Literature DB >> 26164515

[Analysis of influential factors for prostate biopsy and establishment of logistic regression model for 
prostate cancer].

Yonglin Li1, Zhengyan Tang1, Lin Qi1, Zhi Chen1, Dongjie Li1, Mingqiang Zeng1, Ruizhi Xue1, Chuan Peng1.   

Abstract

OBJECTIVE: To establish logistic regression model for prostate cancer and provide basis for prostate biopsy.
METHODS: A total of 117 cases of prostate biopsy were retrospectively analyzed in chronological sequence. All cases were assigned into a model group (n=78) and a validation group (n=39). Logistic regression model was established and its value was estimated by receiver operating characteristic (ROC) curve.
RESULTS: Digital rectal examination(DRE), transrectal ultrasound(TRUS), MRI, prostate-specific antigen density (PSAD), and free PSA/total PSA (fPSA/tPSA) were the influential factors for prostate biopsy (P<0.01). The established logistic regression model for prostate cancer by regression coefficient was: logit P=-2.362+2.561×DRE+1.747×TRUS+2.901×MRI+1.126×PSAD-
2.569×fPSA/tPSA and area under curve was 0.907. When the cutoff aimed at 0.12, the sensitivity and specificity were 81.80% and 89.30%, respectively.
CONCLUSION: Logistic regression model for prostate cancer can provide sufficient basis for prostate biopsy. Prostate biopsy should be performed when P value is more than 0.12.

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Year:  2015        PMID: 26164515     DOI: 10.11817/j.issn.1672-7347.2015.06.013

Source DB:  PubMed          Journal:  Zhong Nan Da Xue Xue Bao Yi Xue Ban        ISSN: 1672-7347


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