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Survival after radical prostatectomy. (Mindful Practice).
* For limited-stage prostate cancer, there is no difference in overall mortality between watchful waiting and radical prostatectomy during a median follow-up of 6 years.
* For limited-stage prostate cancer, there is a lower rate of disease-specific mortality and development of distant metastases with radical prostatectomy compared with watchful. waiting during a median follow-up of 6 years.
The Problem
A 64-year-old male with Korsakoff's syndrome is admitted to a nursing home from an outside institution. He has a prostate-specific antigen (PSA) of 21.1 [micro]g/L (normal is less than 4 [micro]g/L). He has no complaints and is a poor historian. He has become increasingly combative in recent months. Upon examination, he is oriented to person and place and refuses testing of any kind. His family is aware of the PSA value, wants everything done; they wonder if surgery would prolong his life if he has prostate cancer. They are told that the next appropriate step would be transrectal-ultrasound-guided biopsy, but this is worth doing only if the patient and the family accept surgery as the next step.
The Question
In prostate cancer patients, does radical prostatectomy improve survival compared with clinical observation?
Seeking Evidence
- Radical prostatectomy versus watchful waiting in early prostate...
- Magazine article from: Indian Journal of Urology Karthikeyan, A. Singh, J. Kekre, Nitin January 1, 2006 700+ words
...survival benefit with radical prostatectomy (RP), in a multicentric...randomly assigned to radical prostatectomy, or watchful waiting (WW). After a median...group and 50 men in the watchful waiting group, died of prostatic...
- SPCG-4 trial: Update on watchful waiting versus radical prostatectomy.
- Newspaper article from: Biotech Week April 8, 2009 700+ words
...reported that radical prostatectomy improved prostate...compared with watchful waiting after a median...to show that radical prostatectomy reduces the risk...study is that radical prostatectomy reduces prostate...
- Radiotherapy averts progression after radical prostatectomy.(Urology)(Clinical...
- Magazine article from: Internal Medicine News MacNeil, Jane Salodof August 15, 2007 700+ words
...CHICAGO -- Adjuvant radiotherapy after radical prostatectomy significantly reduced biochemical...for those who were assigned to "watchful waiting" after surgery. This gap widened...adjuvant radiotherapy versus 54% with watchful waiting. The difference was highly significant...
- More Than 500 Endoscopic Radical Prostatectomy Procedures Completed With...
- Press release article from: Business Wire July 10, 2000 700+ words
...completion of more than 500 endoscopic radical prostatectomy procedures with robotic assistance...cause of cancer deaths in men. A radical prostatectomy is the standard treatment for patients...that an endoscopic approach to a radical prostatectomy can minimize these negative ...
- Laparoscopic and open radical prostatectomy are equally effective in first test...
- Magazine article from: Urologic Nursing October 1, 2002 700+ words
Open radical prostatectomy, a procedure that involves...are turning to laparoscopic radical prostatectomy to attain the same anti...experience with laparoscopic radical prostatectomy, Dr. Dahl and his associates...
- Radiation, radical prostatectomy: neither had better quality of life.(Urology)
- Magazine article from: Internal Medicine News October 1, 2005 700+ words
...external beam radiotherapy with radical prostatectomy for localized prostate cancer found...first month, patients receiving radical prostatectomy reported a significantly worse...In terms of urinary function, radical prostatectomy was significantly worse than EBRT...
- Adjuvant Radiation Treatment After Radical Prostatectomy May Improve Survival.
- Newspaper article from: Clinical Oncology Alert November 1, 2005 700+ words
...Adjuvant Radiation Treatment After Radical Prostatectomy May Improve Survival Abstract...cancer patients treated by initial radical prostatectomy and found to have disease extending...Postoperative radiotherapy after radical prostatectomy: a randomised controlled trial...
- Research: Early hormonal therapy beneficial for radical prostatectomy...
- Newspaper article from: Cancer Weekly July 9, 2002 700+ words
...prostate cancer patients who have had radical prostatectomy benefit significantly from early...have PSA-only recurrence after radical prostatectomy, benefit considerably from early...of PSA-only recurrence after radical prostatectomy, a recognized marker for prostate...
