San Diego, CA USA (UroToday.com) In order to determine the most appropriate treatment for men with early prostate cancer and to avoid over- or undertreatment, estimating the risk of competing mortality is important.
Researchers from the Carl Gustav Carus University in Germany sought to determine the association between level of education and different causes of death after radical prostatectomy.
They analyzed the complete data on level of education, histopathological tumor stage (organ confined versus extracapsular), lymph node status (negative versus positive) and prostatectomy Gleason score (<7 versus 7 versus 8-10) of 2630 patients who underwent radical prostatectomy from 1992 to 2007. They found that higher level of education had a three year extended competing mortality than lower level of education. They also determined that the higher level of education was independently associated with decreased overall mortality after radical prostatectomy.
The authors conclude that the level of education is a possible independent prognostic parameter, as a supplement to age, comorbidity and smoking status for estimating the risk of competing mortality and choosing an optimal treatment plan for early prostate cancer male patients who are candidates for radical prostatectomy.
Presented By: Michael Froehner, MD
Written By: Susan Li; Department of Urology, University of California, Irvine at the 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA