Title Impact of grade groups on prostate cancer-specific and other-cause mortality: competing risk analysis from a large single institution series /
Authors Milonas, Daimantas ; Ruzgas, Tomas ; Venclovas, Zilvinas ; Jievaltas, Mindaugas ; Joniau, Steven
DOI 10.3390/cancers13081963
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Is Part of Cancers.. Basel : MDPI. 2021, vol. 13, iss. 8, art. no. 1963, p. 1-12.. ISSN 2072-6694
Keywords [eng] prostate cancer ; radical prostatectomy ; grade groups ; cancer-specific mortality ; othercause mortality
Abstract [eng] For prostate cancer patient, information on risk of long-term cancer-specific and other-cause mortality is essential to avoid over- and undertreatment. Patient stratification to low-, intermediate-, and high-risk groups has been used for decades. However, recent evidence has shown that such stratification is not optimal and outcomes differ widely, especially in high-risk prostate cancer patients. Gleason score grading is an important factor for the prediction of cancer-specific survival and has been included in all prostate cancer risk stratification models. Moreover, this parameter could be used as an independent predictor. Recently proposed grade group model demonstrated good predictive probability on short-term outcomes. However, there is a lack of data regarding long-term cancer-specific survival. In the presented study, we analyzed long-term oncological outcomes in different grade groups. Detected ratio between cancer-specific and other-cause mortality could be very informative and helpful in prostate cancer patient risk stratification and more precise clinical decision making.
Published Basel : MDPI
Type Journal article
Language English
Publication date 2021
CC license CC license description