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The Change of Prostate Cancer Treatment in Korea: 5 Year Analysis of a Single Institution

 Dong Hoon Lee  ;  Ha Bum Jung  ;  Mun Su Chung  ;  Seung Hwan Lee  ;  Byung Ha Chung 
 YONSEI MEDICAL JOURNAL, Vol.54(1) : 87-91, 2013 
Journal Title
Issue Date
Databases, Factual ; Follow-Up Studies ; Hormones/therapeutic use* ; Humans ; Male ; Prostatectomy/methods* ; Prostatectomy/trends ; Prostatic Neoplasms/therapy* ; Republic of Korea ; Robotics ; Time Factors ; Treatment Outcome
Prostate cancer ; radical prostatectomy ; robotics ; therapeutics
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.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Dong Hoon(이동훈)
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7358-8544
Chung, Mun Su(정문수)
Chung, Byung Ha(정병하) ORCID logo https://orcid.org/0000-0001-9817-3660
Jung, Ha Bum(정하범)
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