Treating Older Men with Prostate Cancer

Survival (or Selection) of the Fittest?

Published in: JAMA, The Journal of the American Medical Association, v. 296, no. 22, Editorial, Dec. 13, 2006, p. 2733-2734

Posted on RAND.org on January 01, 2006

by Mark Litwin, David C. Miller

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Recent declines in cause-specific mortality rates among men with prostate cancer suggest that early diagnosis and treatment for localized tumors may improve survival. Composite data provide evidence that initial local therapy is associated with a survival advantage among older men with lower-risk prostate cancer. Improvement in the quality of care for men with prostate cancer may best be achieved not by treating more patients but by treating them more discerningly.

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