A critical assessment of the value of lymph node dissection at radical prostatectomy: A population-based study.
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A critical assessment of the value of lymph node dissection at radical prostatectomy: A population-based study. / Abdollah, Firas; Schmitges, Jan; Sun, Maxine; Tian, Zhe; Briganti, Alberto; Shariat, Shahrokh F; Perrotte, Paul; Montorsi, Francesco; Karakiewicz, Pierre I.
In: PROSTATE, Vol. 71, No. 14, 14, 2011, p. 1587-1594.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A critical assessment of the value of lymph node dissection at radical prostatectomy: A population-based study.
AU - Abdollah, Firas
AU - Schmitges, Jan
AU - Sun, Maxine
AU - Tian, Zhe
AU - Briganti, Alberto
AU - Shariat, Shahrokh F
AU - Perrotte, Paul
AU - Montorsi, Francesco
AU - Karakiewicz, Pierre I
PY - 2011
Y1 - 2011
N2 - OBJECTIVE: We tested relationship between pelvic lymph node dissection (PLND) status at the time of radical prostatectomy (RP) and survival in prostate cancer (PCa) patients. METHODS: Overall, 127,824 PCa patients treated with RP between 1988 and 2006 were included. Univariable and multivariable Cox regression analyses were used to evaluate the impact of PLND status (pN0 vs. pNx vs. pN1) on cancer-specific mortality (CSM) and overall mortality (OM) rates. RESULTS: In pT2 patients, the 5-, 10-, and 15-year CSM rates were: 0.4%, 1.7%, and 3.9% for pN0, 0.6%, 2.5%, and 4.7% for pNx, 2.7%, 11.9%, and 20.6% for pN1 patients (all P??0.05). CONCLUSIONS: Patients with localized PCa treated with RP without a PLND (pNx) have less favorable survival rate than their counterparts that do not harbor lymph node invasion at PLND. However, the difference is modest (0.8% at 10 years). In consequence, the related costs and benefits of this procedure should be weighted carefully. In addition, the survival benefit of PLND was not observed in locally advanced PCa patients. Prostate © 2011 Wiley-Liss, Inc.
AB - OBJECTIVE: We tested relationship between pelvic lymph node dissection (PLND) status at the time of radical prostatectomy (RP) and survival in prostate cancer (PCa) patients. METHODS: Overall, 127,824 PCa patients treated with RP between 1988 and 2006 were included. Univariable and multivariable Cox regression analyses were used to evaluate the impact of PLND status (pN0 vs. pNx vs. pN1) on cancer-specific mortality (CSM) and overall mortality (OM) rates. RESULTS: In pT2 patients, the 5-, 10-, and 15-year CSM rates were: 0.4%, 1.7%, and 3.9% for pN0, 0.6%, 2.5%, and 4.7% for pNx, 2.7%, 11.9%, and 20.6% for pN1 patients (all P??0.05). CONCLUSIONS: Patients with localized PCa treated with RP without a PLND (pNx) have less favorable survival rate than their counterparts that do not harbor lymph node invasion at PLND. However, the difference is modest (0.8% at 10 years). In consequence, the related costs and benefits of this procedure should be weighted carefully. In addition, the survival benefit of PLND was not observed in locally advanced PCa patients. Prostate © 2011 Wiley-Liss, Inc.
M3 - SCORING: Journal article
VL - 71
SP - 1587
EP - 1594
JO - PROSTATE
JF - PROSTATE
SN - 0270-4137
IS - 14
M1 - 14
ER -