Research Article

Prior-Cancer Diagnosis in Men with Nonmetastatic Prostate Cancer and the Risk of Prostate-Cancer-Specific and All-Cause Mortality

Table 1

Comparison of the distribution of clinical characteristics of the 166,104 men stratified by a history of cancer prior to the PC diagnosis versus no prior cancer.

Clinical characteristicsNumber (%) of men without a prior cancerNumber (%) of men with a prior cancer value

Race
 African American20208 (12.3%)108 (7.4%)<0.001
 Other144439 (87.7%)1349 (92.6%)
Year of diagnosis (range)
 200439609 (24.1%)392 (26.9%)0.035
 200537072 (22.5%)335 (23.0%)
 200642810 (26.0%)366 (25.1%)
 200745156 (27.4%)364 (25.0%)
Age at diagnosis
 Median (IQR) (yr)66 (60, 73)72 (66, 78)0.001
 <50 yr5206 (3.2%)9 (0.6%)<0.001
 50–59 yr35570 (21.6%)115 (7.9%)
 60–69 yr62463 (37.9%)437 (30.0%)
 ≥70 yr61408 (37.3%)896 (61.5%)
Gleason score
 ≤677736 (47.2%)649 (44.5%)<0.001
 762016 (37.7%)529 (36.3%)
 8 to 1024895 (15.1%)279 (19.2%)
Clinical tumor stage
 1c61793 (37.5%)612 (42.0%)<0.001
 2a–2c87327 (53.0%)737 (50.6%)
 3-415527 (9.4%)108 (7.4%)
PSA
 Median (IQR)6.5 (4.7, 10.6)7.0 (4.7, 12.3)0.59
 ≤4.0 ng/mL23839 (14.5%)230 (15.8%)<0.001
 >4.0–10.0 ng/mL96632 (58.7%)746 (51.2%)
 10.1–20.0 ng/mL25360 (15.4%)297 (20.4%)
 >20.0 ng/mL18816 (11.4%)184 (12.6%)
Risk group
 Low risk28682 (17.4%)240 (16.5%)0.01
 Intermediate risk91819 (55.8%)778 (53.4%)
 High risk44146 (26.8%)439 (30.1%)
Treatment approach
 Curative123674 (75.1%)954 (65.5%)<0.001
 Other Rx4017 (2.4%)59 (4.1%)
 Watchful-waiting/active surveillance36956 (22.5%)444 (30.5%)
Median followup (IQR) (years)2.75 (1.85, 3.92)3.0 (2.0, 4.17)<0.001

CI: confidence interval. Dx: diagnosis. IQR: interquartile range. PC: prostate cancer. Yr: year.