Many prostate-cancer patients could delay or forgo radical treatment without compromising quality of life or longevity, a study shows
Many prostate-cancer patients could delay or forgo radical treatment without compromising quality of life or longevity, a study showed, adding to a reconsideration ofMen with low-grade and some with moderate-grade localized prostate cancer could safely choose surveillance over surgery or radiation, according to a study published on Saturday in the New England Journal of Medicine. Its authors followed about 1,600 men in the U.K. diagnosed with localized prostate cancer for a median of 15 years.
“Everybody expected that the curves would separate and would start to see a survival advantage for men who receive radical treatment, and that’s not happened,” said Dr. Freddie Hamdy, professor of surgery and urology at the University of Oxford and a co-author of the study. “That was a big surprise.”
Patients who undergo radical treatment can experience side effects including urinary incontinence, rectal pain, bowel urgency and erectile dysfunction. An accompanying paper published Saturday in the New England Journal of Medicine Evidence, based on patient-reported information, shows how the side effects of treatment vary over time for surgery, radiation and monitoring.Get a weekly briefing on what's new in health, medicine, personal well-being and the business of healthcare.
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