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Ignoring Prostate Cancer Entirely

Prostate Cancer | Last Active: 2 hours ago | Replies (32)

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@heavyphil

Hey North , the entire study is on nejm.org…(sorry, don’t know how to post that link or article to the forum). But there is a small disclaimer under “limitations” and they say that the high number of metastasis seen in the AS group was probably due to the fact that there were more intermediate cases than they realized in that cohort, which was supposed to be all Gleason 6’s.
They also say that they could have done a much better job at screening if they had all the methods, tests and scans we use today. Fifteen years ago is practically the Dark Ages for this disease - and you are living proof that better tests, techniques and remedies are ALWAYS just around the corner.
Best, Phil

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Replies to "Hey North , the entire study is on nejm.org…(sorry, don’t know how to post that link..."

Here’s the link:
https://www.nejm.org/doi/full/10.1056/NEJMoa2214122
Spot on regarding the (1999-2009) ProtecT study group timeframe.

The Canary Pass study group timeframe (2008 - 2022), and their results mentioned earlier, are more representative of current day AS protocols.

I did find an interesting stat in the ProtecT study…45 patients (2.7%) died of PCa after 15 years; whereas 356 patients (21.7%) died of all causes after 15 years.

Not to minimize PCa, but we can tend (myself included) to focus on the trees rather than the forest.

I did a deep dive on that very subject, using a MSKCC nomograph regarding PCa male life expectancy…the results were stunning…but that’s a subject for a different post.

All the best,

Alan