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Development and external validation of a prostate health index-based nomogram for predicting prostate cancer  期刊论文  

  • 编号:
    9a32ce3d-f0a4-4a4f-9f15-0dd1744baf23
  • 作者:
    Zhu, Yao(朱耀)#[1,2]Han, ChengTao(韩成涛)[1,2]Zhang, GuiMing[1,2];Liu, Fang[3];Ding, Qiang(丁强)[4,5]Xu, JianFeng[3,4,5,6];Vidal, Adriana C.[7];Freedland, Stephen J.[7];Ng, ChiFai[8];Ye, DingWei(叶定伟)[1,2]
  • 语种:
    English
  • 期刊:
    SCIENTIFIC REPORTS ISSN:2045-2322 2015 年 5 卷 ; OCT 16
  • 收录:
  • 摘要:

    To develop and externally validate a prostate health index (PHI)-based nomogram for predicting the presence of prostate cancer (PCa) at biopsy in Chinese men with prostate-specific antigen 4-10 ng/mL and normal digital rectal examination (DRE). 347 men were recruited from two hospitals between 2012 and 2014 to develop a PHI-based nomogram to predict PCa. To validate these results, we used a separate cohort of 230 men recruited at another center between 2008 and 2013. Receiver operator curves (ROC) were used to assess the ability to predict PCa. A nomogram was derived from the multivariable logistic regression model and its accuracy was assessed by the area under the ROC (AUC). PHI achieved the highest AUC of 0.839 in the development cohort compared to the other predictors (p < 0.001). Including age and prostate volume, a PHI-based nomogram was constructed and rendered an AUC of 0.877 (95% CI 0.813-0.938). The AUC of the nomogram in the validation cohort was 0.786 (95% CI 0.678-0.894). In clinical effectiveness analyses, the PHI-based nomogram reduced unnecessary biopsies from 42.6% to 27% using a 5% threshold risk of PCa to avoid biopsy with no increase in the number of missed cases relative to conventional biopsy decision.

  • 推荐引用方式
    GB/T 7714:
    Zhu Yao,Han Cheng-Tao,Zhang Gui-Ming, et al. Development and external validation of a prostate health index-based nomogram for predicting prostate cancer [J].SCIENTIFIC REPORTS,2015,5.
  • APA:
    Zhu Yao,Han Cheng-Tao,Zhang Gui-Ming,Liu Fang,&Ye Ding-Wei.(2015).Development and external validation of a prostate health index-based nomogram for predicting prostate cancer .SCIENTIFIC REPORTS,5.
  • MLA:
    Zhu Yao, et al. "Development and external validation of a prostate health index-based nomogram for predicting prostate cancer" .SCIENTIFIC REPORTS 5(2015).
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