Quality of Radiation Therapy Referral and Utilisation Post-prostatectomy: A Population-based Study of Time Trends

Variation in Radiotherapy Referral and Treatment for High-risk Pathological Features after Radical Prostatectomy: Results from a Population-based Study

“…Patients were considered to have received a preoperative radiation oncology consultation if they were seen within 12 months prior to radical prostatectomy [29].…”

Toxicity after post‐prostatectomy image‐guided intensity‐modulated radiotherapy using Australian guidelines

“…Use and recommendation for ART in patients with high‐risk pathology after prostatectomy has been 15% or less in multiple population studies, despite evidence of a survival benefit in the Southwest Oncology Group trial . Along with concerns over treatment, inconvenience and cost, toxicity may be one of the major concerns limiting use of ART, with genitourinary (GU) grade 2–3 toxicity greater than 20% in multiple series using conventional or 3D conformal radiotherapy (RT) .…”

Is it time to end lone-wolf medicine?

“…Jin et al have recently published a similar population-based study from Ontario showing similar trends -an increase in the number of patients referred to radiation oncology within six months of RP between 2003 and 2004 and 2011 and 2012, but the proportion referred tops out at 21.7%, two years after the long-term results of SWOG 8794, where the OS advantage was reported. 9 So it doesn't appear to be dissemination time that is the major factor. These authors could examine whether referral rates for academic vs. community urologists was different to test this hypothesis.…”