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Radical prostatectomy or watchful waiting in early prostate cancer

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Bill-Axelson A., Holmberg L., Garmo H., Rider J.R., Taari K., Busch C., Nordling S., Hag?gman M., Andersson S.-O., Span?gberg A., Andre? O., Palmgren J., Steineck G., Adami H.-O., Johansson J.-E.

New England Journal of Medicine 2014 370:10 (932-942)

BACKGROUND: Radical prostatectomy reduces mortality among men with localized prostate cancer; however, important questions regarding long-term benefit remain. METHODS: Between 1989 and 1999, we randomly assigned 695 men with early prostate cancer to watchful waiting or radical prostatectomy and followed them through the end of 2012. The primary end points in the Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4) were death from any cause, death from prostate cancer, and the risk of metastases. Secondary end points included the initiation of androgen-deprivation therapy…(ver más)

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