Page 422 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
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Appendix Table C3.2. KQ3 multivariable analyses (continued)
                                            Author          Factors       Data source      Duration      Analyzed         Population         WW/AS          Methods          Results as described in paper
                                              yr                                                          sample        characteristics  definitions
                                             PMI
                                        Barocas 161       Clinical,      CaPSURE           1999-       1421             Localized          No             Binary           1. age at dx, >74 yr vs. ≤74 yr,
                                        2008              social                           2004                         prostate           treatment      logistic         OR=7.30 (CI 4.39, 12.21)
                                        18707731                                                                        cancer.            within 6 mo    regression       2. risk of disease (modified
                                                                                                                                           after dx        AS              D’Amico), low vs. not low,
                                                                                                                                                                           OR=3.40 (CI 1.91, 6.04)
                                                                                                                                                                           3. education level, high school or
                                                                                                                                                                           less vs. some or more college,
                                                                                                                                                                           OR=0.86 (CI 0.53, 1.41)

                                                                                                                                                                           “Low risk” = PSA<10ng/ml, stage
                                                                                                                                                                           T1 or T2a, PSA density <0.15, <
                                                                                                                                                                           1/3 positive cores, and no Gleason
                                                                                                                                                                           pattern 4 and 5. The OR for
                                                                                                                                                                           patients who met all 4 criteria for
                                                                                                                                                                           low risk was 2.7 (CI 1.9, 3.8) vs. all
                                                                                                                                                                           other patients.
                                        Konety 162        Clinical       CaPSURE           NR          11,261           Biopsy-proven      Not            Multinomial      Model stratified for disease risk
                                        2008                                                                            prostate cancer   explicitly      logistic         category (see paper for other risk
                                        18343440                                                                                           provided       regression       categories):
                                                                                                                                                          WW vs. any
                                                                                                                                                          other primary    low risk patients, using WW as the
                                                                                                                                                          therapy          baseline,
                                                                                                                                                                             - BT: ≥75 yr vs. <75 yr,
                                                                                                                                                                           OR=0.234 (CI 0.161, 0.339)
                                                                                                                                                                             - BT + EBRT: ≥75 yr vs. <75 yr,
                                                                                                                                                                           OR=0.109 (CI 0.025, 0.473)
                                                                                                                                                                             - EBRT: ≥75 yr vs. <75 yr,
                                                                                                                                                                           OR=0.430 (CI 0.288, 0.641)
                                                                                                                                                                             - PADT: ≥75 yr vs. <75 yr,
                                                                                                                                                                           OR=0.744 (CI 0.507, 1.090)
                                                                                                                                                                             - RP: ≥75 yr vs. <75 yr,
                                                                                                                                                                           OR=0.014 (CI 0.008, 0.025)

                                                                                                                                                                           Results were adjusted for
                                                                                                                                                                           demographics and the number of
                                                                                                                                                                           comorbidities at dx. There was no
                                                                                                                                                                           significant interaction between age
                                                                                                                                                                           and comorbidity level.





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