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Prostate Audit Report
Calendar of Events
This audit is looking at the management of patients with prostate cancer in the Northern and Yorkshire region, with a specific focus upon the management of those patients with localised disease. The treatments investigated are a) radical prostatectomy, b) external beam radiotherapy, c) brachytherapy, d) watchful waiting, e) hormonal treatment, and f) other treatments, ascertained by retrospective review.
The rationale agreed at the start of the project is given below.
Prostate cancer is the second most common cancer amongst men in Britain and there is evidence that its incidence is rising. The management of prostate cancer is a very controversial area. In a high percentage of patients the disease is localised, and radical prostatectomy or radiotherapy may achieve a cure. There may be significant unwanted side effects from radical therapy which may not be acceptable to many men.
Patient choice has a strong influence, and the patient needs to weigh up the advantages of treatments against the potential unwanted side effects. It is therefore important that the patient is provided with all the information he needs and is counselled appropriately. Additionally, uncertainty about the optimal treatment of prostate cancer may have resulted in considerable variation in practice.