Rachael Sussman1,2,*, Filipe L.F. Carvalho1,2,*, Andrew Harbin1, Choayi Zheng1, John H. Lynch1, Lambros Stamatakis2, Jonathan Hwang2, Stephen B. Williams3, Jim C. Hu4, Keith J. Kowalczyk1
Canadian Journal of Urology, Vol.25, No.5, pp. 9516-9524, 2018
Abstract Introduction: The utility of radical prostatectomy (RP) for locally-advanced prostate cancer remains unknown. Retrospective data has shown equivalent oncologic outcomes compared to radiation therapy (RT). RP may provide local tumor control and prevent secondary interventions from local invasion, and may decrease costs.
Materials and methods: Using SEER-Medicare data from 1995-2011, we identified men with locally-advanced prostate cancer undergoing RP or RT. Rates of post-treatment diagnoses and interventions were identified using ICD-9 and CPT codes. Skeletal related events (SRE), androgen deprivation therapy (ADT) utilization, all-cause mortality, prostate cancer-specific mortality, and costs were compared.
Results: A total of 8367 men… More >