Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1990-11-13
|
pubmed:abstractText |
The records of 132 patients participating in clinical trials using fast neutron (n = 94), mixed neutron and photon (n = 16), or conventional photon (n = 22) irradiation for primary management of prostatic cancer were retrospectively reviewed to assess treatment-related neurological complications. With a median follow-up of 14 months (range 1 to 101 months), 31/132 patients (26 neutron, 3 mixed beam, 2 photon) have experienced either sciatica beginning during or shortly after treatment, or diminished bladder or bowel continence that developed at a median time of 6.5 months following treatment. Sciatica responded to oral steroids and was usually self-limited, whereas sphincter dysfunction appears to be permanent. Pre-treatment risk factors for complications included a history of hypertension, diabetes, cigarette smoking or peripheral vascular disease, with 81% of affected patients having one or more risk factors compared with 55% of unaffected patients (p = 0.01). Seven patients have moderate (5) or severe (2) residual problems, all in the cohorts receiving neutrons (6/7) or mixed beam therapy (1/7).
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
0167-8140
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
18
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
257-65
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:2120742-Adenocarcinoma,
pubmed-meshheading:2120742-Fast Neutrons,
pubmed-meshheading:2120742-Fecal Incontinence,
pubmed-meshheading:2120742-Follow-Up Studies,
pubmed-meshheading:2120742-Humans,
pubmed-meshheading:2120742-Male,
pubmed-meshheading:2120742-Prostatic Neoplasms,
pubmed-meshheading:2120742-Radiotherapy, High-Energy,
pubmed-meshheading:2120742-Retrospective Studies,
pubmed-meshheading:2120742-Sciatica,
pubmed-meshheading:2120742-Time Factors,
pubmed-meshheading:2120742-Urinary Incontinence
|
pubmed:year |
1990
|
pubmed:articleTitle |
Transient and chronic neurological complications of fast neutron radiation for adenocarcinoma of the prostate.
|
pubmed:affiliation |
Department of Radiation Oncology, University of Washington, Seattle.
|
pubmed:publicationType |
Journal Article,
Clinical Trial
|