Page 488 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 488

Appendix Table C4.2. Comparison between watchful waiting and radical prostatectomy (continued)
                                        Author, Year         Study name       Comparison           Outcome            Followup      Sample size      Results                          Factors included in the
                                        [Pubmed ID]          /Database                             definition/        (yr)          per group                                         model
                                                                                                   measurement
                                        Study design                                               instrument
                                        Stattin 223          NPCRSFS          RP vs.               Death from         Median        Surveillance:    HR=0.49 (0.34, 0.71)             Age at diagnosis,
                                        2010                                  surveillance         prostate cancer    followup      2021                                              comorbidity,
                                        20562373                                                   as “underlying     8.2 yr        RP: 3399                                          socioeconomic group,
                                                                                                   cause of           (IQR=7.1-                                                       risk group.
                                        Retrospective                                              death,” data       9.7 yr)
                                        cohort                                                     obtained from
                                                                                                   the Cause of
                                                                                                   Death Register
                                                                                                   or review of
                                                                                                   death
                                                                                                   certificates
                                        Albertsen 209        Connecticut      RP vs. no initial    Prostate cancer  Median          WW: 114          HR=0.29 (0.17, 0.52)             Stratification by D’Amico
                                        2007                 Tumor            treatment            death; dates       followup      RP: 802                                           risk category, Gleason
                                        17296379             Registry                              and causes of      13.3 yr       intended (596                                     score, PSA, clinical
                                                                                                   death were         (IQR=12.8-    received)                                         stage, age at diagnosis,
                                        Retrospective                                              obtained from      13.9 yr)                                                        and Charlson
                                        cohort                                                     the Connecticut                                                                    comorbidity score
                                                                                                   Tumor Registry                                                                     [Gleason score values
                                                                                                                                                                                      were based on a
                                                                                                                                                                                      contemporary (2003) re-
                                                                                                                                                                                      grading of the pathology
                                                                                                                                                                                      slides]
                                        All-cause
                                        mortality
                                        Bill-Axelson  213    SPCG-4           RP vs. WW            Overall            12.8          RP: 347          RR=0.75 (0.61, 0.92);            None (RCT)
                                        2011                                                       mortality                        WW: 348          P=0.007
                                        21542742

                                        RCT
                                        Schymura  230        POCS CDC-        RP vs. WW            5-year survival    5 years       RP: 1321         HR=0.43 (0.32, 0.59)             Age at diagnosis,
                                        2010                 NPCR                                                                   WW: 619                                           race/ethnicity, marital
                                        20403178                                                                                                                                      status, registry location,
                                                                                                                                                                                      PSA value, Gleason
                                        Retrospective                                                                                                                                 score, comorbidity score
                                        cohort









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