Article Figures & Data
Tables
- Table 1.
Demographic characteristics and hormone levels of subjects (cases and subcohort)
Prostate cancer cases Subcohort (n = 1,826) Aggressive* (n = 88) Nonaggressive (n = 430) Age at baseline (y), n (%) <50 2 (2) 18 (4) 578 (32) 50-59 14 (16) 120 (28) 565 (31) 60+ 72 (82) 292 (68) 683 (37) Country of birth, n (%) Australia/New Zealand/United Kingdom 72 (82) 342 (80) 1,321 (72) Italy 13 (15) 49 (11) 260 (14) Greece 3 (3) 39 (9) 245 (13) Smoking, n (%) Never 33 (38) 176 (41) 723 (40) Former 49 (56) 209 (49) 815 (45) Current 6 (7) 45 (11) 288 (16) Alcohol (g/d), n (%) No alcohol 25 (28) 88 (21) 337 (18) 1-39 49 (56) 275 (64) 1,172 (64) 40+ 14 (16) 66 (15) 315 (17) Body mass index, mean (SD) 27.9 (3.8) 27.1 (3.5) 27.2 (3.6) Hormone and PSA levels,† median (interquartile range) PSA‡ (ng/mL) 4.6 (2.1-18.4) 3.4 (1.9-6.9) 0.8 (0.5-1.5) IGF-I (nmol/L) 22 (19-26) 22 (17-28) 23 (18-29) IGFBP-3 (nmol/L) 107 (93-123) 106 (90-125) 107 (91-124) IGF-I/IGFBP-3 molar ratio 0.21 (0.19-0.25) 0.21 (0.17-0.25) 0.22 (0.18-0.26) ↵* A tumor was classified as aggressive if Gleason score was >7 or stage was advanced (T4 or N+ or M+). We were not able to define aggressiveness for six cases because Gleason score and tumor stage were not available (clinical diagnoses only).
↵† The number of missing measures was 25 for PSA.
↵‡ PSA levels at blood draw (baseline), not at diagnosis.
- Table 2.
Relative risk of prostate cancer by quartile of hormone levels and by tumor aggressiveness
Q1* Q2, HR† (95% CI) Q3, HR (95% CI) Q4, HR (95% CI) Ptrend‡ P§ All prostate cancer IGF-I Reference 0.88 (0.66-1.18) 1.08 (0.80-1.44) 1.07 (0.79-1.46) 0.5 — IGFBP-3 Reference 1.03 (0.76-1.39) 1.19 (0.88-1.60) 1.49 (1.11-2.00) 0.008 — IGF-I/IGFBP-3 Reference 0.92 (0.69-1.22) 0.95 (0.71-1.28) 0.82 (0.61-1.11) 0.2 — Nonaggressive prostate cancer IGF-I Reference 0.87 (0.64-1.18) 0.99 (0.72-1.36) 1.09 (0.79-1.51) 0.6 — IGFBP-3 Reference 1.02 (0.74-1.40) 1.16 (0.84-1.59) 1.40 (1.02-1.92) 0.04 — IGF-I/IGFBP-3 Reference 0.94 (0.69-1.27) 0.95 (0.70-1.31) 0.84 (0.61-1.17) 0.3 — Aggressive prostate cancer IGF-I Reference 1.03 (0.56-1.91) 1.58 (0.87-2.87) 1.07 (0.54-2.11) 0.5 0.7 IGFBP-3 Reference 1.06 (0.57-2.00) 1.26 (0.68-2.36) 1.88 (1.03-3.41) 0.05 0.4 IGF-I/IGFBP-3 Reference 0.86 (0.47-1.57) 1.02 (0.56-1.85) 0.78 (0.42-1.47) 0.6 >0.9 Late-onset prostate cancer (>64 y) IGF-I Reference 0.88 (0.63-1.22) 1.12 (0.80-1.57) 1.08 (0.75-1.54) 0.5 — IGFBP-3 Reference 1.04 (0.74-1.45) 1.19 (0.85-1.66) 1.44 (1.03-2.03) 0.04 — IGF-I/IGFBP-3 Reference 0.90 (0.65-1.26) 1.03 (0.73-1.44) 0.84 (0.60-1.19) 0.5 — Early-onset prostate cancer (≤64 y) IGF-I Reference 0.89 (0.52-1.53) 0.93 (0.53-1.62) 1.05 (0.62-1.78) 0.8 0.8 IGFBP-3 Reference 1.03 (0.56-1.87) 1.21 (0.67-2.20) 1.63 (0.93-2.85) 0.06 0.6 IGF-I/IGFBP-3 Reference 0.97 (0.58-1.60) 0.74 (0.43-1.26) 0.74 (0.43-1.29) 0.2 0.5 Follow-up from 2 y onwards IGF-I Reference 0.95 (0.70-1.30) 1.15 (0.84-1.58) 1.02 (0.73-1.42) 0.6 0.6∥ IGFBP-3 Reference 0.95 (0.69-1.31) 1.08 (0.78-1.48) 1.45 (1.06-1.98) 0.03 0.5∥ IGF-I/IGFBP-3 Reference 0.93 (0.69-1.26) 1.00 (0.73-1.37) 0.80 (0.58-1.11) 0.3 0.9∥ NOTE: A tumor was classified as aggressive if Gleason score was >7 or stage was advanced (T4 or N+ or M+). We were not able to define aggressiveness for six cases because Gleason score and tumor stage were not available (clinical diagnoses only).
↵* Quartiles were assigned within each laboratory batch to adjust for any variation between batches.
↵† HRs from Cox regression models adjusted for country of birth (Australia/New Zealand, United Kingdom, Italy, or Greece) and alcohol consumption. The Prentice method has been used to take into account the case-cohort sampling (see Materials and Methods). HRs by tumor aggressiveness and age at diagnosis were obtained from Cox regression models fitted using competing risks methods.
↵‡ The hypothesis of a linear trend in the HR was tested, including in the model a pseudo-continuous variable computed assigning the median level of the specific hormone for each quartile.
↵§ Test for difference in the estimates for the pseudo-continuous variables (i.e., linear trend) between aggressive and nonaggressive cases and between early-onset and late-onset cases.
↵∥ Test for difference in the estimates for the pseudo-continuous variables (i.e., linear trend) between the first 2 years and the rest of the follow-up.