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new swedish data suggest that screening does lower mortality

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Posted 7/1/2010 7:22 PM (GMT 0)
this was sent to me by the co-ordinator of our local PCa support group

prostatecancerinfolink.net/2010/07/01/new-swedish-data-suggest-that-screening-does-lower-mortality/
Posted 7/1/2010 8:15 PM (GMT 0)
Very interesting, thanks for sharing it.
Posted 7/2/2010 12:19 AM (GMT 0)
here is the lancet link - in case you don't read the other posting by tc -
www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2810%2970146-7/fulltext
Posted 7/2/2010 12:35 AM (GMT 0)
Fascinating reading, thanks Jim. I read more summaries on other subjects and saved the site.
Posted 7/2/2010 1:20 AM (GMT 0)
Oh Bronson,

I thought you had a date with a Swede who gave you some new info !

Just kidding. Thanks for sharing !
Posted 7/2/2010 1:22 AM (GMT 0)
sorry goodlife - monogamous here - :-)
...mind you, have no idea who Jim is ( referring to maltratado45's comment)

all the best
BRONSON
Posted 7/2/2010 6:41 PM (GMT 0)
Ok, so we know it saves lives. I want to know about quality of life issues. ED and incontinence!
If my GP had ordered a PSA test when I had my physical at 50, would I be sitting here in my big boy underpants planning a hot Friday night date, rather than wearing a full pee pad and wondering if I have the stones to try Trimix.
Jeff
Posted 7/2/2010 9:32 PM (GMT 0)
Jeff
- quality of life is a completely different matter - ED and incontinence and the sword of damocles hanging over your head in between [post-op] PSA tests - compared to a slow or fast decline by ignoring PCa ..
... yes, more men die of something else after being diagnosed with Prostate Cancer - but others don't - ( in my understanding ) this study addresses those with more aggressive forms of PCa... those tested and those not....

-before I officially started this journey it was relayed to me that - if you are going to live for more than 10 years normally - and had PCa - they would do surgery -
BUT
- if you had 10 years or less normal life - they would just AS -
.... with me at 54 - I had surgery ( and no regrets) ... with a dear friend of mine - at age 75, he was denied surgery and at 81 - he is in constant pain, trouble walking, urinary problems, etc etc... a once vibrant active man destroyed by PCa.

-is anyone aware of a quality of life study regarding PCa -post-surgery / treatment?

hugs
BRONSON
.............
-so , is there a winner in this game? -
Posted 7/3/2010 12:46 AM (GMT 0)
Quality of Life and Satisfaction with Outcome among Prostate-Cancer Survivors
Posted 7/3/2010 12:48 AM (GMT 0)
Don't know if that worked. Here is the link:

http://content.nejm.org/cgi/content/short/358/12/1250
Posted 7/3/2010 12:57 AM (GMT 0)
content.nejm.org/cgi/content/short/358/12/1250

- have to put url in square brackets before the website address - and then /url in square brackets at the end of the address

thanks for the link

BRONSON

- unfortunately, not a subscriber to The New England Journal of Medicine - so cannot see full text
Posted 7/3/2010 11:36 AM (GMT 0)
I thought I saw it posted as 'Swedish Date' thing originally, like Goodlife mentioned, you must have corrected it to 'Swedish Data'.....so probably a typo thing (LOL). It was even more interesting to view with that title (LOL).

Controversy in PCa goes on and on....
Posted 7/3/2010 9:45 PM (GMT 0)
LOL - now I get it. ( goodlife's comment) .. my error , but now corrected ....
I know know how to edit topic posting titles ( didn't see how before - thanks Tony)

BRONSON
Posted 7/4/2010 5:26 AM (GMT 0)
Bronson,

It would be nice to access the full article, but don't know how to do that, sorry. I was asking a lot of questions to a radiation oncologist, and he printed out and gave me a copy. The article was about the hit your quality of life takes with different treatments. Each one has it's own characteristic nastiness. More ED, at least over the first 3 years with surgery, more urinary incontinence with surgery, more urinary obstruction with radiation. Some bowel problems with radiation.
Posted 7/4/2010 1:19 PM (GMT 0)

Postop, here is the full text of the article.  If you are really interested in dissecting it, I suggest you open the tables and charts "in a new window" and review the changes from the baseline to two years out.  There are some pretty startling differences.  For example, the surgery patients (average age 59) ratings on "Overall Sexuality Problem" went from a 12% baseline to 43% at the end of two years...an increase of 258%.  For the OLDER brachytherapy patients (average age 65) the same rating went from an 18% baseline to 30% at the end of two years...an increase of 67%.  There are major differences in QOL depending on the treatment one chooses. http://content.nejm.org/cgi/content/full/358/12/1250

Tudpock (Jim)

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