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[External validation of the Partin tables 2007 in Chinese prostate cancer patients]

Authors :
Wen-jun, Xiao
Ding-wei, Ye
Xu-dong, Yao
Shi-lin, Zhang
Bo, Dai
Chao-fu, Wang
Jian, Wang
Hai-liang, Zhang
Yi-Jun, Shen
Yao, Zhu
Yi-ping, Zhu
Guo-hai, Shi
Chun-guang, Ma
Xiao-jian, Qin
Guo-Wen, Lin
Source :
Zhonghua wai ke za zhi [Chinese journal of surgery]. 48(19)
Publication Year :
2010

Abstract

To validate the 2007 Partin tables externally, which are based on the population of United States, using a cohort of Chinese prostate cancer patients.All of the patients enrolled and underwent radical prostatectomy between January 2006 and February 2010 were reviewed. The cases without preoperative hormone therapy and pelvic lymph node involvement according to radiologic tests were used for the external validation of the 2007 Partin tables. A comparative analysis of the clinical and pathological parameters of this Chinese cohort and Partin tables cohort was performed. Values of areas under the receiver operating characteristic (ROC) curve were used to assess predictive accuracy for the Chinese cohort.The mean age of the whole cohort was 67 years. The serum prostate specific antigen level, Gleason score and clinical stage of this cohort were higher than the Partin tables cohort. The pathological outcomes analysis revealed that the rates of organ confined disease, capsular penetration, seminal vesicle involvement and lymph node involvement were 62.3%, 16.7%, 12.3% and 8.8%, respectively. The area under the ROC curve (AUC) for organ confined disease, capsular penetration, seminal vesicle involvement and lymph node involvement were 0.735, 0.653, 0.601 and 0.845.The Partin tables discriminate well for Chinese patients at risk for positive lymph node. The discrimination of organ confined disease is also acceptable and the discrimination of capsular penetration and seminal vesicle involvement is more limited.

Details

ISSN :
05295815
Volume :
48
Issue :
19
Database :
OpenAIRE
Journal :
Zhonghua wai ke za zhi [Chinese journal of surgery]
Accession number :
edsair.pmid..........f3709c7c13d7335d57fff4e00202e838