Percentage of the positive area of bone metastasis is an independent predictor of disease death in advanced prostate cancer
2003

Bone Metastasis as a Predictor of Death in Prostate Cancer

Sample size: 56 publication 10 minutes Evidence: moderate

Author Information

Author(s): Noguchi M, Kikuchi H, Ishibashi M, Noda S

Primary Institution: Kurume University School of Medicine

Hypothesis

Can quantifying the extent of bone metastases as a percentage of the positive area on a bone scan predict disease death in patients with advanced prostate cancer?

Conclusion

The percentage of the positive area of bone metastasis (%PABS) is a significant predictor of disease death in patients with advanced prostate cancer.

Supporting Evidence

  • The %PABS method showed a good correlation with the number of bone lesions.
  • Patients with less than 4.6 %PABS had significantly better disease-specific survival.
  • The study included a comprehensive analysis of various prognostic factors.

Takeaway

This study found that measuring how much of the bones are affected by cancer can help doctors predict how long patients with prostate cancer might live.

Methodology

The study reviewed 56 patients with prostate cancer and bone metastasis, using bone scans to quantify the extent of metastasis and correlate it with survival outcomes.

Potential Biases

Potential biases may arise from the retrospective design and the single-institution setting.

Limitations

The study had a small sample size and was retrospective in nature.

Participant Demographics

Patients were newly diagnosed with histologically confirmed adenocarcinoma of the prostate, with a median age of 72 years.

Statistical Information

P-Value

0.016

Confidence Interval

1.199–5.651

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600715

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