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Clinical calculator summary

ProMark 2015 published-score interpreter

A source-locked lookup for an externally generated score from the published final eight-protein FFPE needle-biopsy assay.

Evidence-based context for fast calculator use

Purpose:
Identify the applicable 2015 pathology operating point without deriving assay values, commercial-scale conversions, risk percentages, or management advice.
Population:
Untreated initial-management, clinically localized N0 M0 prostate adenocarcinoma with diagnostic FFPE needle biopsy and biopsy Gleason 3+3 or 3+4.
Factors:
Published 0-1 score scale, Final study-era provenance, Diagnostic FFPE needle biopsy, Biopsy Gleason, Clinical extent and treatment context, Externally assigned study-era risk context
Reference:
Blume-Jensen et al. Clin Cancer Res. 2015;21:2591-2600; CMS LCD L36675 v19 is shown only as a separate coverage context.
HomeProMark Published Biomarker Risk Score Interpreter (2015, 0-1 scale)
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ProMark Published Biomarker Risk Score Interpreter (2015, 0-1 scale)

Enter the final unrounded score on the published 0-1 research scale; commercial 0-100 values are not converted.

Clinical Context & Background

Enter only the final externally generated 0-1 research score from the Blume-Jensen et al. 2015 final eight-protein diagnostic-biopsy assay. The form no longer repeats clinical or report-provenance questions that do not change the operating-point lookup.
Use this page only for the published 0-1 assay context in untreated, clinically localized N0 M0 disease from diagnostic FFPE needle biopsy. It does not calculate markers or coefficients, convert a commercial 0-100 or 1-100 report, generate a proprietary probability, or claim current commercial report identity or orderability.
The favorable endpoint was Gleason <=3+4 AND organ-confined disease <=pT2; the nonfavorable endpoint was Gleason >=4+3 OR non-organ-confined disease. The operating points were examined in a separate blinded 276-case validation cohort. The later Saad recurrence study is separate and this page does not apply the pathology operating points to recurrence. Current commercial status/version remains uncertain. These endpoints do not establish future surveillance safety, treatment benefit, or treatment choice.
Formula Logic
Strict source lookup on the unchanged published 0-1 score: [0,0.33], (0.33,0.80], or (0.80,1].

Reference Data

Published 2015 scoreSource interpretationBoundary
0 to 0.33Published favorable-pathology operating point metInclusive at 0.33
Above 0.33 to 0.80Between the published operating pointsNo named Intermediate category
Above 0.80 to 1Published nonfavorable-pathology operating point metStrictly above 0.80

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

Expand for workflow guidance, limitations, examples, and related next steps.

When To Use

  • Use ProMark Published Biomarker Risk Score Interpreter (2015, 0-1 scale) when interpret an externally generated 0-1 score from the final eight-protein biopsy assay published by Blume-Jensen et al. in 2015.
  • Confirm that the patient, diagnosis, disease phase, and available inputs match the cited model before calculation.

How To Interpret

  • Interpret the displayed result using the calculator-specific formula and reference table, spanning 0 to 0.33 through Above 0.80 to 1.
  • A boundary result should prompt input verification and clinical review rather than false precision.

What To Do Next

  • Confirm biopsy versus prostatectomy setting, PSA timing, grade group, clinical/pathologic stage, imaging, life expectancy, and treatment history.
  • Document the inputs, result, timing, and clinical context so the assessment can be reproduced.

Limitations

  • Diagnostic, post-prostatectomy, genomic, and recurrence tools must be used only at their intended decision point.
  • The result supports clinician judgment and does not independently determine treatment.

Validated Population

patients undergoing prostate cancer diagnostic, pathologic, recurrence, or molecular-risk assessment

How to apply this result

For a representative case, verify Externally generated published score, calculate the result, and confirm that its classification matches the highlighted reference band before continuing the disease-specific pathway.

Calculation verification history

Verified
  1. : Production browser revalidation

    • Three source-backed ProMark cases passed through visible production controls at 0, the exact 0.33 favorable boundary, and 0.800001 nonfavorable transition.
    • No unexpected N/A, literal undefined value, stale control, unsupported risk gauge, or browser-console error was observed.
    Download latest production check (Excel)

    Case-level evidence is retained in validation/browser-revalidation/promark-prostate-2026-08-03.json.

  2. : Production browser validation

    • Ten source-backed cases were exercised on the public production route through visible browser controls; 10/10 case records passed their expected-versus-observed assertions across 11 visible submissions.
    • Overall browser status: failed-console. medium: Production emitted minified React error #418 during the route load.
    • Case-level inputs, expected and observed results, reset/repeat behavior, failure reproductions, and console evidence are retained in the production-browser evidence record.

    Case-level production evidence is retained in validation/browser-production/promark-prostate.json.

  3. : Input workflow simplified and revalidated

    • Reduced the public form to result-, branch-, unit-, and applicability-changing inputs; removed or consolidated non-scoring, administrative, and duplicate questions.
    • Preserved the verified calculation or report-interpretation logic, thresholds, model version, component logic, and supported result pathways behind strict deterministic adapters.
    • Passed the calculator-specific regression audit, adapter-parity and malformed-input checks, the 144-calculator input-quality audit, and the 43-calculator entry-burden audit.
  4. : Full validation

    • 171/171 independently expected source, boundary, malformed-input, applicability, subgroup/CMS, wording, trace, UI, registry, report, history, and mirror assertions passed.
    • This is implementation verification, not independent clinical validation or patient-specific treatment guidance.
  5. : Calculation/input correction

    • Reframed the permanent route as the Blume-Jensen 2015 published 0-1 score interpreter.
    • Removed Intermediate Risk, active-surveillance and definitive-treatment directives, coercion, rounding, and commercial-scale conflation.
    • Added the exact ten-key immutable contract, source applicability, unsupported-scale status, source-backed endpoints, separate CMS context, UI reset, and deterministic trace.

    Included in the current validation report.

Verification confirms the calculator implementation against the cited model; it is not independent clinical validation, regulatory approval, or medical advice.

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Frequently Asked Questions

When should ProMark Published Biomarker Risk Score Interpreter (2015, 0-1 scale) be used?

Use it for patients undergoing prostate cancer diagnostic, pathologic, recurrence, or molecular-risk assessment when all required inputs and the intended clinical setting are confirmed.

Can ProMark Published Biomarker Risk Score Interpreter (2015, 0-1 scale) determine treatment by itself?

No. Interpret the result with the cited evidence, complete clinical assessment, current guidelines, and patient-specific goals.

Evidence-based oncology decision support. Verify with clinical guidelines.