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Deciding between radiation and prostatectomy
Prostate Cancer | Last Active: Jun 24 9:51am | Replies (34)Comment receiving replies
Here is a good website to compare odds of cure for the major treatment paths. You have to determine your stage, low risk, intermediate, or high risk (risk of recurrence). So if you are intermediate, pull up the intermediate chart and you can see the odds of 10-20 yr survival, etc. based on the treatment you pick.
https://www.prostatecancerfree.org/compare-prostate-cancer-treatments/
It is best viewed on computer or just print it on paper. Not so viewable on phone.
To make the graphs easier to read, i drew a dot on the endpoints of the elipses, and then drew a line through the dots. This turns the elipses into lines.
Also be aware the the graphs don’t show any salvage radiation benefit. This would boost the surgery odds up a bit.
And, this is a very dysfunctional industry from my view. Loads of bad info mixed in with the good info. Same with the docs. Many of them are more dangerous than the cancer.
Replies to "Here is a good website to compare odds of cure for the major treatment paths. You..."
I used these charts to make my decision to go for LDR brachytherapy when I was first diagnosed with low risk (Gleason 6) cancer in 2020 as it showed a better outcome to remain disease free than surgery. Four years later with a recurrence of high risk Gleason 9 Stage 3 N1 disease I wish I would’ve opted initially for surgery.
As someone that used data extensively in an arguably successful engineering career I can safely state that data always tells a story however the story it tells may be based on an amalgam that includes data that may be irrelevant to a given and specific situation. Caution is always warranted to make the best possible decision.
Best wishes to everyone on their journey with PCa.
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Great chart. Would like to see them breakout external beam radiation as it does not address the difference in results from external beam machines vs mri guided as shown in the mirage study.