Cancer of the Prostate Risk Assessment Score (2007 CAPRA score):

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CAPRA points determination table:

The 5 Factors to sum:

(1) pre-malignant-biopsy PSA (chose one):
bullet2.0-6.0                = 0 CAPRA points
bullet6.1-10.0              = 1 CAPRA point
bullet10.1-20.0            = 2 CAPRA points
bullet20.1-30.0            = 3 CAPRA points
bullethigher than 30 = 4 CAPRA points
(2) highest Gleason score in biopsies (chose one):
bullet(1-3) plus (1-3)= ?...gives 0 CAPRA points
bullet(1-3) plus (4-5)= ?...gives 1 CAPRA point
bullet(4-5) plus (1-5)= ?...gives 2 CAPRA points
(3) [assumed?] actual clinical T stage (chose one):
bulletT1c to clinical T2...gives 0 CAPRA points
bulletclinical T3a...          gives 1 CAPRA point
(4) percentage of cores that were cancerous cores (PPB%):
bulletless than 34%...gives  0 CAPRA points
bullet34% or higher... gives 1 CAPRA point
(5) patient's age:
bulletyounger than 50 years old...gives 0 CAPRA points
bullet50 years old or more...            gives 1 CAPRA point

INTERPRETATION: CAPRA Sum/score implications for 3 & 5 year recurrence-free status, respectively, after radical prostatectomy: sum 0-1, 100-97%; sum 2, 94-92%; sum 3, 82-76%; sum 4, 78-67%; sum 5, 55-42%; sum 6, 52-37%; and, sum 7 or higher, 44-31%.

Dr. Shaw's personal WEB-FILE of info for prostate cancer patients & their "significant others"

Our pathology group's TOC WEB-FILE on prostate cancer issues

References:

  1. Matthias M, Knoll N, Siegsmund M, Fahlenkamp D, Volger H, Hoschke B, and Gralla O, ""Validity of the CAPRA Score to Predict Biochemical Recurrence-Free Survival After Radical Prostatectomy. Results From a European Multicenter Survey of 1,296 Patients" , The J. of Urology 178:1957-1962, November 2007.

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(posted December 2007)