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Radical prostatectomy extends life expectancy in localised prostate cancer, trial finds

BMJ 2018; 363 doi: (Published 12 December 2018) Cite this as: BMJ 2018;363:k5263
  1. Susan Mayor
  1. London

Radical prostatectomy is associated with significantly more years of life gained than watchful waiting in men with localised prostate cancer, long term follow-up results from a randomised trial have shown.1

“In clinically detected prostate cancer, the benefit of radical prostatectomy in otherwise healthy men can be substantial, with a mean gain of almost three years of life after 23 years of follow-up,” said the study authors, led by Anna Bill-Axelson, from Uppsala University Hospital in Sweden. But they warned that the benefit is highly dependent on a man’s baseline risk, which can now be better assessed with modern diagnostic procedures than in the past.

Radical prostatectomy is known …

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