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Table 4 Reduction in biopsies/cancers detected, as compared with the current study, using as a threshold for biopsy a 20% or higher probability of cancer

From: A panel of kallikrein markers can reduce unnecessary biopsy for prostate cancer: data from the European Randomized Study of Prostate Cancer Screening in Göteborg, Sweden

 

Number of biopsies

Number of cancers

Number of high-grade cancers

 

Performed

Reduced (%)

Caught

Missed (%)

Caught

Missed (%)

Biopsy all

740

n/a

192

n/a

40

n/a

Laboratory model

      

   Base

489

251 (34%)

153

39 (20%)

38

2 (5%)

   Base+free PSA

380

360 (49%)

152

40 (21%)

36

4 (10%)

   Full

316

424 (57%)

161

31 (16%)

37

3 (8%)

Clinical model

      

   Base

344

396 (54%)

136

56 (29%)

37

3 (8%)

   Base+free PSA

336

404 (55%)

147

45 (23%)

38

2 (5%)

   Full

297

443 (60%)

159

33 (17%)

39

1 (3%)

  1. The base model for the laboratory model includes age and total prostate specific antigen (PSA), and for the clinical model includes age, total PSA, and digital rectal examination result. The full model includes the base model plus free PSA, intact PSA, and human kallikrein 2. Cancers with biopsy Gleason score 7 and higher were considered high grade. Percentages given in parentheses represent the percentage as compared with the current study.