Table 2.
Preoperative parameters | BCR | Metastatic recurrence | ||||||
SHR (95% CI) | p value | AIC | C-index (95% CI) | SHR (95% CI) | p value | AIC | C-index (95% CI) | |
EAU risk groups components | ||||||||
EAU risk groups | ||||||||
1 | 1.00 (Ref.) | <0.0001 | 1560 | 0.67 (0.63–0.72) | 1.00 (Ref.) | <0.0001 | 554 | 0.74 (0.67–0.80) |
2 | 3.04 (1.69–5.48) | 4.05 (1.23–13.28) | ||||||
3 | 8.70 (4.67–16.19) | 16.22 (4.93–53.35) | ||||||
cT stage | ||||||||
T1c-T2a | 1.00 (Ref.) | 0.056 | 1614 | 0.53 (0.49–0.56) | 1.00 (Ref.) | 0.014 | 584 | 0.55 (0.49–0.60) |
T2b | 2.10 (1.03–4.26) | 1.33 (0.32–5.38) | ||||||
≥T2c | 1.64 (0.81–3.35) | 3.53 (1.50–8.27) | ||||||
PSA (ng/ml) | ||||||||
<10 | 1.00 (Ref.) | <0.0001 | 1593 | 0.61 (0.56–0.66) | 1.00 (Ref.) | 0.0002 | 575 | 0.65 (0.56–0.73) |
10–20 | 1.97 (1.33–2.92) | 2.69 (1.44–4.99) | ||||||
>20 | 4.38 (2.34–8.17) | 4.94 (1.99–12.23) | ||||||
Gleason score | ||||||||
≤6 | 1.00 (Ref.) | <0.0001 | 1566 | 0.65 (0.61–0.70) | 1.00 (Ref.) | <0.0001 | 562 | 0.70 (0.63–0.76) |
7 | 3.39 (2.01–5.70) | 5.06 (1.80–14.21) | ||||||
≥8 | 9.01 (4.85–15.7) | 15.62 (4.99–48.89) | ||||||
Grade groups | ||||||||
1 | 1.00 (Ref.) | <0.0001 | 1543 | 0.71 (0.66–0.75) | 1.00 (Ref.) | <0.0001 | 544 | 0.77 (0.70–0.84) |
2 | 2.32 (1.29–4.14) | 2.08 (0.64–6.73) | ||||||
3 | 6.50 (3.69–11.45) | 10.99 (3.82–31.64) | ||||||
4–5 | 9.52 (5.06–17.91) | 15.49 (4.94–48.56) | ||||||
PSA density (ng/ml/ml) log | 2.16 (1.71–2.71) | <0.0001 | 1578 | 0.66 (0.60–0.71) | 2.12 (1.53–2.91) | <0.0001 | 573 | 0.68 (0.59–0.78) |
%GP4/5b | ||||||||
0–20 | 1.00 (Ref.) | <0.0001 | 1522 | 0.73 (0.69–0.77) | 1.00 (Ref.) | <0.0001 | 533 | 0.78 (0.72–0.84) |
30–75 | 5.46 (3.59–8.29) | 11.93 (4.65–30.56) | ||||||
100 | 8.93 (5.24–15.19) | 21.25 (7.38–61.20) | ||||||
%GP4/5b | ||||||||
0–30 | 1.00 (Ref.) | <0.0001 | 1535 | 0.72 (0.67–0.76) | 1.00 (Ref.) | <0.0001 | 526 | 0.80 (0.74–0.85) |
40–75 | 4.49 (3.05–6.60) | 13.36 (5.59–31.92) | ||||||
100 | 6.98 (4.24–11.46) | 19.57 (7.21–53.09) | ||||||
MRI diameter (mm) | 1.05 (1.03–1.07) | <0.0001 | 1585 | 0.68 (0.63–0.73) | 1.08 (1.05–1.11) | <0.0001 | 554 | 0.78 (0.70–0.84) |
0–9 | 1.00 (Ref.) | <0.0001 | 1586 | 0.66 (0.61–0.70) | 1.00 (Ref.) | <0.0001 | 551 | 0.74(0.68–0.81) |
10–19 | 2.15 (1.36–3.40) | 9.27 (2.20–39.06) | ||||||
20–25 | 3.55 (1.96–6.42) | 19.16 (4.15–88.34) | ||||||
>25 | 5.07 (2.80–9.18) | 32.37 (7.41–141.40) | ||||||
Biopsy MCCL (mm) | 1.19 (1.13–1.25) | <0.0001 | 1566 | 0.69 (0.64–0.74) | 1.27 (1.18–1.37) | <0.0001 | 554 | 0.76 (0.68–0.83) |
<6 | 1.00 (Ref.) | <0.0001 | 1578 | 0.66 (0.62–0.71) | 1.00 (Ref.) | <0.0001 | 564 | 0.72 (0.65–0.79) |
6–8 | 2.31 (1.45–3.68) | 3.23 (1.33–7.84) | ||||||
≥9 | 4.00 (2.56–6.24) | 6.94 (3.06–15.71) | ||||||
Volume of grade 4 or 5 (ml) log | 1.02 (1.01–1.04) | 0.013 | 1610 | 0.74 (0.68–0.79) | 1.03 (1.01–1.05) | 0.0001 | 581 | 0.83 (0.76–0.89) |
Volume of grade 4 or 5 (ml) | ||||||||
<0.5 | 1.00 (Ref.) | <0.0001 | 1528 | 0.73 (0.68–0.78) | 1.00 (Ref.) | <0.0001 | 524 | 0.82 (0.76–0.88) |
0.5–1.0 | 3.34 (1.96–5.68) | 4.17 (1.47–11.77) | ||||||
1.01–3.2 | 4.59 (2.93–7.20) | 10.40 (4.86–22.23) | ||||||
>3.2 | 8.79 (5.49–14.06) | 19.64 (9.32–41.37) | ||||||
MCCL of grade 4 or 5 (mm) | 1.22 (1.17–1.28) | <0.0001 | 1529 | 0.73 (0.68–0.78) | 1.29 (1.21–1.36) | <0.0001 | 532 | 0.82 (0.75–0.88) |
<6 | 1.00 (Ref.) | <0.0001 | 1556 | 0.66 (0.61–0.71) | 1.00 (Ref.) | <0.0001 | 554 | 0.72 (0.64–0.80) |
6–8 | 3.32 (2.18–5.03) | 4.49 (2.29–8.79) | ||||||
≥9 | 6.51 (4.06–10.44) | 8.85 (4.32–18.09) |
AIC = Akaike information criterion; BCR = biochemical recurrence; CI = confidence interval; EAU = European Association of Urology; %GP4/5 = percentage of Gleason pattern 4 or 5; MCCL = maximum cancer core length; PSA = prostate-specific antigen; Ref. = reference; SHR = subhazard ratio.
The AIC and Harrell's C-index are presented as a guide to each variable’s performance: the lower the AIC and the higher the C-index, the better the prediction.
As a noncontinuous variable; %GP4/5 threshold groups were tested and compared.