Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    UCSF-CAPRA Score for Prostate Cancer Risk

    Predicts outcomes of patients post-treatment for prostate cancer.
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    Pearls/Pitfalls

    A prognostic score for prostate cancer, incorporating both the PSA and Gleason Score, designed to be both simple but with an accuracy comparable with the best nomograms.

    < 50 years
    0
    ≥ 50 years
    +1
    <6
    0
    ≥6 - 10
    +1
    ≥10 - 20
    +2
    ≥20 - 30
    +3
    >30
    +4
    No 4 or 5 pattern present
    0
    4 or 5 pattern in secondary
    +1
    4 or 5 pattern in primary
    +3
    T1 or T2
    0
    T3a
    +1
    <34%
    0
    ≥34%
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    • For very low risk patients, consider routine surveillance.
    • For low to intermediate-risk patients, consider localized treatment (surgery or radiation alone, brachytherapy with or without external-beam therapy).
    • For intermediate to high-risk patients, consider multimodal therapy (surgery with radiation, or radiation therapy with hormonal therapy).
    • For very high-risk patients (scores ≥8 points), consider either multimodal therapy OR hormonal therapy, and clinical trial enrollment.
    About the Creator
    Dr. Matthew R. Cooperberg
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