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Table 2 Absolute risk of biopsy detected cancer compared to the 25 year-risk of clinical prostate cancer endpoints

From: Empirical estimates of prostate cancer overdiagnosis by age and prostate-specific antigen

PSA (ng/ml)

Clinical diagnosis

Distant metastasis

Cancer-specific mortality

Biopsy detected cancer (PCPT)

Biopsy detected cancer (ERSPC, Rotterdam)

<1.0

4.5 (2.9, 6.1)

0.6 (<0.1, 1.2)

0.2 (<0.1, 0.6)

12.2 (10.1, 14.6)

-

0.5

3.8 (2.2, 5.4)

0.3 (0.1, 0.6)

0.1 (<0.1, 0.2)

10.1 (8.2, 11.7)

-

1.0

6.1 (5.0, 7.3)

1.2 (0.6, 1.7)

0.6 (0.2, 1.1)

16.9 (15.8, 18.2)

-

2.0

13.1 (11.2, 14.2)

4.6 (3.6, 5.1)

3.8 (2.9, 4.2)

21.5 (20.2, 23.0)

-

3.0

16.8 (15.3, 20.3)

6.6 (5.6, 8.4)

5.5 (4.8, 7.3)

22.2 (20.5, 23.9)

15.4 (8.1, 23.6)

4.0

19.6 (17.8, 26.9)

8.6 (7.3, 12.4)

7.2 (6.1, 11.3)

23.2 (20.3, 25.4)

18.6 (16.3, 20.8)

5.0

21.9 (19.6, 32.9)

10.3 (8.7, 16.4)

8.6 (7.1, 15.2)

23.5 (19.5, 26.5)

22.1 (20.3, 23.6)

7.5

28.2 (24.0, 49.7)

14.9 (12.2, 27.2)

12.4 (10.0, 25.9)

24.6 (16.8, 30.2)

29.8 (27.4, 31.6)

10.0

33.6 (27.9, 65.0)

19.1 (15.4, 37.4)

15.9 (12.4, 36.0)

25.6 (13.1, 33.9)

36.1 (32.9, 39.1)

  1. The data compare an unscreened Swedish cohort (MPP) with two screened cohorts (PCPT and ERSPC) by PSA level at age 60.
  2. Data are given as percent risk with 95% confidence interval. Data are not given for PSA <3 ng ml in the ERSPC cohort as biopsy was restricted to men with elevated PSA. ERSPC, European Randomized Study of Screening for Prostate Cancer; MPP, Malmo Preventive Program; PCPT, Prostate Cancer Prevention Trial; PSA, prostate specific antigen.