There surely is a correlation between time to recurrence and PSADT, but it would be interesting to see this plotted out fir a large sample of men post RP.
I suppose PSADT can change over time, but as a start the plot described above would be of interest.
Written by
Ribotom
To view profiles and participate in discussions please or .
My understanding combining maths and published studies is this: For a two decimal points PSA values discard anything bellow or equal to 0.03. Two reasons for this a) the accuracy is poor and b) the rounding error is high ( 50% from 0.02 to 0.03). For the latter the 20 accepted variance is reached at the transition of 0.05 to 0.06. By then, a very crude doubling time can be estimated. Twice this doubling time and the 0.2 threshold is breached. QED
Are you using ultrasensitive PSA values (< 0.1) for PSADT calculations? You will then overestimate your risk of recurrence. Agreement between PSADT calculated using ultrasensitive vs standard PSA is poor. Ultrasensitive PSADT is often significantly more rapid than traditional PSADT. Ultrasensitive PSADT has no prognostic value.
Having read all these replies, it appears there may be some confusion.
Rib is simply asking if men who have quick BCRs and prone to have high PSADTs down the line. It would seem almost certain that there is such a correlation, though apparently no one's invested the time to make such a retrogressive study.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.