | 486 | 51.4 | 144 | 57 | 77 | 35.8 | 30 | 970 | 12 | 38.5 | 6.3 | |
| PCA3 >35 | 338 | 66.2 | 105 | 59 | 63 | 48.0 | 31 | 969 | 11 | 46.6 | 5.8 | |
| MiPS >30% | 669 | 33.1 | 184 | 87 | 104 | 14.0 | 24 | 976 | 18 | 11.4 | 5.8 | |
| MiPShg >10% | 788 | 21.2 | 197 | 88 | 110 | 8.8 | 23 | 977 | 19 | 7.3 | 5.9 | |
| IDEAL | 311 | 68.9 | 218 | 93 | 121 | 0.0 | 22 | 978 | 20 | 0.2 | 6.0 | |
| IDEALhg | 93 | 90.7 | 0 | 93 | 34 | 72.0 | 32 | 968 | 10 | 51.8 | 3.5 | |
| All patients | 1000 | 0.0 | 218 | 93 | 121 | 0.0 | 22 | 978 | 20 | 0.0 | 6.0 | |
IDEAL = ideal biomarker with 100% sensitivity or specificity for any PCa; IDEALhg = ideal biomarker with 100% sensitivity or specificity for high-grade PCa; MiPS = Michigan Prostate Score for any PCa; MiPShg = Michigan Prostate Score for high-grade PCa; PCa = prostate cancer; PCA3 = prostate cancer antigen 3; PSA = prostate-specific antigen; T2:ERG = TMPRSS2:ERG gene fusion.
“%Δ” shows the percent reduction under each biopsy strategy relative to biopsying all patients.