title: Therapeutic results in elderly patients with prostate cancer: chronological comparison in a single community hospital.
abstract: Objective:There are few reports of the long-term outcomes of elderly patients with prostate cancer. We analyzed data from our institution from the past 12 years, including the patient history, treatment methods, and prognosis of patients with prostate cancer aged 80 years or more.Patients and Methods:A total of 179 cases of prostate cancer in patients aged 80 years or more were retrospectively evaluated. We divided them chronologically into groups A, B, C, and D: Group A included 40 cases from 2002-2004; Group B, 48 cases from 2005-2007; Group C, 46 cases from 2008-2010; and Group D, 45 cases from 2011-2013.Results:Sixty-one (30%) patients changed treatment course. Interestingly, no cancer deaths occurred in the patients who changed treatment course. Although 14 (7.8%) cancer deaths occurred (A: B: C: D = 4: 4: 6: 0, respectively), all occurred in 2011 or later.Conclusion:In our study, over 50 patients who underwent treatment survived for 5 years or more. By treating prostate cancer in elderly patients when appropriate, we can lower the mortality rate due to prostate cancer. Our results support the active treatment of prostate cancer in elderly patients.
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Okamura
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Akita
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamada
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Daichi
authors.initials: D
authors.lastname: Kobayashi
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Hirose
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Kobayashi
authors.affiliation: Department of Urology, Anjo Kosei Hospital, Japan.
authors.forename: Yutaro
authors.initials: Y
authors.lastname: Tanaka
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Naiki
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yasui
keywords: elderly patients; hormonal therapy; prostate cancer