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. 2019 Jun 21;112(4):384–390. doi: 10.1093/jnci/djz127

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.