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Treatment Preferences of urologists in Great Britain and Ireland in the management of prostate cancer
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Waymont, B., Lynch, T. H., Dunn, Janet A., Bathers, S. and Wallace, D. M. A. (1993) Treatment Preferences of urologists in Great Britain and Ireland in the management of prostate cancer. British Journal of Urology, 71 (5). pp. 577-582. doi:10.1111/j.1464-410X.1993.tb16028.x
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Official URL: https://doi.org/10.1111/j.1464-410X.1993.tb16028.x
Abstract
A questionnaire was sent to all full‐time British and Irish urologists (n=278) on the management of prostate cancer and was answered by 229 (82%). The questions included 3 specific clinical situations, namely the management of incidental disease, the timing of treatment for metastatic disease and the mode of hormonal manipulation used for advanced disease.
It was found that 79% of urologists preferred a deferred treatment policy for incidental disease in the over‐75 age group. Radical prostatectomy was advocated by 10% of those questioned for patients in the under‐60 age group. Radiotherapy was the mainstay of treatment for incidental disease in the poorer prognosis groups of incidental disease, namely younger patients with more aggressive tumours.
Most urologists treated patients with asymptomatic metastatic disease at the time of diagnosis, with 18% entering patients into the Medical Research Council trial comparing immediate with deferred therapy.
Orchiectomy was advocated by 57% of urologists as their first‐line treatment for patients where hormonal manipulation was indicated. Consequently orchiectomy should remain the “gold standard” in comparative phase III trials in advanced prostate cancer.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of Urology | ||||
| Publisher: | Blackwell Science Ltd. | ||||
| ISSN: | 0007-1331 | ||||
| Official Date: | 1 May 1993 | ||||
| Dates: |
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| Volume: | 71 | ||||
| Number: | 5 | ||||
| Page Range: | pp. 577-582 | ||||
| DOI: | 10.1111/j.1464-410X.1993.tb16028.x | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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