Undetectable ultrasensitive PSA after radical prostatectomy for prostate cancer predicts relapse-free survival
2000

PSA Levels After Prostate Surgery and Cancer Recurrence

Sample size: 200 publication Evidence: high

Author Information

Author(s): Doherty A P, Bower M, Smith G L, Miano R, Mannion E M, Mitchell H

Primary Institution: Department of Urology, Charing Cross Hospital

Hypothesis

Can ultrasensitive PSA assays predict relapse-free survival after radical prostatectomy for prostate cancer?

Conclusion

Undetectable PSA levels after surgery significantly predict a lower chance of cancer relapse.

Supporting Evidence

  • Only 3% of patients with undetectable PSA levels relapsed compared to 75% of those with detectable levels.
  • The study involved 200 patients who underwent radical retropubic prostatectomy.

Takeaway

Doctors can tell if prostate cancer might come back by checking PSA levels after surgery. If the levels are really low, it's a good sign!

Methodology

The study evaluated PSA levels in patients after radical retropubic prostatectomy to assess the risk of biochemical relapse.

Participant Demographics

Mean age of participants was 61.2 years.

Statistical Information

P-Value

<0.0001

Confidence Interval

95% CI: 51.6–70.6%

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1474

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