From Cognitive MR-Targeted Fusion Prostate Biopsy to Radical Prostatectomy: Incidence and Predictors of Gleason Grade Group Upgrading in a Chinese Cohort.

Purpose. To access the incidence and predictors of Gleason grade group upgrading from cognitive MR-targeted fusion prostate biopsy to radical prostatectomy in a Chinese cohort. Materials and Methods. We included 199 patients in our institution between January 2016 and June 2021. Multivariable logist...

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Publicado en:BioMed Research International pp. 1 - 6
Autores principales: Yan, Huaqing, Wu, Yiming, Cui, Xiaobo, Zheng, Sinian, Zhang, Peng, Li, Rubing
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 8/17/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/17/2022
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      pub: Wiley-Blackwell
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        10.1155/2022/7944342
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        atl: From Cognitive MR-Targeted Fusion Prostate Biopsy to Radical Prostatectomy: Incidence and Predictors of Gleason Grade Group Upgrading in a Chinese Cohort.
      aug:
        au:
          Yan, Huaqing
          Wu, Yiming
          Cui, Xiaobo
          Zheng, Sinian
          Zhang, Peng
          Li, Rubing
        affil: Department of Urology, Ningbo Medical Center Lihuili Hospital, Ningbo, Zhejiang 315000, China
      sug:
        subj:
          Prostatic Neoplasms Pathology
          Chinese Persons
          Prostatic Neoplasms Surgery
          Neoplasm Grading Methods
          Magnetic Resonance Imaging Methods
          Biopsy Methods
          Prostatectomy, Radical Methods
          Human
          Prospective Studies
          Descriptive Statistics
          Data Analysis Software
          Male
          Logistic Regression
          Middle Age
          Aged
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
      ab: Purpose. To access the incidence and predictors of Gleason grade group upgrading from cognitive MR-targeted fusion prostate biopsy to radical prostatectomy in a Chinese cohort. Materials and Methods. We included 199 patients in our institution between January 2016 and June 2021. Multivariable logistic regression model and nomograms were utilized to analyze the collected data. Results. The concordance rate of biopsy Gleason grade group and radical prostatectomy was 50.3% (100 in 199). Upgrading occurred in 80 (40.2%) patients and 37 (68.5%) patients have an upgrading Gleason grade group when the biopsy Gleason grade group was 1. Multivariable logistic regression models were established to analyze the incidence and predictors of Gleason grade group upgrading from cognitive MR-targeted fusion prostate biopsy to radical prostatectomy. Biopsy Gleason grade group, prostate volume, and patient year were confirmed to be individual predictors of upgrading. Based on the logistic regression models, nomograms for predicting probability of prostate Gleason grade group upgrading were generated. Conclusions. We established a logistic regression model to predict the accuracy of prostate biopsy GG and provide the probability of upgrading. Clinicians should be more cautious when deciding the treatment strategy especially for prostate cancer biopsy GG1 patients. Future studies should expand the sample size and include more variables to improve the accuracy of predicting upgrading and prostate cancer early screening program is urgently needed in our city in China.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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