Comparative quality-of-life analysis after radical prostatectomy or external beam radiation for localized prostate cancer

McCammon, Kurt; Kolm, Paul; Main, Brian; Schellhammer, Paul F.

doi:10.1016/s0090-4295(99)00163-6

Cited by 152 publications

(85 citation statements)

References 20 publications

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“…[1][2][3][4][5][6][7][8] Because the prognosis associated with localized prostate carcinoma is excellent (5-year relative survival rate nearly 100% 9 ), quality-of-life issues become a key factor in decision making regarding the choice of treatment.…”

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confidence: 99%

“…3,[5][6][7]13,15 Reported levels of incontinence range from 30% to 70% 1 year after diagnosis and treatment. [3][4][5][6][7]11,15 Bowel dysfunction has been noted to occur in approximately 30 -45% of patients treated with external beam radiation, 4,7,16 and to a lesser degree with other types of treatment. 4,6,7,15 Most studies of treatment outcomes in men with prostate carcinoma have emphasized sexual, urinary, and bowel symptoms with the assumption that they have an impact on quality of life.…”

mentioning

confidence: 99%

“…[3][4][5][6][7]11,15 Bowel dysfunction has been noted to occur in approximately 30 -45% of patients treated with external beam radiation, 4,7,16 and to a lesser degree with other types of treatment. 4,6,7,15 Most studies of treatment outcomes in men with prostate carcinoma have emphasized sexual, urinary, and bowel symptoms with the assumption that they have an impact on quality of life. However, very few studies have directly examined and compared the impact of these symptoms on overall and cancer specific quality of life.…”

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confidence: 99%

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The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Bacon

Giovannucci

Testa³

et al. 2002

Cancer

142

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BACKGROUNDMost studies of treatment outcomes in men with localized prostate carcinoma have emphasized sexual, urinary, and bowel symptoms with the assumption that they have an impact on quality of life. However, very few studies have directly examined and compared the impact of these symptoms on overall and cancer specific quality of life.METHODSThe authors examined 783 incident cases of localized prostate carcinoma, diagnosed from 1993 to 1998, and 1928 age‐matched healthy controls from the Health Professionals Follow‐Up Study cohort. Information on frequency of ejaculation and urinary symptoms were collected before cancer diagnosis. After cancer diagnosis, the authors mailed a questionnaire including the Medical Outcomes Study Short Form–36 Health Status Survey (SF‐36), the Cancer Rehabilitation Evaluation System–Short Form (CARES‐SF), and the University of California at Los Angeles Prostate Cancer Index in 1998.RESULTSCases had slightly lower scores on most of the SF‐36 scales and reported much more bother from sexual, urinary, and bowel symptoms compared with healthy controls. Among prostate carcinoma patients, bowel symptoms had the greatest negative impact on quality of life, followed by sexual and urinary symptoms. As expected, treatment‐related symptoms were associated with the physical domains of quality of life, but psychosocial domains were just as strongly affected.CONCLUSIONSPatients and health care providers need to consider the potential mental quality‐of‐life impacts associated with prostate carcinoma treatment symptoms when making treatment decisions. Even after patients have completed cancer treatment, significant health impairments may remain. Health care providers should continue to address the mental and physical well‐being of prostate carcinoma patients in follow‐up care. Cancer 2002;94:862–71. © 2002 American Cancer Society.DOI 10.1002/cncr.10248

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confidence: 99%

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The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Bacon

Giovannucci

Testa³

et al. 2002

Cancer

142

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“…[1][2][3][4][5][6][7][8][9] Urinary continence may be considered as no leak at all for some authors 5 or less than one pad per day for others. 10 Some authors use a scoring system, 11 while others do not offer a precise definition.…”

Section: Incontinence Following Radical Prostatectomymentioning

confidence: 99%

Urinary Incontinence following Treatment of Localized Prostate Cancer

Grise

Thurman

2001

Cancer Control

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“…Several variables are involved that impede a helpful comparison among reported series. According to McCammon et al, 18 preservation of sexual function was disappointingly low among patients who underwent nerve-sparing surgery. On the other hand,Walsh 19 suggests that by meticulous preservation of the nerves, erections can resume in the majority of patients who were previously potent.…”

Section: Radical Prostatectomymentioning

confidence: 99%

Management of Erectile Dysfunction Secondary to Treatment for Localized Prostate Cancer

Telöken

2001

Cancer Control

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Comparative quality-of-life analysis after radical prostatectomy or external beam radiation for localized prostate cancer

Cited by 152 publications

References 20 publications

The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Urinary Incontinence following Treatment of Localized Prostate Cancer

Management of Erectile Dysfunction Secondary to Treatment for Localized Prostate Cancer

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