Journal ArticleDOI
Quality of Life after Radical Prostatectomy or Watchful Waiting
Gunnar Steineck,Fred Helgesen,Jan Adolfsson,Paul W. Dickman,Jan-Erik Johansson,Bo Johan Norlén,Lars Holmberg +6 more
TLDR
The assignment of patients to watchful waiting or radical prostatectomy entails different risks of erectile dysfunction, urinary leakage, and urinary obstruction, but on average, the choice has little if any influence on well-being or the subjective quality of life after a mean follow-up of four years.Abstract:
Background We evaluated symptoms and self-assessments of quality of life in men with localized prostate cancer who participated in a randomized comparison between radical prostatectomy and watchful waiting Methods Between 1989 and 1999, a group of Swedish urologists randomly assigned men with localized prostate cancer to radical prostatectomy or watchful waiting In this follow-up study, we obtained information from 326 of 376 eligible men (87 percent) concerning certain symptoms, symptom-induced distress, well-being, and the subjective assessment of quality of life by means of a mailed questionnaire Results Erectile dysfunction (80 percent vs 45 percent) and urinary leakage (49 percent vs 21 percent) were more common after radical prostatectomy, whereas urinary obstruction (eg, 28 percent vs 44 percent for weak urinary stream) was less common Bowel function, the prevalence of anxiety, the prevalence of depression, well-being, and the subjective quality of life were similar in the two groups Concread more
Citations
More filters
Journal ArticleDOI
Quality of life and satisfaction with outcome among prostate-cancer survivors.
Martin G. Sanda,Rodney L. Dunn,Jeff M. Michalski,Howard M. Sandler,Laurel L. Northouse,Larry Hembroff,Xihong Lin,Thomas K. Greenfield,Mark S. Litwin,Mark S. Litwin,Christopher S. Saigal,Arul Mahadevan,Eric A. Klein,Adam S. Kibel,Louis L. Pisters,Deborah A. Kuban,Irving D. Kaplan,Darien Wood,Jay P. Ciezki,Nikhil L. Shah,John T. Wei +20 more
TL;DR: Each prostate-cancer treatment was associated with a distinct pattern of change in quality-of-life domains related to urinary, sexual, bowel, and hormonal function, and these changes influenced satisfaction with treatment outcomes among patients and their spouses or partners.
Journal ArticleDOI
Radical prostatectomy versus watchful waiting in early prostate cancer.
Anna Bill-Axelson,Anna Bill-Axelson,Lars Holmberg,Mirja Ruutu,Hans Garmo,Jennifer R. Stark,Jennifer R. Stark,Christer Busch,Stig Nordling,Michael Häggman,Swen-Olof Andersson,Stefan Bratell,Anders Spångberg,Juni Palmgren,Gunnar Steineck,Hans-Olov Adami,Hans-Olov Adami,Jan-Erik Johansson +17 more
TL;DR: Radical prostatectomy was associated with a reduction in the rate of death from prostate cancer, and men with extracapsular tumor growth may benefit from adjuvant local or systemic treatment.
Guidelines on Prostate Cancer
Axel Heidenreich,Joaquim Bellmunt,Michel Bolla,Steven Joniau,Vsevolod Matveev,N. Mottet,Thomas Wiegel,Filiberto Zattoni +7 more
TL;DR: The introduction of an effective blood test, prostate specific antigen (PSA), has made it possible to diagnose more and more men in an earlier stage where they can be offered potentially curative treatments, and this is the subject of the EAU guidelines on prostate cancer.
Journal ArticleDOI
Patient-Reported Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancer
Jenny L Donovan,Freddie C. Hamdy,J A Lane,Malcolm David Mason,Chris Metcalfe,Eleanor I Walsh,Jane M Blazeby,Tim J Peters,Peter Holding,Bonnington S,T Lennon,Lynne Bradshaw,Cooper D,Phillipa Herbert,Howson J,Arwyn Tomos Jones,Norma Lyons,Salter E,Pauline Thompson,Sarah Tidball,Jan Blaikie,Catherine Gray,Prasad Bollina,James W.F. Catto,Andrew Doble,Alan Doherty,David Gillatt,Roger Kockelbergh,Howard Kynaston,Alan Paul,Philip Powell,Stephen Prescott,Derek J. Rosario,Edward Rowe,Michael Davis,Emma L Turner,Richard M. Martin,David E. Neal,David E. Neal +38 more
TL;DR: In this analysis of patient-reported outcomes after treatment for localized prostate cancer, patterns of severity, recovery, and decline in urinary, bowel, and sexual function and associated quality of life differed among the three groups.
Journal ArticleDOI
American Cancer Society Guideline for the Early Detection of Prostate Cancer: Update 2010
Andrew M.D. Wolf,Richard C. Wender,Ruth B. Etzioni,Ian M. Thompson,Anthony V. D'Amico,Robert J. Volk,Durado Brooks,Chiranjeev Dash,Idris Guessous,Idris Guessous,Idris Guessous,Kimberly S. Andrews,Carol DeSantis,Robert A. Smith +13 more
TL;DR: It is recommended that asymptomatic men who have at least a 10‐year life expectancy have an opportunity to make an informed decision with their health care provider about screening for prostate cancer after they receive information about the uncertainties, risks, and potential benefits associated with prostate cancer screening.
References
More filters
Journal ArticleDOI
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Manual for the State-Trait Anxiety Inventory
TL;DR: The STAI as mentioned in this paper is an indicator of two types of anxiety, the state and trait anxiety, and measure the severity of the overall anxiety level, which is appropriate for those who have at least a sixth grade reading level.
BookDOI
TNM classification of malignant tumours
TL;DR: Head and Neck Tumours.- Lip and Oral Cavity.- Pharynx.- Larynx.' Maxillary Sinus.- Salivary Glands.- Thyroid Gland.- Digestive System Tumour .
Journal ArticleDOI
Modeling and variable selection in epidemiologic analysis.
TL;DR: An overview of problems in multivariate modeling of epidemiologic data is provided, and some proposed solutions are examined, including model and variable forms should be selected based on regression diagnostic procedures, in addition to goodness-of-fit tests.
Related Papers (5)
Radical prostatectomy versus watchful waiting in early prostate cancer.
Quality of life and satisfaction with outcome among prostate-cancer survivors.
Martin G. Sanda,Rodney L. Dunn,Jeff M. Michalski,Howard M. Sandler,Laurel L. Northouse,Larry Hembroff,Xihong Lin,Thomas K. Greenfield,Mark S. Litwin,Mark S. Litwin,Christopher S. Saigal,Arul Mahadevan,Eric A. Klein,Adam S. Kibel,Louis L. Pisters,Deborah A. Kuban,Irving D. Kaplan,Darien Wood,Jay P. Ciezki,Nikhil L. Shah,John T. Wei +20 more