Reducing Mortality in the Ageing Patient: Treatment of the Primary Tumour Is Not Necessary

Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We highlight some of the evidence against radical surgery for older men while acknowledging that this is the direction of travel.

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Published inEuropean urology focus Vol. 3; no. 4-5; pp. 328 - 329
Main Authors Lamb, Alastair D., Brewster, Simon F., Hamdy, Freddie C.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.10.2017
Subjects
Aged, 80 and over
Aging - physiology
Clinical Decision-Making - ethics
Humans
Life Expectancy
Lower Urinary Tract Symptoms - diagnosis
Lower Urinary Tract Symptoms - therapy
Male
Monitoring, Physiologic - standards
Monitoring, Physiologic - trends
Mortality - trends
Patient Outcome Assessment
Patient Selection - ethics
Prostate - pathology
Prostate - surgery
Prostatectomy - adverse effects
Prostatectomy - mortality
Prostatic Neoplasms - mortality
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Randomized Controlled Trials as Topic
Transurethral Resection of Prostate - methods
Urinary Incontinence - complications
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Abstract Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We highlight some of the evidence against radical surgery for older men while acknowledging that this is the direction of travel.
AbstractList Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We highlight some of the evidence against radical surgery for older men while acknowledging that this is the direction of travel.
Author Brewster, Simon F.
Hamdy, Freddie C.
Lamb, Alastair D.
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10.1016/j.eururo.2006.04.002
10.1056/NEJMoa043739
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10.1016/j.eururo.2016.09.040
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10.1016/j.eururo.2010.06.005
10.1056/NEJMoa1011967
10.1056/NEJMoa1311593
10.1001/jama.283.3.354
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Snippet Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We...
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SubjectTerms Aged, 80 and over
Aging - physiology
Clinical Decision-Making - ethics
Humans
Life Expectancy
Lower Urinary Tract Symptoms - diagnosis
Lower Urinary Tract Symptoms - therapy
Male
Monitoring, Physiologic - standards
Monitoring, Physiologic - trends
Mortality - trends
Patient Outcome Assessment
Patient Selection - ethics
Prostate - pathology
Prostate - surgery
Prostatectomy - adverse effects
Prostatectomy - mortality
Prostatic Neoplasms - mortality
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Randomized Controlled Trials as Topic
Transurethral Resection of Prostate - methods
Urinary Incontinence - complications
Title Reducing Mortality in the Ageing Patient: Treatment of the Primary Tumour Is Not Necessary
URI https://dx.doi.org/10.1016/j.euf.2017.10.008
https://www.ncbi.nlm.nih.gov/pubmed/29097093
https://search.proquest.com/docview/1988267142
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