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For some older men with Prostate Cancer,
less treatment improves Quality-of-Life
Newswise — Overtreatment of CaP affects QOL for patients. The
prostate cancer specific mortality (PCSM)
that is decreased by radical prostatectomy
(RP) in the Bill-Axelsen study is mostly
seen in men younger than 65 years, and most
of these men did not have screen-detected
CaP.
The majority of patients diagnosed in the US are greater than age
65. This present study included 9,018 men
from 1992-2002, with more than 5,000 men
aged >75 years. 100% had T1-T2 disease and
none had initial treatment. T
his group thus varied from other watchful waiting studies by
Albertsen and Johansson.
This population based cohort used the SEER-Medicare data, and
subjects had no other cancer, were aged >65
years and had T1-T2 CaP diagnosed in
1992-2002. They assessed CaP related disease
morbidities.
The median age was 77 years, with 11.7% African-American men and
most with Gleason score 5-7 tumors. 64% were
stage T1.
The 10-year chance of PCSM was less than 10%, unless it was high
risk disease. The death from other causes
was over 50%. The cancer morbidity rate was
<8%.
The overall risk of PCSM in all age groups was 12-15%. This study
was population based which limits biased,
but it lacked PSA A Pill Card Will Help
Patients Take Correct Medications on Time
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