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. 2022 May 19;41:24–34. doi: 10.1016/j.euros.2022.04.011

Table 2.

The ability of preoperative variables of interest to predict BCR and metastatic recurrence, in a univariate analysisa

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.

a

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.

b

As a noncontinuous variable; %GP4/5 threshold groups were tested and compared.