Table 7.
Discrimination for three risk markers measured at baseline and change in discrimination when adding Modified PRACTICAL risk to total PSA and the 4kKscore for the outcome of prostate cancer metastasis or death.
Modified PRACTICAL risk | Total PSA | Modified PRACTICAL risk + Total PSA | Change in AUC from total PSA alone | 4Kscore | Modified PRACTICAL risk + 4Kscore | Change in AUC from 4Kscore alone | |
---|---|---|---|---|---|---|---|
All men | 0.630 | 0.782 | 0.772 | −0.009 | 0.758 | 0.761 | 0.003 |
PSA ≤ 1.0a | 0.603 | 0.595 | 0.620 | 0.025 | – | – | – |
PSA ≥ 3.0b | 0.580 | 0.649 | 0.655 | 0.006 | 0.724 | 0.724 | 0.000 |
aThe PSA ≤ 1.0 ng/ml cutpoint concerns the clinical decision about the frequency of screening.
bThe PSA ≥ 3.0 ng/ml cutpoint concerns the clinical decision about biopsy.