The Change of Prostate Cancer Treatment in Korea: 5 Year Analysis of a Single Institution.
- Author:
Dong Hoon LEE
1
;
Ha Bum JUNG
;
Mun Su CHUNG
;
Seung Hwan LEE
;
Byung Ha CHUNG
Author Information
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords: Prostate cancer; radical prostatectomy; robotics; therapeutics
- MeSH: Databases, Factual; Follow-Up Studies; Hormones/*therapeutic use; Humans; Male; Prostatectomy/*methods/trends; Prostatic Neoplasms/*therapy; Republic of Korea; Robotics; Time Factors; Treatment Outcome
- From:Yonsei Medical Journal 2013;54(1):87-91
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: We analyzed changes to the trends of prostate cancer management and patient characteristics at a single institute during 5 years due to the significant increase of the prostate cancer incidence and the robotic equipment in Korea. MATERIALS AND METHODS: Prostate cancer patient data from a single institute recorded from 2006 to 2010 were analyzed. Cancer stage, initial treatment modalities, and the pattern of outpatient clinical management were reviewed. RESULTS: Between 2006 and 2010, 386 prostate cancers were newly diagnosed at the institute. The proportion of localized and locally advanced cancer cases increased from 67% in 2006 to 79% in 2010 respectively. Among the treatment choices during follow-up in the out-patients clinic, the proportion of radical prostatectomies increased from 43% in 2006 to 62% in 2010. In contrast, the proportion of hormone therapies decreased from 58% to 37%. For initial treatment choice, radical prostatectomy was chosen for 59% of the patients who were newly diagnosed with cancer during the study period. However, hormone therapy alone was administrated as a primary therapy to 26%. Analysis of the radical prostatectomy subgroup showed that a robot-assisted technique was used in 83% of the patients, and the remaining 17% underwent an open radical prostatectomy. CONCLUSION: As the prostate cancer incidence increased in Korea, the proportion of localized and locally advanced cancer also increased. In addition, the main treatment modality changed from non-surgical treatment to radical prostatectomy.
