Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-6-17
pubmed:abstractText
Decision 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.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1460-2105
pubmed:author
pubmed:issnType
Electronic
pubmed:day
16
pubmed:volume
101
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
888-92
pubmed:meshHeading
pubmed-meshheading:19509365-Aged, pubmed-meshheading:19509365-Brachytherapy, pubmed-meshheading:19509365-Comorbidity, pubmed-meshheading:19509365-Confounding Factors (Epidemiology), pubmed-meshheading:19509365-Educational Status, pubmed-meshheading:19509365-Erectile Dysfunction, pubmed-meshheading:19509365-Health Status, pubmed-meshheading:19509365-Humans, pubmed-meshheading:19509365-Male, pubmed-meshheading:19509365-Middle Aged, pubmed-meshheading:19509365-Neoplasm Staging, pubmed-meshheading:19509365-Prostatectomy, pubmed-meshheading:19509365-Prostatic Neoplasms, pubmed-meshheading:19509365-Quality of Life, pubmed-meshheading:19509365-Questionnaires, pubmed-meshheading:19509365-Radiation Injuries, pubmed-meshheading:19509365-Radiotherapy, pubmed-meshheading:19509365-Survival Analysis, pubmed-meshheading:19509365-Treatment Outcome, pubmed-meshheading:19509365-Urinary Incontinence
pubmed:year
2009
pubmed:articleTitle
Survivorship beyond convalescence: 48-month quality-of-life outcomes after treatment for localized prostate cancer.
pubmed:affiliation
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, 911 Broxton Avenue, Los Angeles, CA 90024, USA. jgore@mednet.ucla.edu
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't