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08 February 2021: Clinical Research

Diagnosis of Prostate Cancer in Patients with Prostate-Specific Antigen (PSA) in the Gray Area: Construction of 2 Predictive Models

Ming Chen 1BCE* , Ting Ma 1CDE* , Jun Li 1AEG* , Hai-Jun Zhang 2D , Qiang Li 3F , Jia-Jia Wang 1F , Tian Sang 1B , Chun-Li Cao 1D , Xin-Wu Cui 4AEF*

DOI: 10.12659/MSM.929913

Med Sci Monit 2021; 27:e929913

Table 1 Characteristics of clinical information for enrolled patient.

ParameterAll enrolled patientsPatients with PCa
BPH group (n=109)PCa group (n=72)PNCS-PCa group (n=44)CS-PCa group (n=28)P
Age (years)74.00 (66.00, 77.00)76.00 (69.00, 79.00)0.07a 76.00 (69.00, 78.00)75.50 (66.50, 79.00)0.86a
tPSA (ng/ml)6.91±1.357.25±1.470.12b 7.14±1.647.42±1.180.44b
f/t PSA0.21±0.120.15±0.06c 0.14±0.070.15±0.040.57c
PSAD (ng/ml·cm)0.14 (0.07, 0.19)0.19 (0.12, 0.25)a 0.15±0.080.24±0.05c
DRE [No. (%)]d Positive3 (2.75)7 (9.72)0.093 (6.82)4 (14.29)0.53
Negative106 (97.25)65 (90.28)41 (93.18)24 (85.71)
TRUS [No. (%)]e Positive21 (19.27)14 (19.44)0.728 (18.18)6 (21.43)0.82
Suspicious38 (34.86)29 (40.28)17 (38.64)12 (42.86)
Negative50 (45.87)29 (40.28)19 (43.18)10 (35.71)
mpMRI [No. (%)]e Positive16 (14.67)29 (40.28)11 (25.00)15 (53.57)0.01
Suspicious15 (13.76)16 (22.22)10 (22.73)8 (28.57)
Negative78 (71.57)27 (37.50)23 (52.27)5 (17.86)
PCa – prostate cancer; NCS-PCa – nonclinically significant prostate cancer; CS-PCa – clinically significant prostate cancer; PSA – prostate-specific antigen; tPSA – total PSA; f/t PSA – free/total PSA; PSAD – PSA density; DRE – digital rectal examination; TRUS – transrectal ultrasound; mpMRI – multiparametric magnetic resonance imaging.
a These parameters were presented as median (interquartile range) and analyzed by Mann-Whitney U test;
b These parameters were performed as means±standard deviations and analyzed by two-sample t-test;
c These parameters were performed as means±standard deviations and analyzed by separate variance estimation t-test;
d These parameters were analyzed by Continuity Correction test;
e These parameters were analyzed by Chi-Square test.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750