Oncotarget

Meta-Analysis:

Comparisons of health-related quality of life among surgery and radiotherapy for localized prostate cancer: a systematic review and meta-analysis

Cheng Chen, Zhen Chen, Kun Wang, Linkun Hu, Renfang Xu _ and Xiaozhou He

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Oncotarget. 2017; 8:99057-99065. https://doi.org/10.18632/oncotarget.21519

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Abstract

Cheng Chen1,*, Zhen Chen1,*, Kun Wang1, Linkun Hu2, Renfang Xu1 and Xiaozhou He1

1Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, P.R. China

2Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, P.R. China

*These authors contributed equally to this work

Correspondence to:

Renfang Xu, email: [email protected]

Xiaozhou He, email: [email protected]

Keywords: prostatic neoplasms, prostatectomy, radiotherapy, quality of life

Received: August 21, 2017     Accepted: September 22, 2017     Published: October 05, 2017

ABSTRACT

The objective of this study is to compare health-related quality of life (QOL) outcomes between radical prostatectomy (RP) and external beam radiation therapy (EBRT) for localized prostate cancer. PubMed, EMBASE, the Cochrane Library and Web of Science (to July 2017) were searched. Pooled analysis of each domain-specific score was calculated in relevant studies, and its change with follow-up time was explored by sub-group analysis. A total of six studies containing 4423 patients were included. Men underwent RP was associated with worse urinary and sexual domain score than EBRT (standardized mean difference (SMD) = –0.59, –0.58; 95% confidence interval (CI) = –0.73 to –0.45, –0.72 to –0.44). In contrast, EBRT group had lower bowel domain score than RP group (SMD = 0.42, 95% CI = 0.33 to 0.52). The sub-group analysis revealed the most severe urinary and sexual QOL in RP as well as bowel QOL in EBRT group all happened in the first month post operation. The different performance of two treatments in three QOL domains diminished afterwards. Health-related QOL should be considered comprehensively when planning follow-up for men after RP or EBRT for localized prostate cancer.


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