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Prognostic significance of a novel indicator (PSApostd3/PSApre) for PSA recurrence in patients after radical prostatectomy

Cancer Management and Research Jul 02, 2019

Zhou Z, et al. - In this retrospective analysis, the novel indicator prostate specific antigen) (PSA postd3/PSApre, was assessed for its efficacy as a predictor of PSA recurrence in PCa patients who underwent radical prostatectomy (RP). Researchers defined PSApostd3/PSApre as the ratio of the PSA on day 3 postop as the numerator and the pre-operative PSA as the denominator. With a sensitivity of 0.704 and specificity of 0.853, a cut-off at 0.453 was derived by receiver operating characteristic curve for PSApostd3/PSApre, indicating that patients whose PSA on day 3 postop was not reduced to nearly half of their preoperative levels had an increased risk of PSA recurrence. By multivariate logistic regression analysis, a significant relation of only PSApostd3/PSApre, among several factors, to PSA recurrence-free survival was shown. For PSA recurrence prediction in patients following RP, a substantial information could be gained using PSApostd3/PSApre.

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