Urology
Volume 68, Issue 3 , Pages 583-586 , September 2006

Comorbidity is poor predictor of survival in patients undergoing radical prostatectomy after 70 years of age

  • Michael Froehner

      Affiliations

    • Department of Urology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany
    • Corresponding Author InformationReprint requests: Michael Froehner, M.D., Department of Urology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Fetscherstrasse 74, Dresden D-01307, Germany
    • ,
  • Rainer Koch

      Affiliations

    • Department of Medical Statistics, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany
    • ,
  • Rainer J. Litz

      Affiliations

    • Department of Anesthesiology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany
    • ,
  • Oliver W. Hakenberg

      Affiliations

    • Department of Urology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany
    • ,
  • Sven Oehlschlaeger

      Affiliations

    • Department of Urology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany
    • ,
  • Manfred P. Wirth

      Affiliations

    • Department of Urology, University Hospital “Carl Gustav Carus,” Technical University of Dresden, Dresden, Germany

Received 21 December 2005 ,Accepted 23 March 2006.

References 

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  2. Grönberg H . Prostate cancer epidemiology . Lancet . 2003;361:859–864
  3. Lepor H . Selecting candidates for radical prostatectomy . Rev Urol . 2000;2:182–189
  4. Schwartz KL , Alibhai SMH , Tomlinson G , et al.   Continued undertreatment of older men with localized prostate cancer . Urology . 2003;62:860–865
  5. Parker C . Active surveillance: towards a new paradigm in the management of early prostate cancer . Lancet Oncol . 2004;5:101–106
  6. Khan MA , Partin AW , Carter HB . Expectant management of localized prostate cancer . Urology . 2003;62:793–799
  7. Bill-Axelson A , Holmberg L , Ruutu M , et al.   Radical prostatectomy versus watchful waiting in early prostate cancer . N Engl J Med . 2005;352:1977–1984
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  9. Barry MJ , Albertsen PC , Bagshaw MA , et al.   Outcomes for men with clinically nonmetastatic prostate carcinoma managed with radical prostatectomy, external beam radiotherapy, or expectant management: a retrospective analysis . Cancer . 2001;91:2302–2314
  10. Sweat SD , Bergstralh EJ , Slezak J , et al.   Competing risk analysis after radical prostatectomy for clinically nonmetastatic prostate adenocarcinoma according to clinical Gleason score and patient age . J Urol . 2002;168:525–529
  11. Hall WH , Jani AB , Ryu JK , et al.   The impact of age and comorbidity on survival outcomes and treatment patterns in prostate cancer . Prostate Cancer Prostatic Dis . 2005;8:22–30
  12. Post PN , Hansen BE , Kil PJM , et al.   The independent prognostic value of comorbidity among men aged <75 years with localized prostate cancer: a population-based study . BJU Int . 2001;87:821–826
  13. Froehner M , Koch R , Litz RJ , et al.   Feasibility and limitations of comorbidity measurement in patients undergoing radical prostatectomy . Eur Urol . 2005;47:190–195
  14. Froehner M , Koch R , Litz R , et al.   Comparison of the American Society of Anesthesiologists Physical Status classification with the Charlson score as predictors of survival after radical prostatectomy . Urology . 2003;62:698–701
  15. Froehner M , Koch R , Litz RJ , et al.   Comparison of tumor- and comorbidity-related predictors of mortality after radical prostatectomy . Scand J Urol Nephrol . 2005;39:449–454
  16. Charlson ME , Pompei P , Ales KL , et al.   A new method of classifying prognostic comorbidity in longitudinal studies: development and validation . J Chron Dis . 1987;40:373–383
  17. Eapen L , Villeneuve PJ , Levy IG , et al.   Comorbid survival among elderly participants of the Canada Health Survey: relevance to prostate cancer screening and treatment . Chronic Dis Can . 1998;19:84–90

PII: S0090-4295(06)00401-8

doi: 10.1016/j.urology.2006.03.050

Urology
Volume 68, Issue 3 , Pages 583-586 , September 2006

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