Table 3.
Comparative prognostic model performance in a large population cohort (n = 10,139) between the original risk group allocation and a simulated reassignment of risk allocation by applying the observed differences from Table 2 between clinical based characterisation (DRE + systematic sampling only) versus MRI based characterisation (MRI staging and combined MRI targeted and systematic sampling). European Association of Urology (EAU), American Urological Association, Cambridge Prognostic Group (CPG). *Death due only to prostate cancer
Original allocation | Redistributed allocation | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Risk model | Alive | Dead* | Hazard ratio (CI) | p value | C-index (CI) | Alive | Dead* | Hazard ratio (CI) | p value | C-index (95% CI) |
EAU | ||||||||||
Low | 1707 | 33 | Reference | – | 0.69 (0.68–0.71) | 1596 | 31 | Reference | – | 0.64 (0.63–0.66) |
Intermediate | 3560 | 155 | 2.7 (1.9–4.1) | < 0.0001 | 3070 | 134 | 2.1 (1.4–3.1) | < 0.0001 | ||
High | 4083 | 601 | 9.0 (6.3–12.8) | < 0.0001 | 4627 | 681 | 6.2 (4.3–8.9) | < 0.0001 | ||
AUA | ||||||||||
Low | 1707 | 33 | Reference | 0.71 (0.70–0.72) | 1596 | 31 | Reference | 0.65 (0.64–0.67) | ||
Favourable Intermediate | 2015 | 63 | 1.9 (1.2–2.8) | 0.004 | 1700 | 53 | 1.55 (1.0–2.4) | 0.05 | ||
Un-favourable Intermediate | 1545 | 92 | 3.9 (2.7–5.9) | < 0.0001 | 1370 | 81 | 2.8 (1.8–4.2) | < 0.0001 | ||
High | 4083 | 601 | 9.0 (6.4–12.8) | < 0.0001 | 4627 | 681 | 6.3 (4.4–9.0) | < 0.0001 | ||
CPG | ||||||||||
1 | 1707 | 33 | Reference | 0.75 (0.74–0.77) | 1596 | 31 | Reference | 0.70 (0.67–0.71) | ||
2 | 2015 | 63 | 1.9 (1.2–2.9) | 0.004 | 1700 | 53 | 1.6 (0.99–2.4) | 0.05 | ||
3 | 1545 | 92 | 4.90 (2.7–6.0) | < 0.0001 | 1370 | 81 | 2.8 (1.8–4.2) | < 0.0001 | ||
4 | 2784 | 268 | 5.6 (3.9–8.1) | < 0.0001 | 3177 | 306 | 4.3 (3.0–6.3) | < 0.0001 | ||
5 | 1299 | 333 | 18.4 (12.9–26.4) | < 0.0001 | 1452 | 373 | 9.8 (6.8–14.1) | < 0.0001 |