基于年龄特异百分位数的前列腺特异抗原切断值预测前列腺癌的风险:单一的医院观察
Teng-Fu Hsieh1, Hung-Lin Chen2, Ying-Fang Hsia2
1Division of Urology, Department of Surgery, Taichung Tzu Chi Hospital, Taichung, Taiwan.
BioMedicine
|November 8, 2023
概括
年龄特异性前列腺特异性抗原 (PSA) 值,特别是第75个百分位,改善前列腺癌风险预测. 这种方法比传统的PSA切割值提供了更好的歧视,特别是对于60岁以下的男性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 生物统计学 生物统计学
背景情况:
- 前列腺特异性抗原 (PSA) 测试是前列腺癌 (PCa) 风险评估的关键工具.
- 对于PCa检测的最佳PSA切割值仍然是争论的主题.
研究的目的:
- 为了比较基于年龄特异百分位数的PSA值与PCa风险的常规>4 ng/mL截止值的预测性能.
- 评估特定年龄的PSA百分位数在完善PCa风险分层中的有用性.
主要方法:
- 台湾2003-2017年PSA测量的回顾性分析.
- 后勤回归和C统计分析来评估PCa风险预测.
- 决策曲线分析以比较跨年龄组的预测模型性能.
主要成果:
- 第75个百分点的PSA截止值显示了所有年龄组的风险效应大小与传统的截止值相比较.
- 特定于年龄的第75百分点PSA截止值在60岁以下的男性中显示出优异的歧视 (C-统计数据0.783对比0.729).
- 第75个百分点的切线确定了每100名查患者中额外的2个PCa病例,在20%的值概率下.
结论:
- 对于个性化PCa风险评估,建议使用第75个百分点的PSA截止值.
- 这种方法特别有利于改进60岁以下男性的风险预测.
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