Adult UrologyComparative quality-of-life analysis after radical prostatectomy or external beam radiation for localized prostate cancer
Section snippets
Material and methods
A computer data base of all patients treated for localized prostate cancer at our institution provided information about patients treated with radical prostatectomy between 1984 and 1994 or treated with irradiation between 1974 and 1994. Patients who were alive and more than 12 months past treatment were sent a questionnaire similar to that used by Fowler et al.3 (see Appendix for questions analyzed in this report). This same questionnaire was sent again to all patients 6 months later to
Results
Six hundred fourteen patients treated for localized prostate cancer who were alive at last contact were sent questionnaires; 137 were not evaluable because of intervening death, change of address and lost to follow-up, or confirmation that primary treatment had been administered elsewhere. Of the remaining 477 patients, a response by questionnaire or telephone was elicited from 460 patients (96.4%).
Surgical patients ranged in age from 43.5 to 73.7 years (mean 62.8, median 63.7). Irradiated
Comment
Assessing morbidity and the impact on QOL after surgery or radiation for localized prostate cancer has become an important focus of investigation. Physicians have traditionally relied on their perception of risks and benefits to direct treatment recommendations. Evidence exists that physicians in general are not skilled or accurate in their assessment of patient QOL.9, 10
Physician-directed studies have reported continence rates, defined as no pads and no stress urinary incontinence, of between
Acknowledgements
To Dianne Rowe and Lana Wilson for data management and Lynn Vass for manuscript preparation.
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