title: Patients with localised prostate cancer (t1 - t2) show improved overall long-term survival compared to the normal population.
abstract: BACKGROUND
  Little information is available on the long-term outcomes of patients with localised prostate cancer.
  
  
  OBJECTIVE
  To examine the long-term survival of patients with localised prostate gland carcinoma T1 - T2, N0, M0 (UICC stage I and II) compared to the normal population.
  
  
  METHODS
  Retrospective cohort.
  
  
  METHODS
  Regensburg, Germany.
  
  
  METHODS
  Data on 2121 patients with histologically-confirmed, localised prostate cancer diagnosed between 1998 and 2007 were extracted from the cancer registry of the tumour centre in Regensburg, Germany.
  
  
  METHODS
  Overall survival rate in the patient cohort was estimated and compared to the expected survival rate of a comparable group in the general population derived from the official life-tables of Germany stratified by age, sex and calendar year.
  
  
  RESULTS
  Ten years after diagnosis, patients with stage I and II localised prostate gland carcinoma had an approximately 10% increase in survival compared to the normal male population (Relative Survival = 110.7%, 95%-CI 106.6 - 114.8%).
  
  
  CONCLUSIONS
  We did not examine the effect of cancer treatment or cancer aggressiveness on the overall survival of patients. We did not assess the incidence of subsequent non-primary cancers in our patient population or how this incidence affects the patients' follow-up care and survival.
  
  
  CONCLUSIONS
  Patients with stage I+II localised prostate gland carcinoma have improved survival compared with the normal male population. This finding cannot be explained solely by the administration of prostate carcinoma treatments, suggesting that men who participate in PSA screening may have better overall health behaviors and care than men who do not participate in screening. Future research should examine how treatment choice, especially an "active surveillance" approach to care, affects survival in these patients more than ten years after diagnosis.
authors.affiliation: 1. Urologische Gemeinschaftspraxis Remscheid in cooperation with Helios Clinic Wuppertal, Universitiy Witten/Herdecke, Germany.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Mathers
authors.forename: Stephan
authors.initials: S
authors.lastname: Roth
authors.forename: Monika
authors.initials: M
authors.lastname: Klinkhammer-Schalke
authors.forename: Michael
authors.initials: M
authors.lastname: Gerken
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Hofstaedter
authors.forename: Stefan
authors.initials: S
authors.lastname: Wilm
authors.forename: Theodor
authors.initials: T
authors.lastname: Klotz