Delayed radiotherapy for patients with localized prostate cancer: validation by propensity score matching

To retrospectively investigate the biochemical outcome following delayed radiotherapy in patients with prostate cancer. From July 2000 to November 2008, 144 consecutive patients with localized prostate cancer underwent radiotherapy and androgen-deprivation therapy. Biochemical progression-free survi...

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Veröffentlicht in:Anticancer research 2013-04, Vol.33 (4), p.1629-1633
Hauptverfasser: Nakayama, Hidetsugu, Kanemoto, Ayae, Kikuchi, Koji, Matsuki, Katsuyuki, Tomobe, Mitsuro, Tsukamoto, Sadamu, Takeshima, Hitoshi, Oshiro, Yoshiko, Sugahara, Shinji, Tokuuye, Koichi
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container_end_page 1633
container_issue 4
container_start_page 1629
container_title Anticancer research
container_volume 33
creator Nakayama, Hidetsugu
Kanemoto, Ayae
Kikuchi, Koji
Matsuki, Katsuyuki
Tomobe, Mitsuro
Tsukamoto, Sadamu
Takeshima, Hitoshi
Oshiro, Yoshiko
Sugahara, Shinji
Tokuuye, Koichi
description To retrospectively investigate the biochemical outcome following delayed radiotherapy in patients with prostate cancer. From July 2000 to November 2008, 144 consecutive patients with localized prostate cancer underwent radiotherapy and androgen-deprivation therapy. Biochemical progression-free survival was compared in patients who began radiotherapy >6 months (delayed group) with these who began ≤ 6 months (non-delayed group) from diagnosis by biopsy. Treatment selection bias was adjusted by the propensity score method. After a median follow-up of 64 months, the 5-year biochemical progression-free survival of the delayed and non-delayed groups was 87.4% (95% confidence interval, CI=69.7-95.1%) and 96.6% (95% CI=89.6-98.9%), respectively (p=0.03). Delayed radiotherapy was the only independent risk factor for biochemical progression (hazard ratio=3.97, 95% CI 1.07-14.7, p=0.04). The results were validated by propensity score analysis. Delaying radiotherapy by >6 months increases the risk of biochemical progression in patients with localized prostate cancer.
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From July 2000 to November 2008, 144 consecutive patients with localized prostate cancer underwent radiotherapy and androgen-deprivation therapy. Biochemical progression-free survival was compared in patients who began radiotherapy &gt;6 months (delayed group) with these who began ≤ 6 months (non-delayed group) from diagnosis by biopsy. Treatment selection bias was adjusted by the propensity score method. After a median follow-up of 64 months, the 5-year biochemical progression-free survival of the delayed and non-delayed groups was 87.4% (95% confidence interval, CI=69.7-95.1%) and 96.6% (95% CI=89.6-98.9%), respectively (p=0.03). Delayed radiotherapy was the only independent risk factor for biochemical progression (hazard ratio=3.97, 95% CI 1.07-14.7, p=0.04). The results were validated by propensity score analysis. 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From July 2000 to November 2008, 144 consecutive patients with localized prostate cancer underwent radiotherapy and androgen-deprivation therapy. Biochemical progression-free survival was compared in patients who began radiotherapy &gt;6 months (delayed group) with these who began ≤ 6 months (non-delayed group) from diagnosis by biopsy. Treatment selection bias was adjusted by the propensity score method. After a median follow-up of 64 months, the 5-year biochemical progression-free survival of the delayed and non-delayed groups was 87.4% (95% confidence interval, CI=69.7-95.1%) and 96.6% (95% CI=89.6-98.9%), respectively (p=0.03). Delayed radiotherapy was the only independent risk factor for biochemical progression (hazard ratio=3.97, 95% CI 1.07-14.7, p=0.04). The results were validated by propensity score analysis. Delaying radiotherapy by &gt;6 months increases the risk of biochemical progression in patients with localized prostate cancer.</abstract><cop>Greece</cop><pmid>23564807</pmid><tpages>5</tpages></addata></record>
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subjects Adenocarcinoma - drug therapy
Adenocarcinoma - mortality
Adenocarcinoma - radiotherapy
Aged
Aged, 80 and over
Androgen Antagonists - therapeutic use
Disease Progression
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Staging
Outcome and Process Assessment (Health Care) - statistics & numerical data
Prognosis
Propensity Score
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - mortality
Prostatic Neoplasms - radiotherapy
Retrospective Studies
Survival Rate
Time Factors
title Delayed radiotherapy for patients with localized prostate cancer: validation by propensity score matching
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