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. 2021 Jun 29;16(3):507–516. doi: 10.1007/s11701-021-01267-8

Table 3.

Associations of physical, cancer and perioperative factors with the risk of positive surgical margins (PSM) in 1114 prostate cancer patients treated with robot assisted radical prostatectomy (RARP)

NSM PSM PSM vs NSM PSM vs NSM
Statistics Univariate analysis Multivariate analysis
Median (IQR) or frequency (%) Median (IQR) or frequency (%) OR (95% CI) p value OR (95% CI) p value
N (%) 843 (75.7) 271 (24.3)
Physical factors
 Blood group
  A 376 (44.6) 91 (33.6) Ref Ref
  B 99 (11.7) 28 (10.3) 1.169 (0.725–1.885) 0.523 1.175 (0.728–1.1898) 0.51
  AB 43 (5.1) 10 (3.7) 0.961 (0.465–1.984) 0.914 0.922 (0.445–1.909) 0.83
  O 325 (38.6) 142 (52.4) 1.805 (1.335–2.442) < 0.0001 1.820 (1.344–2.464) < 0.0001
 Age 65 (61–70) 66 (61–71) 1.003 (0.982–1.024) 0.807
 BMI 25.9 (24–28) 25.3 (23.1–28) 0.950 (0.909–0.993) 0.023 0.947 (0.905–0.990) 0.02
 ASA I-II 760 (90.2) 249 (91.9) Ref
 ASA III 83 (9.8) 22 (8.1) 0.809 (0.495–1.322) 0.398
Cancer clinical factors
 PSA 6.7 (5–9) 7.8 (5.4–12.2) 1.044 (1.021–1.067) < 0.0001 1.042 (1.108–1.066) 0
 PV 40 (31–53) 40 (30–50) 0.989 (0.981–0.998) 0.013 0.988 (0.979–0.996) 0.01
 BPC 33 (21–50) 42 (28.3–63.5) 1.013 (1.007–1.019) < 0.0001 1.009 (1.003–1.016) 0.01
 ISUP < 3 607 (72) 185 (68.3) Ref
 ISUP > 2 236 (28) 86 (31.7) 1.196 (0.889–1.609) 0.238
 cT < 2 528 (62.6) 159 (58.7) Ref
 cT > 1 315 (37.4) 112 (41.3) 1.181 (0.893–1.561) 0.243
 cN0 802 (95.1) 256 (94.5) Ref
 cN1 41 (4.9) 15 (5.5) 1.146 (0.624–2.105) 0.660
Cancer specimen factors
 PW 52 (43–65) 50 (41–62.5) 0.991 (0.984–0.999) 0.028 0.995 (0.985–1.004) 0.29
 ISUP < 3 472 (56) 109 (40.2) Ref Ref
 ISUP > 2 371 (44) 162 (59.8) 1.891 (1.432–2.498) < 0.0001 1.678 (1.105–2.548) 0.02
 pT2 704 (83.5) 170 (62.7) Ref Ref
 pT3a 64 (7.6) 45 (16.6) 2.912 (1.920–4.416) < 0.0001 2.259 (1.334–3.827) 0
 pT3b 75 (8.9) 56 (20.7) 3.092 (2.105–4.542) < 0.0001 2.072 (1.256–3.419) 0
 pN0 456 (91.0) 143 (80.8) Ref Ref
 pN1 45 (9.0) 34 (19.2) 2.409 (1.486–3.907) < 0.0001 1.494 (0.859–2.5979 0.16
 LN (n) 25 (20–32) 25 (21–31.5) 0.996 (0.979–1.013) 0.661
Perioperative factors
 No PLND Ref Ref
 PLND 1.302 (0.978–1.735) 0.071
 HVS 477 (57.9) 123 (49.0) Ref
 LVS 347 (42.1) 128 (51) 1.431 (1.077–1.899) 0.013 1.290 (0.947–1.758) 0.11
 OT 230 (200.5–255) 244 (215–273) 1.004 (1.001–1.006) 0.003 1.002 (0.999–1.005) 0.2
 BL 250 (150–400) 300 (200–500) 1.001 (1.000–1.001) 0.009 1.001 (1.000–1.001) 0.01
 CDS = 0 645 (76.5) 196 (72.3) Ref
 CDS > 0 198 (23.5) 75 (27.7) 1.247 (0.914–1.700) 0.164
 LOHS 4 (4–5) 4 (4–5) 1.057 (0.990–1.130) 0.097
 No RAD 816 (96.8) 263 (97.0) Ref
 RAD 27 (3.2) 8 (3.0) 0.919 (0.413–2.048) 0.837

See also Table 1

NSM negative surgical margins, IQR interquartile range, OR odds ratio, CI confidence interval