Page 518 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 518

Appendix Table C4.3. Comparison between watchful waiting and radiation therapy
                                        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
                                        Prostate
                                        cancer-
                                        specific
                                        mortality
                                        Stattin 223        NPCRSFS         RT vs.          Death from        Median        Surveillance:      HR=0.70 (0.45, 1.09)                Age at diagnosis,
                                        2010                               surveillance    prostate          followup=     2021                                                   comorbidity, socioeconomic
                                        20562373                                           cancer as         8.2 yr        RT: 1429                                               group, risk group.
                                                                                           “underlying       (IQR=7.1-
                                        Retrospective                                      cause of          9.7 yr)
                                        cohort                                             death,” data
                                                                                           obtained from
                                                                                           the Cause of
                                                                                           Death
                                                                                           Register or
                                                                                           review of
                                                                                           death
                                                                                           certificates
                                        All-cause
                                        mortality
                                        Wong  208          SEER-           Radiation Tx    Overall           12 yr         RT: 18,249         HR=0.81 (0.78, 0.85)                PS: age at diagnosis, SEER
                                        2006               Medicare        vs.             survival =                      Observation:                                           site, year of diagnosis,
                                        17164454                           observation     interval from                   12,608                                                 tumor size, tumor grade,
                                                                                           the date of                                                                            marital status, residence in
                                        Retrospective                                      diagnosis to                                                                           an urban setting, race,
                                        cohort                                             the Medicare                                                                           income, educational
                                                                                           dare of death.                                                                         achievement, and 44
                                                                                           Patients were                                                                          categorical variables
                                                                                           censored at                                                                            encoding comorbidities. The
                                                                                           Dec. 20, 2002.                                                                         authors reported a
                                                                                                                                                                                  statistically significant
                                                                                                                                                                                  interaction between tumor
                                                                                                                                                                                  size and grade.

                                                                                                                                                                                  For treatment subgroups
                                                                                                                                                                                  (RP and radiation Tx)
                                                                                                                                                                                  separate PS were built and
                                                                                                                                                                                  used as covariates in the
                                                                                                                                                                                  Cox regression models.





                                                                                                                        C-177
   513   514   515   516   517   518   519   520   521   522   523