Page 438 - 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
                                        Wolters 171       Clinical       Post hoc          1993-       8010             low,               Not            Polytomous       1.  Age OR=1.19 (CI 1.17, 1.21)
                                        2010                             analysis of       2006        (completed       intermediate       explicitly     logistic         2.  PSA OR=0.30 (0.23, 0.39)
                                        19739124                         ERSPC                         data set)        and high risk      provided       regression       3. T2 vs. T1 =OR 0.33 (CI 0.28,
                                                                                                                        cancer                            predicts AS      0.39)
                                                                                                                                                          compared to      4. PSA 50+ vs. ≤4.0 OR=1.73 (CI
                                                                                                                                                          RP               1.02, 2.94)
                                                                                                                                                                           5. Gleason ≥8 vs. ≤6 OR=0.20
                                                                                                                                                                           (CI 0.13, 0.32)

                                                                                                                                                                           NS: study arm; lymph node
                                                                                                                                                                           involvement
                                        van den           Patient        Analysis of       2007-       129              Men who            Closely        Multivariable    Patients who perceived that
                                        Bergh 181  2009   preference     men in PRIAS  2008                             decided on AS      monitoring     regression to    physician played the most
                                        19637245                                                                        (PSA ≤10           for disease    predict          important role in shared decision-
                                                                                                                        ng/mL, PSA         progression  decisional         making process also had more
                                                                                                                        density <0.2       to decide      conflict         doubts (high decisional conflict)
                                                                                                                        ng/mL/mL,          on initiating                   regarding the choice for AS.
                                                                                                                        localized or       curative
                                                                                                                        nonpalpable        therapy                         Involvement of physicians in the
                                                                                                                        disease, ≤2                                        decision-making process was
                                                                                                                        biopsy cores;                                      assessed by a non-validated
                                                                                                                        ≤3+3 Gleason)                                      instrument.
                                        Sommers   178     Patient        Survey of 428     2004-       167 had          T1, T2N0M0,        Not            Logistic         1. Desire to avoid side effects
                                        2008              preference     eligible men      2007        eligible +       not yet treated    explicitly     regression       main predictor of choice of WW
                                        18704993                         with newly                    analyzable                          provided       predicts         (logistic regression coefficients not
                                                                         dx’d localized                data                                               choice of        provided, P<0.05)
                                                                         cancer from 2                                                                    WW vs. other
                                                                         RT and 2                                                                         treatments or    2. “Current bowel problem” was
                                                                         urology clinics                                                                  undecided        also a predictor of choice of WW
                                                                         in Boston                                                                                         (logistic regression coefficients not
                                                                                                                                                                           provided, P<0.05)

















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