Letters Prostatectomy v radiotherapy

Radical prostatectomy v radiation: only a randomised trial can provide the answer

BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g2266 (Published 25 March 2014) Cite this as: BMJ 2014;348:g2266
  1. Mack Roach 3rd, professor of radiation oncology and urology and chair of the Department of Radiation Oncology1
  1. 1UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA 94143-1708, USA
  1. mroach{at}radonc.ucsf.edu

Sooriakumaran and colleagues’ study is one of several that conclude survival is better after prostatectomy than radiotherapy.1 2 These studies have many features in common. They assume a cause and effect association between survival and treatment. They claim that they corrected for confounders. They acknowledge suboptimal radiotherapy (dose and use of androgen deprivation therapy).3 They …

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