Research Article

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

Table 2

Unadjusted and adjusted hazard ratios for prostate-cancer-specific mortality for patient and treatment factors.

Patient and treatment factors Number of men Number of events Univariate analysis
(HR with 95% CI)
Multivariate analysis
(AHR with 95% CI)
Unadjusted HR valueAdjusted HR value

Age at diagnosis in years16610438091.07 (1.066, 1.075)<0.0011.01 (1.005, 1.012)<0.001
PSA level in ng/mL at diagnosis
(per log unit increase)
16610438093.68 (3.56, 3.81)<0.0012.02 (1.93, 2.11)<0.001
Gleason score
 <6783853341 (ref.)1 (ref.)
 7625458343.24 (2.86, 3.68)<0.0012.58 (2.26, 2.94)<0.001
 8–1025174264126.65 (23.78, 29.86)<0.0019.46 (8.29, 10.79)<0.001
Tumor stage at diagnosis
 1c6240513411 (ref.)1 (ref.)
 2a–2c8806415840.82 (0.76, 0.88)<0.0010.96 (0.89, 1.04)0.34
 3-4156358842.66 (2.44, 2.89)<0.0011.56 (1.42, 1.72)<0.001
Race
 African American203166241.42 (1.30, 1.55)<0.0011.15 (1.05, 1.26)0.002
 Other14578831851 (ref.)1 (ref.)
Year of diagnosis in years16610438090.93 (0.90, 0.96)<0.0010.92 (0.89, 0.95)<0.001
Management approach
 Curative12462811421 (ref.)1 (ref.)
 Other Rx407645412.5 (11.25, 13.98)<0.0014.88 (4.27, 5.59)<0.001
 Watchful-waiting/active surveillance3740022136.72 (6.25, 7.22)<0.0013.23 (2.94, 3.54)<0.001
History of prior cancer at time of PC diagnosis
 No16464737791 (ref.)1 (ref.)
 Yes1457300.86 (0.60, 1.23)0.410.66 (0.45, 0.97)0.033

HR: hazard ratio. CI: confidence interval. Dx: diagnosis. HR: hazard ratio. PC: prostate cancer. Ref: reference. Rx: treatment.