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