Page 498 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
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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
                                                                                          a
                                        Berge 231            SEER-            WW vs. RP            Cystoscopy;        5 yr          WW: 3612         HR=1.00 (0.88, 1.13) for         Age, grade, comorbidity
                                        2007                 Medicare                              bladder                          RP: 3940         cystoscopy; P=0.071 for the      index
                                        17178188                                                   irrigation/                                       null hypothesis that the
                                                                                                   cystostomy;                                       coefficients of all treatments
                                        Retrospective                                              TURP/bladder-                                     entered in the model are 0
                                        cohort                                                     neck incision;
                                                                                                   urethra dilation                                  HR=1.71 (1.33-2.20) for
                                                                                                   [procedures                                       bladder irrigation/
                                                                                                   considered                                        cystostomy; P<0.001 for the
                                                                                                   indicative of                                     null hypothesis that the
                                                                                                   treatment-                                        coefficients of all treatments
                                                                                                   related                                           entered in the model are 0
                                                                                                   morbidity]
                                                                                                                                                     HR=2.63 (2.08, 3.33) for
                                                                                                                                                     TURP/bladder-neck incision;
                                                                                                                                                     P =0.008 for the null
                                                                                                                                                     hypothesis that the
                                                                                                                                                     coefficients of all treatments
                                                                                                                                                     entered in the model are 0

                                                                                                                                                     HR=0.71 (0.61, 0.84) for
                                                                                                                                                     urethra dilation; P =0.309 for
                                                                                                                                                     the null hypothesis that the
                                                                                                                                                     coefficients of all treatments
                                                                                                                                                     entered in the model are 0
                                        Quality of life
                                        Johansson  214       Ancillary        WW vs. RP            77 questions       Mean          RP: 189 (166     Last 6 mo; 2-3 yr post           NR (RCT)
                                        2009                 investigation                         on quality of life  followup:    responders)      randomization
                                        18783877             from SPCG-4                           (developed         4.1 yr        WW: 187          Anxiety (moderate or high):
                                                             trial                                 based on           (range: 1-    (160             RR=0.5 (0.2, 1.0)
                                        RCT                                                        interviews,        8)            responders)      Depressed mood (moderate
                                                                                                   tested for face                  [Some of the     or high): RR=0.6 (0.3, 1.0)
                                                                                                   validity on 30                   responders       Sense of well-being (low or



                                        a  In multivariable analysis this study used RP as the baseline treatment, thus adjusted estimates were reported for the comparison of RP with each other treatment
                                        (i.e., WW, RT, ADT). For the comparison of WW with other active treatments (i.e., WW vs. RT and ADT vs. RT) only unadjusted estimates were reported in the
                                        paper and were not extracted here. For more details please see the Methods section.




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