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Table 5 Comparison of biopsy grade and prostatectomy grade in predicting risk of progression among men who underwent radical prostatectomy

From: Oncological outcomes in an Australian cohort according to the new prostate cancer grading groupings

Grade groups (n = 1334)

Biopsy grade grouping

Prostatectomy grade grouping

No. events/total

Adjusted sHRa (95% CI)

p-value

No. events/total

Adjusted sHRa (95% CI)

p-value

 

292/1334

  

292/1334

  

Grade group I (3 + 3)

57/532

1.0

19/286

1.0

Grade group II (3 + 4)

94/462

2.0 (1.5–2.9)

<0.001

87/595

2.4 (1.5–3.9)

0.001

Grade group III (4 + 3)

73/199

4.3 (3.0–6.2)

<0.001

119/321

7.6 (4.6–12.4)

<0.001

Grade group IV (8)

47/108

5.8 (3.9–8.7)

<0.001

25/62

9.0 (4.8–17.0)

<0.001

Grade group V (9–10)

1/34

10.4 (5.9–18.2)

<0.001

42/70

16.8 (9.6–29.7)

<0.001

 P for trend

  

<0.001

  

<0.001

 AICb

  

3934

  

3882

 Change in AIC

  

+52

  

0

  1. Models only include cases with detail on both biopsy and prostatectomy grade sufficient to determine ISUP-2014 groups and ≥2 post-treatment PSA measures
  2. asHR: subdistribution Hazard ration from multivariable competing risk regression models adjusted for age, pre-treatment PSA, clinical evidence of extra prostatic disease, symptomatic presentation, public or privately managed
  3. bLower (AIC: Akaike’s Information Criterion) indicates better discriminatory power for prostatectomy grade compared with biopsy grade groups