Hi Guys and Gals:
This will probably label me as a bit of a skeptic but I guess I was not surprised that a study by two uro-surgeons would come out with surgery as a recommendation! And, oh by the way, the robotic surgery center at Henry Ford Hospital is one of their big profit centers.
I tried to find the actual study so I could understand why radiation patients did not survive as well as those who did nothing as that obviously does not make sense. I couldn't find it so I'm buying into CapnLarry's guess that the study was not randomized... and/or the study was selective for initial diagnosis so that surgery won the contest.
By the way, while I was looking for the study in Science Daily, I ran across another study that was referenced on the same page. That study was titled, "Radiation Seeds Effectively Cure Prostate Cancer in Young Men". That study noted "...studies have shown brachytherapy to be just as effective as surgery" and "Radiation seed implants (brachytherapy) are just as effective at curing prostate cancer in younger men (aged 60 and younger) as they are in older men, according to a new study". This study was conducted by a radiation oncologist at MSK. So, I guess I was not surprised at this conclusion either!
I guess the bottom line for me is:
1. I can probably find a study that will prove almost any thesis...especially when economic motives are in play.
2. While each man's cancer is different, most men with PCa can be equally cured by surgery or radiation. This is especially true for early stage cancers.
3. It then becomes a trade off between side effects, pathology knowledge and the psychological makeup of the patient.
That is my two cents worth for a Friday!