Table 4.
Accurracy of Target Biopsy (TB), Systematic Biopsy (SB) and combined biopsy (TB/SB) to predict the International Society of Uropathological Pathology (ISUP) score of the whole-mount pathology report (WMPR) of patients who consented radical prostatectomy (n = 151). Agreement = dark green, upgrading = red, downgrading = yellow. Not applicable (n.a.).
Total TB/SB | BN TB/SB | PNB TB/SB | p BN vs. PNB TB/SB | Total TB | BN TB | PNB TB | p BN vs. PNB TB | Total SB | BN SB | PNB SB | p BN vs. PNB SB | p Total TB/SB vs.TB/SB / TB vs.SB | p BN TB/SB vs.TB/SB / TB vs.SB | p PNB TB/SB vs.TB/SB / TB vs.SB | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ISUP Agreement with WMPR, n (%) | 80 (53) | 61 (55) | 19 (46) | 0.3 | 61 (40) | 45 (41) | 16 (39) | 0.8 | 63 (42) | 52 (47) | 11 (27) | 0.02 | 0.001/ 0.001 / 0.8 | 0.003/0.01 / 0.3 | 0.2/0.03 / 0.3 |
ISUP Upgrading with WMPR, n (%) | 43 (28) | 28 (25) | 15 (37) | 0.2 | 75 (50) | 55 (50) | 20 (49) | 0.9 | 68 (45) | 41 (37) | 27 (66) | 0.002 | <0.0001/<0.0001/ 0.4 | <0.0001/0.0003/ 0.02 | 0.03/0.0005 / 0.09 |
Upgrading ISUP 1 to ISUP ≥2 by WMPR, n (%) | 14 (9) | 10 (9) | 4 (10) | 0.9 | 19 (13) | 15 (14) | 4 (10) | 0.5 | 20 (13) | 14 (13) | 6 (15) | 0.8 | 0.09/0.03 / 0.8 | 0.1/0.03 / 0.05 | 1/0.3 / 0.3 |
Upgrading ISUP 2 to ISUP ≥3 by WMPR, n (%) | 20 (13) | 13 (12) | 7 (17) | 0.4 | 26 (17) | 18 (16) | 8 (20) | 0.6 | 22 (15) | 14 (13) | 8 (20) | 0.3 | 0.03/0.5 / 0.3 | 0.03/0.7 / 0.2 | 0.6/0.7 / 1 |
ISUP Downgrading with WMPR, n (%) | 28 (19) | 21 (19) | 7 (17) | 0.8 | 15 (10) | 10 (9) | 5 (12) | 0.6 | 20 (13) | 17 (15) | 3 (7) | 0.2 | 0.003/0.005 / 0.3 | 0.001/0.045 / 0.1 | 0.2/0.045 / 0.4 |
Downgrading to ISUP 2 by WMPR, n (%) | 14 (9) | 11 (10) | 3 (7) | 0.6 | 6 (4) | 5 (4) | 1 (2) | 0.6 | 11 (7) | 9 (8) | 2 (5) | 0.5 | 0.005/0.08 / 0.1 | 0.01/0.2 / 0.2 | 0.2/0.3 / 0.6 |
Downgrading to ISUP 1 by WMPR, n (%) | 2 (1) | 2 (2) | 0 | 0.4 | 0 | 0 | 0 | - | 2 (1) | 2 (2) | 0 | 0.4 | n.a./1 / n.a. | n.a./1 / n.a. | n.a./n.a. / n.a. |
Biopsy Naïve (BN)- or Previous-Negative Biopsy (PNB)-cohort.
Bold p-values indicate clinical significance.