Wednesday, February 6, 2008

Medicine has much to learn about Prostate Cancer

Outcomes Vary for Prostate Cancer Patients Choosing Surgery; Overall, No Treatment Proven Superior

Press Release Date: February 4, 2008

Patients who undergo complete prostate removal are less likely to experience urinary incontinence or other complications if the operation is done by an experienced surgeon in a hospital that does many of the procedures, according to a report funded by the Agency for Healthcare Research and Quality (AHRQ), part of the U.S. Department of Health and Human Services (HHS).

However, the new report concludes that scientific evidence has not established surgery or any other single treatment as superior for all men. The analysis compared the effectiveness and risks of eight prostate cancer treatments, ranging from prostate removal to radioactive implants to no treatment. An article based on the report is posted today in the online version of the Annals of Internal Medicine.

"This report is a reminder that patient outcomes may vary according to treatment settings," said AHRQ Director Carolyn M. Clancy, M.D. "But this analysis also underscores a broader message: when it comes to prostate cancer, we have much to learn about which treatments work best, and patients should be informed about the benefits and harms of treatment options."

See the rest at AHRQ.GOV News
It also states that "All treatment options cause health problems, primarily urinary incontinence, bowel problems and erectile dysfunction. The chances of bowel problems or sexual dysfunction are similar for surgery and external radiation. Leaking of urine is at least six times more likely among surgery patients than those treated by external radiation."

It's discouraging that the "best" treatment is still unclear. The more I read about medicine, the more I think we are in the dark ages.

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