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Erectile function outcome reporting after clinically localized prostate cancer treatment.

Publication ,  Journal Article
Burnett, AL; Aus, G; Canby-Hagino, ED; Cookson, MS; D'Amico, AV; Dmochowski, RR; Eton, DT; Forman, JD; Goldenberg, SL; Hernandez, J; Higano, CS ...
Published in: J Urol
August 2007

PURPOSE: In conjunction with the assignment to update the Guidelines for Management of Clinically Localized Prostate Cancer, the American Urological Association Prostate Cancer Guideline Update Panel performed a side analysis of the reporting of erectile function outcomes in this clinical context as published in the medical literature. MATERIALS AND METHODS: Four National Library of Medicine PubMed(R) Services literature searches targeting articles published from 1991 through early 2004 were done to derive outcome reporting (efficacy or side effects) for the treatment of clinical stage T1 or T2 N0M0 prostate cancer. A database was constructed containing descriptions relating to erectile function as well as numerical frequency rates of complete erectile dysfunction, and partial and intact erectile function for various treatments. A literature review was also done, consisting of a PubMed Services search of current measures and protocols used for assessing erectile function outcomes and a survey of consensus opinion sources on the management of male sexual dysfunctions. RESULTS: Based on inclusion criteria 436 articles were selected. Of these articles database extraction from 100 pertaining to radical prostatectomy garnered various characterizations of erectile function, including qualitative descriptions, generic terminology and rating systems. Database extraction from 31 articles, in which results for at least 50 patients were reported, yielded ranges of rates for complete erectile dysfunction, partial erectile function and intact erectile function that were 26% to 100%, 16% to 48% and 9% to 86% for radical prostatectomy, 8% to 85%, 21% to 47% and 36% to 63% for external beam radiation, and 14% to 61%, 21% and 18% for interstitial radiation, respectively. The literature review showed an evolution in standards for studying and reporting erectile function outcomes. CONCLUSIONS: Clinical studies reporting erectile function outcomes after localized prostate cancer treatment often demonstrate poorly interpretable and inconsistent manners of assessment as well as widely disparate rates of erectile dysfunction and erectile function. Future studies must apply scientifically rigorous methodology and standard outcomes measures to advance this field of study.

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Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

August 2007

Volume

178

Issue

2

Start / End Page

597 / 601

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Treatment Outcome
  • Radioisotope Teletherapy
  • Quality of Life
  • Prostatic Neoplasms
  • Prostatectomy
  • Prostate
  • Practice Guidelines as Topic
  • Postoperative Complications
  • Outcome and Process Assessment, Health Care
 

Citation

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Burnett, A. L., Aus, G., Canby-Hagino, E. D., Cookson, M. S., D’Amico, A. V., Dmochowski, R. R., … American Urological Association Prostate Cancer Guideline Update Panel, . (2007). Erectile function outcome reporting after clinically localized prostate cancer treatment. J Urol, 178(2), 597–601. https://doi.org/10.1016/j.juro.2007.03.140
Burnett, Arthur L., Gunnar Aus, Edith D. Canby-Hagino, Michael S. Cookson, Anthony V. D’Amico, Roger R. Dmochowski, David T. Eton, et al. “Erectile function outcome reporting after clinically localized prostate cancer treatment.J Urol 178, no. 2 (August 2007): 597–601. https://doi.org/10.1016/j.juro.2007.03.140.
Burnett AL, Aus G, Canby-Hagino ED, Cookson MS, D’Amico AV, Dmochowski RR, et al. Erectile function outcome reporting after clinically localized prostate cancer treatment. J Urol. 2007 Aug;178(2):597–601.
Burnett, Arthur L., et al. “Erectile function outcome reporting after clinically localized prostate cancer treatment.J Urol, vol. 178, no. 2, Aug. 2007, pp. 597–601. Pubmed, doi:10.1016/j.juro.2007.03.140.
Burnett AL, Aus G, Canby-Hagino ED, Cookson MS, D’Amico AV, Dmochowski RR, Eton DT, Forman JD, Goldenberg SL, Hernandez J, Higano CS, Kraus S, Liebert M, Moul JW, Tangen C, Thrasher JB, Thompson I, American Urological Association Prostate Cancer Guideline Update Panel. Erectile function outcome reporting after clinically localized prostate cancer treatment. J Urol. 2007 Aug;178(2):597–601.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

August 2007

Volume

178

Issue

2

Start / End Page

597 / 601

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Treatment Outcome
  • Radioisotope Teletherapy
  • Quality of Life
  • Prostatic Neoplasms
  • Prostatectomy
  • Prostate
  • Practice Guidelines as Topic
  • Postoperative Complications
  • Outcome and Process Assessment, Health Care