E-ISSN 1658-7820
 

Review Article

Online Publishing Date:
03 / 07 / 2024

 


Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer

Ahmed Abdelazim Abdelaziz Haty, Mohammed Adel Mohammed Shami, Ahmad Mohammed Dakheel, Mohammed Mutlaq Hamdan Althobaiti, Ayman Khalid Kurdi, Ahmed Hamed Alghamdi, Nasser Abdulrahman Thawab Alshamrani.


Abstract
Localized prostate cancer presents a therapeutic challenge with various treatment options, including radical prostatectomy (RP) and radiation therapy (RT). Understanding the comparative effectiveness of these interventions is crucial for informed decision-making. A systematic review was conducted following PRISMA guidelines to identify studies comparing outcomes between RP and RT for localized prostate cancer. PubMed, Embase, and Cochrane Library were searched for relevant articles published up to date. Eligible studies included comparative trials reporting outcomes such as urinary incontinence, sexual function, bowel function, hormonal function, general quality of life, and biochemical failure (BF). Quality assessment and data synthesis were performed using established tools. Sixteen studies met the inclusion criteria, encompassing diverse study designs, patient populations, and follow-up durations. RP was associated with worse urinary incontinence outcomes as compared to RT in several studies, while sexual function outcomes favored RT. Bowel function outcomes varied across studies, with some favoring RP and others RT. Hormonal function outcomes were mixed, with some studies indicating worse outcomes with RT plus androgen deprivation therapy. The BF rates were lower with RT plus adjuvant therapy as compared to RP in some studies. The choice between RP and RT for localized prostate cancer should consider patient-specific factors and preferences. RP might offer advantages in terms of urinary continence, while RT might be preferred for preserving sexual function. Bowel function and hormonal outcomes varied, highlighting the need for individualized treatment decisions. Further research is needed to elucidate long-term outcomes and optimize treatment strategies for localized prostate cancer.

Key words: Quality-of-life, outcomes, radical prostatectomy, radiation therapy, prostate cancer


 
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How to Cite this Article
Pubmed Style

Haty AAA, Shami MAM, Dakheel AM, Althobaiti MMH, Kurdi AK, Alghamdi AH, Alshamrani NAT. Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. IJMDC. 2024; 8(7): 1798-1810. doi:10.24911/IJMDC.51-1718615935


Web Style

Haty AAA, Shami MAM, Dakheel AM, Althobaiti MMH, Kurdi AK, Alghamdi AH, Alshamrani NAT. Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. https://www.ijmdc.com/?mno=206020 [Access: August 09, 2024]. doi:10.24911/IJMDC.51-1718615935


AMA (American Medical Association) Style

Haty AAA, Shami MAM, Dakheel AM, Althobaiti MMH, Kurdi AK, Alghamdi AH, Alshamrani NAT. Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. IJMDC. 2024; 8(7): 1798-1810. doi:10.24911/IJMDC.51-1718615935



Vancouver/ICMJE Style

Haty AAA, Shami MAM, Dakheel AM, Althobaiti MMH, Kurdi AK, Alghamdi AH, Alshamrani NAT. Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. IJMDC. (2024), [cited August 09, 2024]; 8(7): 1798-1810. doi:10.24911/IJMDC.51-1718615935



Harvard Style

Haty, A. A. A., Shami, . M. A. M., Dakheel, . A. M., Althobaiti, . M. M. H., Kurdi, . A. K., Alghamdi, . A. H. & Alshamrani, . N. A. T. (2024) Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. IJMDC, 8 (7), 1798-1810. doi:10.24911/IJMDC.51-1718615935



Turabian Style

Haty, Ahmed Abdelazim Abdelaziz, Mohammed Adel Mohammed Shami, Ahmad Mohammed Dakheel, Mohammed Mutlaq Hamdan Althobaiti, Ayman Khalid Kurdi, Ahmed Hamed Alghamdi, and Nasser Abdulrahman Thawab Alshamrani. 2024. Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. International Journal of Medicine in Developing Countries, 8 (7), 1798-1810. doi:10.24911/IJMDC.51-1718615935



Chicago Style

Haty, Ahmed Abdelazim Abdelaziz, Mohammed Adel Mohammed Shami, Ahmad Mohammed Dakheel, Mohammed Mutlaq Hamdan Althobaiti, Ayman Khalid Kurdi, Ahmed Hamed Alghamdi, and Nasser Abdulrahman Thawab Alshamrani. "Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer." International Journal of Medicine in Developing Countries 8 (2024), 1798-1810. doi:10.24911/IJMDC.51-1718615935



MLA (The Modern Language Association) Style

Haty, Ahmed Abdelazim Abdelaziz, Mohammed Adel Mohammed Shami, Ahmad Mohammed Dakheel, Mohammed Mutlaq Hamdan Althobaiti, Ayman Khalid Kurdi, Ahmed Hamed Alghamdi, and Nasser Abdulrahman Thawab Alshamrani. "Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer." International Journal of Medicine in Developing Countries 8.7 (2024), 1798-1810. Print. doi:10.24911/IJMDC.51-1718615935



APA (American Psychological Association) Style

Haty, A. A. A., Shami, . M. A. M., Dakheel, . A. M., Althobaiti, . M. M. H., Kurdi, . A. K., Alghamdi, . A. H. & Alshamrani, . N. A. T. (2024) Systematic review of quality-of-life outcomes following radical prostatectomy versus radiation therapy for prostate cancer. International Journal of Medicine in Developing Countries, 8 (7), 1798-1810. doi:10.24911/IJMDC.51-1718615935





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