Page 440 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 440

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
                                        Adherence to
                                        AS/WW
                                        Carter 176        clinical       DOD CPDR          1991-       313              ≤70 yr,            Not            Multivariable    1. T2c vs. T1a/b HR 16.4 (CI 3.16,
                                        2003                             database          2002                         Gleason ≤6         explicitly     Cox              85.16), P=0.0009
                                        14581423                                                                        (no pattern 4),    provided       proportional     2. PSA doubling time 2-5 yr vs. <2
                                                                                                                        ≤3 positive                       hazard           yr HR 0.32 (CI 0.20, 0.52),
                                                                                                                        cores, ≤T2,                       predicts         P<0.0001
                                                                                                                        PSA ≤ 20                          definitive 2º      Median f/u 3.8 yr
                                                                                                                                                          treatment
                                                                                                                        ng/mL                                              NS: age; PSA at dx; Gleason,
                                                                                                                                                                           race; FH; comorbidities
                                        Latini 164        Clinical,      CaPSURE           1997-       105              Patients with      No             Cox              PSA velocity, ng/ml/yr,
                                        2007              social,                          2002                         biopsy-proven      treatment      proportional       - -0.51-0.50 vs. <0.51, HR=0.402
                                        17632144          delivery                                                      localized          for ≥6 mo      hazards          (CI 0.092, 1.754); P=0.23
                                                          system                                                        prostate           after dx       regression         - 0.51-1.50 vs. <-0.51, HR=1.518
                                                                                                                        cancer, who                       time-to-active  (CI 0.425, 5.419); P=0.52
                                                                                                                        elected AS.                       treatment/         - ≥1.51 vs. <-0.51, HR=3.181 (CI
                                                                                                                                                          AS               1.122, 9.016); P=0.03
                                                                                                                                                          interruption     P=0.01
                                                                                                                                                                           Cancer anxiety change rate,
                                                                                                                                                                           HR=1.019 (CI 1.004, 1.035);
                                                                                                                                                                           P=0.01

                                                                                                                                                                           The following NS variables were
                                                                                                                                                                           also considered in the model (HR
                                                                                                                                                                           estimates not provided):
                                                                                                                                                                           relationship; clinical risk group,
                                                                                                                                                                           D’Amico classification; BMI ; race;
                                                                                                                                                                           education; number of
                                                                                                                                                                           comorbidities; insurance; age at
                                                                                                                                                                           dx; PSA velocity x CA change rate
                                                                                                                                                                           (interaction).
















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