February 27, 2019
New tool promises to help patients decide whether radical prostatectomy or radiation therapy is their best treatment option.
Researchers at the University of Michigan in Ann Arbor have proposed an online calculator to aid patients with localized prostate cancer (PCa) in deciding whether surgery or radiation therapy is their best treatment option, a question that randomized trials have not fully addressed.
Helping guide men with localized prostate cancer through their initial treatment decision is one of the most important things we do as prostate cancer specialists, study investigator Todd M. Morgan, MD, associate professor of urologic oncology, told Renal & Urology News. Despite the number of men who have to face these decisions each year, we have very little prospective, randomized data to help steer our recommendations.
Clinicians now must rely on reams of retrospective, observational data, which are often conflicting and can be inaccurate for a number of reasons. Understanding the limitations of these data, the researchers used sophisticated statistical approaches to focus less on the question of whether surgery or radiation leads to better long-term cancer control in general, but on whether it is possible to identify scenarios where one ...