Comparison of Recommendations by Urologists and Radiation Oncologists for Treatment of Clinically Localized Prostate Cancer
Article Abstract:
Men who have prostate cancer may receive different treatment advice depending on what type of doctor they consult. A survey of 504 urologists and 559 radiation oncologists found that 93% of the urologists would recommend surgery whereas 72% of the radiation oncologists believed radiotherapy was as good as surgery. Both groups favored treatment as opposed to watchful waiting unless the patient was very old or had a good prognosis without treatment. Only 16% of the urologists recommended PSA testing for men 80 years old or older, compared to 43% of the radiation oncologists.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
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A decision analysis of alternative treatment strategies for clinically localized prostate cancer
Article Abstract:
Treatment of localized prostate cancer may differ depending on the age of the patient and the grade of the tumor. Prostate cancer is the most common form of cancer among men in the US. A study used a decision analysis model to examine the effectiveness of different types of treatment for men between 60 and 75 years old with localized prostate cancer. Radical prostatectomy and radiation therapy may be more effective than watchful waiting for younger patients with higher-grade tumors. These treatments may only increase life expectancy by less than a year in older patients with lower-grade tumors. They may also cause complications that are harmful to the patient. Patients over 70 years old have a higher risk of developing serious complications after surgery or other types of invasive procedures than younger patients.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1993
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Competing Risk Analysis of Men Aged 55 to 74 Years at Diagnosis Managed Conservatively for Clinically Localized Prostate Cancer
Article Abstract:
Men with prostate cancer that is relatively mild have a very good prognosis and can be managed conservatively. Conservative management is often called watchful waiting and involves drugs that suppress male hormones if the tumor begins to spread. Researchers analyzed mortality rates in 767 men who were diagnosed with prostate cancer at age 55 to 74 and were managed conservatively. Men with mild disease classified as a Gleason score between 2 and 4 had a 4% to 7% risk of dying, compared to a risk of 6% to 11% in men with a score of 5, 18% to 30% in men with scores of 6, 42% to 70% in men with scores of 7, and 60% to 87% in men with scores of 8 to 10.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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