Radical prostatectomy reduced death and progression more than watchful waiting in early prostate cancer: COMMENTARY

Munro, Alastair J.
November 2005
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p57
Academic Journal
This article comments on a study which found that radical prostatectomy reduced death and progression more than watchful waiting in early prostate cancer. The study claims that RP is better than WW for early-stage prostate cancer, a conclusion that is largely based on improved survival in patients less than 65 years of age treated with RP. The study was designed nearly 20 years ago, and in the meantime, ad hoc screening and stage migration have changed the clinical picture of early prostate cancer. The study did not include radiotherapy, either external beam or brachytherapy. Patients who are actively monitored may have a higher risk for symptoms related to disease recurrence or progression, plus any anxieties associated with having untreated cancer.


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