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Introducing a new, simple scoring system to evaluate oncological and functional outcome after radical prostatectomy.
Scand J Urol Nephrol. 2003; 37(5):392-5.SJ

Abstract

OBJECTIVE

To create a scoring system which takes into account oncological outcome and functional results (continence and erectile function) of patients after radical prostatectomy.

MATERIAL AND METHODS

A total of 146 consecutive men underwent radical prostatectomy for localized prostate cancer and were evaluated 1 year after surgery. Biochemical recurrence was defined as a single postoperative prostate-specific antigen (PSA) level of > 0.2 ng/ml. Continence, defined as not using a pad, and potency, defined as the ability to achieve and maintain an erection suitable for sexual intercourse, were evaluated by means of a prospective, self-administered questionnaire. Each patient received 4 points (if PSA was <0.2 ng/ml) or 0 points (if PSA was >0.2 ng/ml) for oncological outcome, 2 points (if continent) or 0 points (if incontinent) for urinary continence and 1 point (if potent) or 0 points (if impotent) for erectile function. The total score was calculated, with higher scores indicating a better outcome. The unique feature of this scoring system is that each individual score represents a particular clinical status regarding oncological and functional outcome.

RESULTS

One year after surgery, 121 (82.8%) patients had PSA levels of <0.2 ng/ml, 103 (70.5%) were continent and 53 (36.3%) were potent. Patients with a total score of > or =4 points had good cancer control and could be further subdivided into those who were continent and potent (7 points; 22.6%), those who were continent but had erectile dysfunction (ED) (6 points; 34.2%), those who were incontinent and potent (5 points; 8.2%) and those who were incontinent and had ED (4 points; 17.8%). Similarly, patients with a score of <4 points had no cancer control and could be further subdivided into those who were continent and potent (3 points; 3.4%), those who were continent but had ED (2 points; 10.3%), those who were incontinent and potent (1 point; 2.1%) and those who were incontinent and had ED (0 points; 1.3%).

CONCLUSIONS

This scoring system includes the three most important outcomes after radical prostatectomy, namely cancer control, continence and erectile function. It may allow us to better evaluate, communicate and compare the results of radical prostatectomy in a multinational, multicenter setting.

Authors+Show Affiliations

Department of Urology, Henri Mondor Hospital, AP-HP, Creteil, France. laurent.salomon@hmn.ap-hop-paris.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

14594687

Citation

Salomon, Laurent, et al. "Introducing a New, Simple Scoring System to Evaluate Oncological and Functional Outcome After Radical Prostatectomy." Scandinavian Journal of Urology and Nephrology, vol. 37, no. 5, 2003, pp. 392-5.
Salomon L, Anastasiadis A, Saint F, et al. Introducing a new, simple scoring system to evaluate oncological and functional outcome after radical prostatectomy. Scand J Urol Nephrol. 2003;37(5):392-5.
Salomon, L., Anastasiadis, A., Saint, F., De La Taille, A., Chopin, D., & Abbou, C. C. (2003). Introducing a new, simple scoring system to evaluate oncological and functional outcome after radical prostatectomy. Scandinavian Journal of Urology and Nephrology, 37(5), 392-5.
Salomon L, et al. Introducing a New, Simple Scoring System to Evaluate Oncological and Functional Outcome After Radical Prostatectomy. Scand J Urol Nephrol. 2003;37(5):392-5. PubMed PMID: 14594687.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Introducing a new, simple scoring system to evaluate oncological and functional outcome after radical prostatectomy. AU - Salomon,Laurent, AU - Anastasiadis,Aristotelis, AU - Saint,Fabien, AU - De La Taille,Alexandre, AU - Chopin,Dominique, AU - Abbou,Clement-Claude, PY - 2003/11/5/pubmed PY - 2004/4/29/medline PY - 2003/11/5/entrez SP - 392 EP - 5 JF - Scandinavian journal of urology and nephrology JO - Scand J Urol Nephrol VL - 37 IS - 5 N2 - OBJECTIVE: To create a scoring system which takes into account oncological outcome and functional results (continence and erectile function) of patients after radical prostatectomy. MATERIAL AND METHODS: A total of 146 consecutive men underwent radical prostatectomy for localized prostate cancer and were evaluated 1 year after surgery. Biochemical recurrence was defined as a single postoperative prostate-specific antigen (PSA) level of > 0.2 ng/ml. Continence, defined as not using a pad, and potency, defined as the ability to achieve and maintain an erection suitable for sexual intercourse, were evaluated by means of a prospective, self-administered questionnaire. Each patient received 4 points (if PSA was <0.2 ng/ml) or 0 points (if PSA was >0.2 ng/ml) for oncological outcome, 2 points (if continent) or 0 points (if incontinent) for urinary continence and 1 point (if potent) or 0 points (if impotent) for erectile function. The total score was calculated, with higher scores indicating a better outcome. The unique feature of this scoring system is that each individual score represents a particular clinical status regarding oncological and functional outcome. RESULTS: One year after surgery, 121 (82.8%) patients had PSA levels of <0.2 ng/ml, 103 (70.5%) were continent and 53 (36.3%) were potent. Patients with a total score of > or =4 points had good cancer control and could be further subdivided into those who were continent and potent (7 points; 22.6%), those who were continent but had erectile dysfunction (ED) (6 points; 34.2%), those who were incontinent and potent (5 points; 8.2%) and those who were incontinent and had ED (4 points; 17.8%). Similarly, patients with a score of <4 points had no cancer control and could be further subdivided into those who were continent and potent (3 points; 3.4%), those who were continent but had ED (2 points; 10.3%), those who were incontinent and potent (1 point; 2.1%) and those who were incontinent and had ED (0 points; 1.3%). CONCLUSIONS: This scoring system includes the three most important outcomes after radical prostatectomy, namely cancer control, continence and erectile function. It may allow us to better evaluate, communicate and compare the results of radical prostatectomy in a multinational, multicenter setting. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/14594687/Introducing_a_new_simple_scoring_system_to_evaluate_oncological_and_functional_outcome_after_radical_prostatectomy_ L2 - https://www.tandfonline.com/doi/full/10.1080/00365590310006327 DB - PRIME DP - Unbound Medicine ER -