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Table 3 Relative 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)

PCPT (repeat screening)

ERSPC, Rotterdam (initial PSA test)

Clinical diagnosis

Distant metastasis

Cancer-specific mortality

Clinical diagnosis

Distant metastasis

Cancer-specific mortality

<1.0

2.7 (1.9, 4.2)

21.6 (9.6, 69.5)

64.9 (18.2, 72.9)

-

-

-

0.5

2.7 (1.8, 4.5)

38.0 (15.2, 192.3)

153.4 (48.2, 219.7)

-

-

-

1.0

2.8 (2.3, 3.5)

14.5 (9.7, 27.2)

28.8 (15.4, 92.1)

-

-

-

2.0

1.6 (1.5, 2.0)

4.7 (4.2, 6.1)

5.7 (5.1, 7.5)

-

-

-

3.0

1.3 (1.1, 1.5)

3.4 (2.6, 4.0)

4.0 (3.0, 4.7)

0.9 (0.5, 1.4)

2.3 (1.2, 3.6)

2.8 (1.4, 4.2)

4.0

1.2 (0.8, 1.3)

2.7 (1.8, 3.2)

3.2 (2.0, 3.9)

0.9 (0.7, 1.1)

2.2 (1.5, 2.6)

2.6 (1.6, 3.1)

5.0

1.1 (0.7, 1.2)

2.3 (1.3, 2.8)

2.7 (1.5, 3.4)

1.0 (0.7, 1.1)

2.2 (1.3, 2.6)

2.6 (1.4, 3.1)

7.5

0.9 (0.4, 1.1)

1.7 (0.8, 2.1)

2.0 (0.8, 2.7)

1.1 (0.6, 1.3)

2.0 (1.1, 2.4)

2.4 (1.1, 3.0)

10.0

0.8 (0.3, 1.0)

1.3 (0.5, 1.8)

1.6 (0.5, 2.3)

1.1 (0.5, 1.3)

1.9 (1.0, 2.4)

2.3 (1.0, 2.9)

  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 for two screened cohorts separately. 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; PCPT, Prostate Cancer Prevention Trial; PSA, prostate specific antigen.