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Prostate high dose-rate brachytherapy as monotherapy for prostate cancer: Late toxicity and patient reported outcomes from a randomized phase II clinical trial
被引:19
作者:

Corkum, Mark
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h-index: 0
机构:
Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

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Hasan, Yaser
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Chung, Hans T.
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Tseng, Chia-Lin
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

McGuffin, Merrylee
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Cheung, Patrick
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Szumacher, Ewa
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Liu, Stanley
论文数: 0 引用数: 0
h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Chu, William
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Zhang, Liying
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Mamedov, Alexandre
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h-index: 0
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Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada

Morton, Gerard
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h-index: 0
机构:
Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada
机构:
[1] Univ Toronto, Sunnybrook Odette Canc Ctr, Toronto, ON, Canada
关键词:
HDR;
Monotherapy;
Randomized trial;
Late toxicity;
EPIC;
D O I:
10.1016/j.radonc.2020.12.021
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Background and Purpose: Long-term toxicity of high dose-rate brachytherapy as monotherapy for prostate cancer is not well defined. We report late toxicity and health related quality of life (HRQOL) changes from a randomized phase II clinical trial of two different fractionation schemes. Materials and Methods: Eligible patients had NCCN low or intermediate risk prostate cancer. 170 patients were randomized to receive either a single 19 Gy or two-fractions of 13.5 Gy one week apart. Toxicity was measured using Common Terminology for Adverse Events (CTCAE) v4.0, and HRQOL was measured using the Expanded Prostate Index Composite (EPIC). Results: Median follow-up was 63 months. The 5-year cumulative incidence of Grade 2 or higher genitourinary (GU) and gastrointestinal (GI) toxicity was 62% and 12% in the single-fraction arm, and 47% and 9% in the two-fraction arm, respectively. Grade 3 GU toxicity was only seen in the single fraction arm with a cumulative incidence of 2%. The 5-year prevalence of Grade 2 GU toxicity was 29% and 21%, in the single- and two-fraction arms, respectively, with Grade 2 GI toxicity of 1% and 2%. Beyond the first year, no significant differences in mean urinary HRQOL were seen compared to baseline in the two-fraction arm, in contrast to the single-fraction arm where a decline in urinary HRQOL was seen at 4 and 5 years. Sexual HRQOL was significantly reduced in both treatment arms at all timepoints, with no changes in the bowel domain. Conclusions: HDR monotherapy is well tolerated with minimal impact on HRQOL. (C) 2020 Elsevier B.V. All rights reserved.
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页码:160 / 165
页数:6
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