1996
DOI: 10.1016/s0094-0143(05)70336-0
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Surveillance Is Not a Viable and Appropriate Treatment Option in the Management of Localized Prostate Cancer

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Cited by 17 publications
(14 citation statements)
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“…Additionally, Hugosson et al, reported that men who died of prostate cancer had more than 50% higher costs compared with men with prostate cancer who died of other causes. 7 Information regarding medication usage, especially outpatient use, ie pain or hormonal ablation, admittedly was incomplete in this study. Because of this, some assumptions had to be made but were always done so in an underestimation.…”
Section: Discussionmentioning
confidence: 96%
See 1 more Smart Citation
“…Additionally, Hugosson et al, reported that men who died of prostate cancer had more than 50% higher costs compared with men with prostate cancer who died of other causes. 7 Information regarding medication usage, especially outpatient use, ie pain or hormonal ablation, admittedly was incomplete in this study. Because of this, some assumptions had to be made but were always done so in an underestimation.…”
Section: Discussionmentioning
confidence: 96%
“…Even for those patients in their sixties with moderately differentiated tumors (Gleason's score 5, 6, 7) the risk of ultimately dying of localized disease that was initially observed is over 60%. 7 The majority of men with metastatic disease will die and will require intensive palliation during their terminal year. Until the natural history of localized disease for the individual patient can be predicted it must be assumed that his disease is potentially lethal in the absence of a significant competing co-morbidity.…”
Section: Discussionmentioning
confidence: 99%
“…Based on this, they argue that all patients need immediate aggressive local therapy. 23 Their study design has been severely criticised, however, 24,25 and simulations with both this and conventional study design have shown that they probably overestimated the mortality from prostate cancer with a long follow-up. 16,26 A previously unrecognized bias in the study design of the Gothenburg series results from the fact that the follow-up time becomes directly related to the year when the patients were diagnosed.…”
Section: Discussionmentioning
confidence: 99%
“…9 Based on this the authors later argue that all patients needs immediate aggressive local therapy. 34 In their study Aus et al 9 de®ned the study population as those who died with the diagnosis of prostate cancer irrespective of the cause of death during 1988± 1990. The de®ned follow-up time was from diagnosis to time of death.…”
Section: Commentsmentioning
confidence: 99%