Reducing Mortality in the Ageing Patient: Treatment of the Primary Tumour Is Not Necessary

Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We highlight some of the evidence against radical surgery for older men while acknowledging that this is the direction of travel.

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Bibliographic Details
Published in:European urology focus 2017-10, Vol.3 (4-5), p.328-329
Main Authors: Lamb, Alastair D., Brewster, Simon F., Hamdy, Freddie C.
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aging - physiology
Clinical Decision-Making - ethics
Humans
Life Expectancy
Lower Urinary Tract Symptoms - diagnosis
Lower Urinary Tract Symptoms - therapy
Male
Monitoring, Physiologic - standards
Monitoring, Physiologic - trends
Mortality - trends
Patient Outcome Assessment
Patient Selection - ethics
Prostate - pathology
Prostate - surgery
Prostatectomy - adverse effects
Prostatectomy - mortality
Prostatic Neoplasms - mortality
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Randomized Controlled Trials as Topic
Transurethral Resection of Prostate - methods
Urinary Incontinence - complications
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Description
Summary:Robot-assisted radical prostatectomy for older men remains an unproven intervention in terms of both cancer control and functional and voiding outcomes. We highlight some of the evidence against radical surgery for older men while acknowledging that this is the direction of travel.
ISSN:2405-4569
2405-4569
DOI:10.1016/j.euf.2017.10.008