The Risks Outweigh the Benefits
of Radical Prostatectomy in
Localised Prostate Cancer:
The Argument For

Pa, Abrahamsson

doi:10.1159/000473834

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…This might be due to epidemiological data such as that from the USA showing declining mortality from prostate cancer, which had been attributed to increased screening [8]. The choice between surgery or radiotherapy for early, localized disease was unchanged between 1995 and 2000; most clinicians preferred surgery in a relatively young man and radiotherapy or observation in the older man, consistent with other studies [4,9,10]. We were surprised by the increased use of neoadjuvant and adjuvant hormonal therapy for patients receiving radiotherapy for early‐stage disease.…”

Section: Discussionsupporting

confidence: 64%

Patterns of practice in the management of prostate cancer: results from multidisciplinary surveys of clinicians in Australia and New Zealand in 1995 and 2000

et al. 2006

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OBJECTIVE To investigate and compare patterns of practice in prostate cancer management in Australia and New Zealand from 1995 to 2000, as there are insufficient randomized trials to guide clinicians in the management of prostate cancer. SUBJECTS AND METHODS This study represents the two largest published surveys of Australian and New Zealand clinicians dealing with prostate cancer. We sent structured questionnaires on the management of prostate cancer patients to 804 urologists, radiation oncologists and medical oncologists in Australia and New Zealand in December 2000. We compared responses to a similar survey of 579 specialist clinicians in 1995. RESULTS The response rates were 56% in 1995 and 62% in 2000. In the management of clinically localized disease, the proportion recommending surgery or radiotherapy remained relatively constant between 1995 and 2000, although there was an increase in the use of brachytherapy and adjuvant hormonal therapy, and a reduced tendency to treat pelvic nodes. In the treatment of locally advanced disease, there was an increased use of hormonal treatment and local radiotherapy, with a reduction in the use of total androgen blockade and orchidectomy. In managing positive margins after prostatectomy, there was a clear lack of consensus, with a wide variety of treatment options proposed. CONCLUSIONS Practice has changed in several areas in 2000 compared to 1995, but not all changes were influenced by the publication of randomized trials or evidence‐based guidelines.

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Section: Discussionsupporting

confidence: 64%

Patterns of practice in the management of prostate cancer: results from multidisciplinary surveys of clinicians in Australia and New Zealand in 1995 and 2000

et al. 2006

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“…Por ello, los pacientes jóvenes con una esperanza de vida de más de 15 años es de esperar que se beneficien de cirugía radical. Mientras que estos pacientes de menor edad, se ha visto peor comportamiento tumoral como resultado de la radioterapia Y por el lado opuesto, el tratamiento conservador es una opción válida para pacientes por encima de los 70 años con cánceres de bajo grado, clínicamente localizados en la próstata y con una esperanza de vida menor de 10 años [373].…”

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Factores que influyen en la afectación de la continencia urinaria después de la prostatectomía radical. Estudio multicéntrico internacional

Rodríguez¹,

José²

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Indications et résultats de la prostatectomie radicale

Jacqmin

1997

Cancer/Radiothérapie

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The Risks Outweigh the Benefits of Radical Prostatectomy in Localised Prostate Cancer: The Argument For

Cited by 3 publications

References 7 publications

Patterns of practice in the management of prostate cancer: results from multidisciplinary surveys of clinicians in Australia and New Zealand in 1995 and 2000

Patterns of practice in the management of prostate cancer: results from multidisciplinary surveys of clinicians in Australia and New Zealand in 1995 and 2000

Factores que influyen en la afectación de la continencia urinaria después de la prostatectomía radical. Estudio multicéntrico internacional

Indications et résultats de la prostatectomie radicale

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