The Benefits and Harms of Different Extents of Lymph Node Dissection During Radical Prostatectomy for Prostate Cancer: A Systematic Review

Abstract

The use of online course material is the approach adopted by most universities to support students' revision, and teachers usually have the responsibility for designing or uploading online materials on their own course websites. However, some teachers might lack programming skills or motivation, and most current online materials are just uploaded in a static format (such as PDF) which is not suitable for all students. Moreover, during revision periods students may be faced with a lot of unorganised materials to be revised in a short period of time, and this can lead to an ineffective revision process. In order to address these issues, this paper proposes a software framework that aims to maximise the benefit of current online materials when used to support student revision. This framework is called SRECMATs (Self-Revision E-Course MATerials) and has been deployed as a tool that allows teachers to automatically create an intelligent tutoring system to manage online materials without any programming knowledge, and to support students to navigate easily through these online materials during their revision. This paper evaluates the proposed framework in order to understand students' perceptions with regard to the use of the system prototype, and the results indicate which features are suitable for providing online revision materials as well as confirming the benefit of the revision framework.

Gleason grade patterns in nodal metastasis and corresponding prostatectomy specimens: impact on patient outcome

“…The limitations of this study include its retrospective nature and the use of material from only two institutions. The extent of nodal dissection has been demonstrated to impact the final pN status; however, it was unclear from some operative reports whether a standard or extended pelvic node dissection had been performed, thus this variable could not be assessed in this study. The length of clinical follow‐up (median 60 months) is also reasonably short when considering cancer‐specific survival as an end‐point.…”

Management of patients with advanced prostate cancer in the Asia Pacific region: ‘real‐world’ consideration of results from the Advanced Prostate Cancer Consensus Conference (APCCC) 2017

“…The APAC APCCC 2018 panellists discussed a range of questions about PLND, including what constitutes an ‘adequate’ LND, the importance of appropriate pathology review of removed nodes, and the appropriateness of ePLND in the absence of OS benefit and given the potential for poorer intraoperative and perioperative outcomes .…”

Identification of curable high-risk prostate cancer using radical prostatectomy alone: who are the good candidates for undergoing radical prostatectomy among patients with high-risk prostate cancer?

“…Nevertheless, our 5-year bPFS is identical to that obtained in the Johns Hopkins study. Current literature does not support a direct therapeutic effect of LND during RP [17]. These reports suggest that the diagnoses and surgical techniques used in our high-risk cohort of patients with PCa may not deviate significantly from those used in patients in contemporary studies of high-risk PCa.…”