Page 502 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 502

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
                                        Schapira 226         4                RP vs. EM            Disease-           1 yr          RP: 37           Change in disease-specific       Patient age, comorbidity,
                                        2001                 academically                          specific QoL:                    EM: 25           QoL from pretreatment:           TNM, PSA, race, marital
                                        11242319             affiliated                            UCLA Prostate                                      Urinary function: RP = -        status, working status,
                                                             Wisconsin                             cancer Index                                      27.8 vs. EM = +4.8               and years of education.
                                        Prospective          hospitals,                                                                              (P=0.004)
                                        cohort               including 2                           General QoL:                                       Sexual function: RP = -
                                                             VA Medical                            SF-36 scores                                      38.4 vs. EM =-8.9 (P=0.01)
                                                             Centers                                                                                  Smaller (more negative)
                                                                                                                                                     values indicate bigger
                                                                                                                                                     reductions in QoL
                                                                                                                                                      No significant difference
                                                                                                                                                     between RP and EM groups
                                                                                                                                                     in change in urinary bother,
                                                                                                                                                     sexual bother, bowel
                                                                                                                                                     function, or bowel bother
                                                                                                                                                     index.

                                                                                                                                                     Change in general QoL from
                                                                                                                                                     pre-treatment –
                                                                                                                                                      No significant difference
                                                                                                                                                     between RP and EM groups
                                                                                                                                                     in any domain.
                                        Litwin 229           CaPSURE          WW vs. RP            SF-36 scores       1.5 yr        RP: 282          Mental domain: 85 ± 1.0 vs.      Comorbidity count, PSA
                                        2002                                                       at 24 months                     WW: 66           81 ± 2.4                         at diagnosis, Gleason
                                        12115317                                                                                                     Role of limitations due to       score on biopsy, age at
                                                                                                                                                     emotional problems domain:       the end of treatment
                                        Retrospective                                                                                                94 ± 2.0 vs. 86 ± 4.7
                                        cohort                                                                                                       Vitality domain: 73 ± 1.4 vs.
                                                                                                                                                     66 ± 3.1
                                                                                                                                                     Social function domain: 100
                                                                                                                                                     ± 1.4 vs. 89 ± 2.2 (P < 0.05)
















                                                                                                                        C-169
   497   498   499   500   501   502   503   504   505   506   507