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J. Natl. Cancer Inst. · Jun 2009
Comparative StudySurvivorship beyond convalescence: 48-month quality-of-life outcomes after treatment for localized prostate cancer.
- John L Gore, Lorna Kwan, Steve P Lee, Robert E Reiter, and Mark S Litwin.
- Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, 911 Broxton Avenue, Los Angeles, CA 90024, USA. jgore@mednet.ucla.edu
- J. Natl. Cancer Inst. 2009 Jun 16; 101 (12): 888-92.
AbstractDecision making for treatment of localized prostate cancer is often guided by therapeutic side-effect profiles. We sought to assess health-related quality-of-life outcomes for patients 48 months after treatment for localized prostate cancer. Men treated for localized prostate cancer (N = 475) were evaluated before treatment and at 11 intervals during the 48 months after intervention. Changes in mean health-related quality-of-life scores and the probability of regaining baseline levels of health-related quality of life were compared between treatment groups. All statistical tests were two-sided. Urinary incontinence was more common after prostatectomy (n = 307) than after brachytherapy (n = 90) or external beam radiation therapy (n = 78) (both P < .001), whereas voiding and storage urinary symptoms were more prevalent after brachytherapy than after prostatectomy (both P < .001). Sexual dysfunction profoundly affected all three treatment groups, with a lower likelihood of regaining baseline function after prostatectomy than after external beam radiation therapy or brachytherapy (P < .001). Bowel dysfunction was more common after either form of radiation therapy than after prostatectomy. These results may guide decision making for treatment selection and clinical management of patients with health-related quality-of-life impairments after treatment for localized prostate cancer.
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