Estimating patient health in prostate cancer treatment counseling.

ABSTRACT:

Background

We assessed the concordance among urologists' judgment of health quartiles for patients with localized prostate cancer, and compared the life expectancy (LE) and ensuing treatment recommendations when following National Comprehensive Cancer Network (NCCN) guidelines based on actuarial life tables versus the Kent model, a validated LE prediction model.

Methods

NCCN suggests using actuarial life tables and relying on surgeon assessment of patient health to increase (for the best quartile) or decrease (for the worst quartile) LE by 50%. Eleven urologic surgeons allocated quartile of health and recommended treatments for ten patient vignettes. The 10-year survival probability was calculated using the Kent model and compared to the life-table estimate based on health q

SUBMITTER: Chesnut GT 

PROVIDER: S-EPMC9061891 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature