SlideShare a Scribd company logo
1 of 35
Comparing Treatment Results Of 
PROSTATE CANCER 
Prostate Cancer Results Study Group 
2013 
Peter Grimm, DO 
Prostate Cancer Center of Seattle 
11/04/14 1
Problem: Patients, physicians and carriers 
need a simple, unbiased means to compare 
the cancer control rates of modern prostate 
cancer treatment methods. 
11/04/14 2
 To solve this problem, we have assembled 
11/04/14 
experts from key treating disciplines: 
Surgery, External Radiation, Internal (or 
Brachytherapy), High Frequency 
Ultrasound, and Proton Therapy 
 The purpose of this work is to do a 
complete review study of the current 
literature on prostate cancer treatment 
3
 Ignace Billiet, MD F.E.B.U., Urologist Kortrijk, Belgium 
 David Bostwick, MD Bostwick Laboratories 
 David Crawford, MD Univ Colorado, Denver 
 Adam Dicker, MD Thomas Jefferson U Philadelphia,PA 
 Steven Frank, MD MD Andersen, Houston Texas 
 Peter Grimm, DO Prostate Cancer Center of Seattle 
 Jos Immerzeel, MD De Prostaat Kliniek Netherlands 
 Stephen Langley, MD St Luke's Cancer Centre, Guildford England 
 Alvaro Martinez, MD William Beaumont , Royal Oak, Mi 
 Mira Keyes, MD BC Cancer Agency , Vancouver Canada 
 Patrick Kupelian, MD UCLA Med Center Los Angeles 
 Robert Lee , MD Duke University Medical Center 
 Stefan Machtens, MD University Bergisch, Gladbach Germany 
 Jyoti Mayadev, UC Davis Davis ,California 
 Brian Moran, MD Chicago Prostate Institute Chicago 
11/04/14 4
 Gregory Merrick, MD Schiffler Cancer Center Wheeling West Virginia 
 Jeremy Millar, MD Alfred Health and Monash University, Melbourne Australia 
 Mack Roach, MD UCSF San Francisco California 
 Richard Stock, MD Mt. Sinai New York 
 Katsuto Shinohara, MD UCSF San Francisco California 
 Mark Scholz, MD Prostate Cancer Research Institute Marina del Ray California 
 Edward Weber, MD Prostate Cancer Center of Seattle 
 Anthony Zietman, MD Harvard Joint Center Boston Ma 
 Michael Zelefsky, MD Memorial Sloan Kettering New York 
 Jason Wong, MD UC Irvine Irvine California 
 Stacy Wentworth, MD Piedmont Radiation Oncology Greensboro , NC 
 Robyn Vera, DO Medical College of Virginia Richmond Virginia 
11/04/14 5
ABOUT THIS REVIEW STUDY 
 23,000+ prostate studies were 
published between 2000 and 2012 
 989 of those studies featured 
treatment results 
 195 of those met the criteria to be 
included in this review study. (*1st & 2nd group) 
Some treatment methods are under-represented 
due to failure to meet 
criteria 
11/04/14 6
 “Will I be cured?” or “Will my treatment 
make me cancer free?” are valid patient 
questions. However, PSA values (our best 
measurement tool today) cannot answer this 
absolutely. The current state-of-the-art can 
only indicate that the treatment was 
“successful” if PSA numbers do not indicate 
cancer progression. 
11/04/14 7
 After prostate removal, PSA numbers usually 
fall rapidly to very low numbers and stay low. 
 After radiation, PSA numbers usually come 
down slower, might increase then fall in the 
1 to 3 year range (called a “PSA Bump”), and 
then usually level out at a higher number 
than the surgery patient. 
 These different PSA expectations result in 
dissimilar ways to review a man’s PSA 
history to judge treatment success. 
 This study makes no attempt to standardize 
those evaluation systems. 
11/04/14 8
Brachy = Seed implantation either 
permanent or temporary seeds 
IMRT = Intensity Modulated Radiation Therapy a 
form of External Radiation 
RP = Standard open radical prostatectomy 
Robot RP = Robotic Radical Prostatectomy 
HIFU = High frequency Ultrasound 
Cryo= Cryotherapy 
Protons = form of External Radiation using Protons 
EBRT= External Beam Radiation Therapy 
ADT= Hormone Therapy 
11/04/14 9
Criteria for Inclusion of Article* 
1. Patients should be separated into Low, 
Intermediate, and High Risk 
2. Success must be determined by PSA analysis 
3. All Treatment types considered: Seeds (Brachy), 
Surgery (Standard or Robotic), IMRT (Intensity 
Modulated Radiation), HIFU (High Frequency 
Ultrasound), CRYO (Cryo Therapy), Protons, HDR 
(High dose Rate Brachytherapy) 
4. Article must be in a Peer Reviewed Journal 
* Expert panel consensus 
11/04/14 10
5. Low Risk articles must have a minimum of 100 
patients 
6. Intermediate Risk articles must have a minimum of 
100 patients 
7. High Risk articles, because of fewer patients, need 
only 50 patients to meet criteria 
8. Patients must have been followed for a median of 5 
years 
For additional criteria information contact: lisa@prostatecancertc.com 
11/04/14 11
RP 
EBRT/ 
IMRT 
Cryo Brachy/ 
HDR 
Robot 
RP 
Proton HIFU 
8.7% 10.6% 6% 19% 6% 23% 3% 
25/285 28/263 2/33 51/275 4/65 3/13 1/33 
Total of 989 Treatment Articles. Some articles addressed several treatments and were 
counted as separate articles for each treatment. *A few articles evaluated other/minor treatments and are 
not listed here. These calculations only include primary accepted articles, and do not include secondary acceptance totals. 
11/04/14 12
How to Interpret the Results 
 Each treatment is given a symbol. For example Seed implant 
alone (Brachy) is given a blue dot with a number in it. 
2277 
 The number in the symbol refers to the article. The article 
can be found in the notes section below the slide ( go into 
“view” in up left corner of PowerPoint and click on note 
section, then click on this portion and scroll down to see all 
the references) 
 Treatment Success % = Percent of men whose PSA numbers 
do not indicate cancer progression. (progression free) at a 
specific point in time 
 The bottom line indicates the number years the study is out 
An example, the blue dot with 27 inside indicates that, as per 
article 27, 97% of the patients treated with seeds alone in low 
risk patients at 12 years were free of disease progression 
according to PSA numbers 
11/04/14 13
How to Interpret the Results 
 First Establish your clinical risk group* by looking at 
the definitions or ask your physician Refer only to 
those slides for your risk group 
 Make your own judgment and then ask a doctor in 
each discipline ( Seeds, External Radiation Surgery, 
etc) to tell you where his/her own peer reviewed 
published Treatment Success % would fit on this 
plot. 
*Next Slide 
11/04/14 14
LLooww RRiisskk 
SSttaaggee:: TT11 oorr TT22aa,,bb 
GGlleeaassoonn SSuumm << 66 
PPSSAA << 1100 nngg//mmll 
11/04/14 15
100 
90 
80 
70 
LOW RISK RESULTS 
11/04/14 
BJU Int, 2012, Vol. 109(Supp. 1) 
110011 
1199 36 36 
2 2 
2233 
7 7 
60 
1 1 
1144 
1122 
2244 
88 
2277 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Seeds 
Surgery 
EBRT 
55 
2222 
← Years from Treatment → 
CRYO 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
HIFU 
gor P ASP % 
1111 
1155 
Protons 
2211 
44 
1188 
99 
1100 
EBRT & 
Seeds 
2255 
Robot RP 
2266 
Prostate Cancer Center of Seattle 
HDR 
2299 2288 
3300 
3311 
3333 3322 
3344 
3377 
3388 
sseccuS t ne mt aer T 
33 
3399 
35 
4400 
110000 
1133 
16 
110033 
110022 
6 6 
1166 
106 110044 106 
110077 
110088 
1177
LOW RISK RESULTS 
Weighted 
EBRT 1133 
110011 
1199 36 36 
2 2 
2233 
2266 
7 7 
100 
90 
80 
70 
60 
2277 
55 
2255 
2222 
1 1 
1144 
2211 
1122 
2244 
88 
44 
1155 
1188 
99 
1100 
← Years from Treatment → 
1111 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
EBRT & 
Seeds 
Robot RP 
Seeds 
Surgery 
EBRT 
CRYO 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
HIFU 
gor P ASP % 
Protons 
11/04/14 
BJU Int, 2012, Vol. 109(Supp. 1) 17 
Prostate Cancer Center of Seattle 
HDR 
2299 2288 
3300 
3311 
3333 3322 
3344 
3377 
3388 
33 
3399 
35 
4400 
110000 
Brachy 
Surgery 
Treatment Success 
110033 
110022 
6 6 
1166 
106 110044 106 
110077 
110088 
1177
“The PCRSG criteria is pretty strict and not a 
lot of studies fit. What happens if you include 
articles with only 40 months of follow up or 
have a long follow up but less than 100 
patients?” 
11/04/14 18
LOW RISK RESULTS 
>40 months follow-up or less than 100 patients 
100 
90 
80 
70 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
8811 62 62 
4444 EBRT & 
19 
110011 
5511 
6666 
7755 
8822 
8888 
6699 
1199 36 36 
2 2 
2233 
7 7 
60 
110000 
1 1 
1144 
1122 
2244 
88 
2277 
5588 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Seeds 
Surgery 
EBRT 
55 
2222 
← Years from Treatment → 
CRYO 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
HIFU 
gor P ASP % 
1111 
1155 
Protons 
2211 
44 
1188 
99 
1100 
EBRT & 
Seeds 
2255 
Robot RP 
2266 
Prostate Cancer Center of Seattle 
HDR 
2299 2288 
3300 
3311 
3333 3322 
3344 
3377 
3388 
sseccuS t ne mt aer T 
33 
3399 
35 
4400 
4411 
1133 
6655 
4499 
7766 
5566 
8800 
5599 
6633 
4411 
7711 
7722 
9900 
7733 
7744 
7700 
4422 
5577 
8855 
8844 
4433 
6644 
ADT 
5533 
5544 
7799 
Hypo EBRT 
8866 
8877 
4455 
77778888 
7777 
44446666 
44448888 
9911 
+ + Seeds & 
ADT 
899933 89 
5500 
6677 
6688 
99449955 
5555 
88883333 55552222 
4477 
6611 
9966 
110033 
110022 
9977 
9988 
6 6600 6 
1166 
106 110044 106 
9999 
110077 
110088 
1177
LOW RISK RESULTS Weighted 
>40 months follow-up or less than 100 patients 
100 
90 
80 
70 
EBRT Brachy 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
9922 
8811 62 62 
4444 EBRT & 
20 
110011 
5511 
6666 
7755 
8822 
8888 
6699 
8899 
1199 36 36 
2 2 
2233 
7 7 
60 
110000 
1 1 
1144 
1122 
2244 
88 
2277 
5588 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Seeds 
Surgery 
EBRT 
55 
2222 
← Years from Treatment → 
CRYO 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
HIFU 
gor P ASP % 
1111 
1155 
Protons 
2211 
44 
1188 
99 
1100 
EBRT & 
Seeds 
2255 
Robot RP 
2266 
Prostate Cancer Center of Seattle 
HDR 
2299 2288 
3300 
3311 
3333 3322 
3344 
3377 
3388 
sseccuS t ne mt aer T 
33 
3399 
35 
4400 
4411 
1133 
6655 
4499 
7766 
5566 
8800 
5599 
6633 
4411 
7711 
7722 
9900 
7733 
7744 
7700 
4422 
5577 
8855 
8844 
4433 
6644 
ADT 
5533 
5544 
7799 
8866 
8877 
4455 
77778888 
7777 
44446666 
44448888 
9911 
+ + Seeds & 
ADT 
9933 
5500 
6677 
6688 
99449955 
5555 
88883333 55552222 
4477 
6611 
Surgery 
Hypo EBRT 
9966 
110033 
110022 
9977 
9988 
6 6600 6 
1166 
106 110044 106 
9999 
110077 
110088 
1177
Zelefsky definition 
 Only 1 factor 
▪ Clinical Stage T2c 
▪ Gleason score > 7 
▪ PSA > 10 ng/ml 
D’Amico definition 
 PSA 10-20 Gleason Score 7 or Stage T2b 
11/04/14 21
INTERMEDIATE RISK RESULTS 
100 
90 
80 
70 
60 
50 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
Seeds + ADT 
EBRT & Seeds 
22 
40 
4 4 
2211 
1155 
3366 
3377 
4455 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Brachy 
Surgery 
EBRT 
CRYO 
HIFU 
2299 
2222 
1199 55 
sser gor P ASP % 
1188 
1122 
2288 
33 
1177 
1100 
3322 
9 9 
88 22 
2255 
11 
1133 
HDR 
Protons 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
EBRT, Seeds + 
ADT 
3388 
+ + 
Seeds Alone 
4400 
Robot RP 
4411 
4422 
4444 
4433 
4466 
Hypo EBRT 
sseccuS t ne mt aer T 
7 7 
1111 
1144 
2200 
3355 
3344 
3399 
2244 2233 
1166 
6 6 
2266 
3333 
3300 
2277 
4488 
4499 
115500 
115511 
3311
INTERMEDIATE RISK RESULTS 
Weighted 
100 
90 
80 
70 
60 
50 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
Seeds + ADT 
23 
40 
Brachy 
4 4 
2211 
1155 
3366 
3377 
3388 
4455 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Brachy 
Surgery 
EBRT 
CRYO 
HIFU 
2299 
2222 
1199 55 
sser gor P ASP % 
1188 
1122 
2288 
33 
1177 
1100 
3322 
9 9 
88 22 
2255 
11 
1133 
HDR 
Protons 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
+ + 
Seeds Alone 
4400 
Robot RP 
4411 
4422 
4444 
4433 
4466 
7 7 
1111 
1144 
2200 
3355 
3344 
3399 
2244 2233 
1166 
6 6 
2266 
3333 
EBRT & Seeds 
EBRT Surgery 
EBRT & Seeds 
Hypo EBRT 
EBRT, Seeds + 
ADT 
Treatment Success Prostate Cancer Center of Seattle 
3300 
2277 
4488 
4499 
115500 
115511 
3311
INTERMEDIATE RISK RESULTS 
>40 months follow-up or less than 100 patients 
100 
90 
80 
70 
60 
50 
3300 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
Seeds + ADT 
EBRT & Seeds 
24 
40 
4 4 
6688 5588 
5544 
5599 
9922 
5577 
7777 
51 9911 
9933 
5500 8811 7711 
2211 
6666 
1155 
3366 
4455 
9977 
6633 
6677 
7700 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Brachy 
Surgery 
EBRT 
CRYO 
HIFU 
2299 
2222 
55 
1199 
sser gor P ASP % 
1188 
1122 
2288 
33 
1177 
1100 
3322 
9 9 
88 22 
2255 
11 
1133 
HDR 
Protons 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
3377 
EBRT, Seeds + 
ADT 
3388 
+ + 
Seeds Alone 
4400 
Robot RP 
4411 
4422 
4444 
4433 
4466 
sseccuS t ne mt aer T 
7 7 
1111 
1144 
2200 
3355 
3344 
3399 
2244 2233 
1166 
66 
2266 
3333 
8822 
8888 
6655 
110033 110022 
110011 
8866 
8855 8877 
EBRT + ADT 
9944 
6699 
Hypo EBRT 
9999 
7755 
9900 
8899 
5566 
5555 
8800 
8833 
6600 
7733 
7722 
9988 
5533 
5522 
7799 
9955 
6644 
110000 
8844 
7788 
6622 
7744 
9966 
7766 
110044 
5599 
5599 
110055 
2277 
4488 
4499 
115500 
115511 
107 110066 107 
3311 
110099 
110088
INTERMEDIATE RISK RESULTS weighted 
>40 months follow-up or less than 100 patients 
100 
90 
80 
70 
60 
50 
3300 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
Seeds + ADT 
25 
40 
4 4 
6688 5588 
5544 
5599 
9922 
5577 
7777 
51 9911 
9933 
5500 8811 7711 
2211 
6666 
1155 
3366 
4455 
9977 
6633 
6677 
7700 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 
Brachy 
Surgery 
EBRT 
CRYO 
HIFU 
2299 
2222 
55 
1199 
sser gor P ASP % 
1188 
1122 
2288 
33 
1177 
1100 
3322 
9 9 
88 22 
2255 
11 
1133 
HDR 
Protons 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
3377 
3388 
+ + 
Seeds Alone 
4400 
Robot RP 
4411 
4422 
4444 
4433 
4466 
7 7 
1111 
1144 
2200 
3355 
3344 
3399 
2244 2233 
1166 
66 
2266 
3333 
8822 
8888 
6655 
110033 110022 
110011 
8866 
8855 8877 
EBRT + ADT 
9944 
6699 
Hypo EBRT 
9999 
7755 
9900 
8899 
5566 
5555 
8800 
8833 
6600 
7733 
7722 
9988 
5533 
5522 
7799 
9955 
6644 
110000 
8844 
7788 
6622 
7744 
9966 
7766 
EBRT 
Brachy 
Surgery 
EBRT & Seeds 
EBRT, Seeds + 
ADT 
Treatment Success 
110044 
110055 
2277 
4488 
4499 
115500 
115511 
107 110066 107 
3311 
110099 
110088
Zelefsky definition 
 2 or more factors 
 Gleason > 7 
 PSA 10-20 Clinical Stage T1c- T2b 
D'Amico 
 Gleason Score 8-10 
 PSA >20 
11/04/14 26
HIGH RISK RESULTS 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
EBRT & ADT 
EBRT & Seeds 
27 
2200 1166 
1188 
4455 
4422 
1111 
6 6 
3366 
2255 
1155 
5 5 
EBRT Seeds + 
ADT 
1199 
3300 
2299 
gor P ASP % 
17 
4444 
2211 
8 8 
9 9 
2244 
2266 
3377 
4411 
4433 
1122 
Protons 
HDR 
3355 
4466 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
4477 
Robot RP 
4488 
4499 
110011 
110022 
110033 
110044 
110055 
110066 
Hypo EBRT 
110077 
110099 
sseccuS t ne mt aer T 
2233 
44 110088 
2 2 
3311 
3399 
3322 
3333 
3344 
38 
7 7 
1 1 
111100 
2277 
3 3 
1133 
1144 
2288 
4400 
1100 
111111 
111122 
111122 
111133 
111144 
111155 
Surg & ADT 
111166 
111188 
111177 
112211 111199
HIGH RISK RESULTS 
Weighted 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
28 
EBRT, Seeds & ADT 
2200 1166 
1188 
4455 
4422 
1111 
6 6 
3366 
2255 
1155 
5 5 
EBRT Seeds + 
ADT 
1199 
3300 
2299 
gor P ASP % 
17 
4444 
2211 
8 8 
9 9 
2222 
2244 
2266 
3377 
4411 
4433 
1122 
Protons 
HDR 
3355 
4466 
111100 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
4477 
Robot RP 
4488 
4499 
110011 
110022 
110033 
110044 
110055 
110066 
110077 
110099 
2233 
44 110088 
2 2 
3311 
3399 
3322 
3333 
3344 
38 
Brachy 
EBRT Surgery 
EBRT & ADT 
EBRT & Seeds 
Hypo EBRT 
Treatment Success 
1 1 
7 7 
2277 
3 3 
1133 
1144 
2288 
4400 
1100 
111111 
111122 
111122 
111133 
111144 
111155 
111166 
Surg & ADT 
111188 
111177 
112211 111199
HIGH RISK RESULTS 
>40 months follow-up or less than 100 patients 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
EBRT & ADT 
EBRT & Seeds 
29 
4422 
1111 
8833 8822 
6 6 
65 
81 
74 
9922 
80 
78 
6677 
6666 
79 
3366 
2255 
1155 
5 5 
EBRT Seeds + 
ADT 
1199 
3300 
2200 1166 
1188 
5522 
2299 
gor P ASP % 
17 
4444 
2211 
8 8 
5544 
9 9 
2222 
2244 
2266 
3377 
4411 
4433 
1122 
Protons 
HDR 
4466 
7722 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
Prostate Cancer Center of Seattle 
4477 
Robot RP 
4488 
4499 
110011 
110022 
110033 
110044 
110055 
110066 
Hypo EBRT 
110077 
110099 
sseccuS t ne mt aer T 
3355 
44 110088 
2 2 
3311 
3399 
3322 
3333 
3344 
38 
5500 
5511 
53 
55 
HIFU 
5566 
8866 8877 
57 
5588 
5599 
6611 
6622 
6633 
6644 
6688 
6699 
7700 
7711 
7733 
75 
76 
77 
8888 
8899 
8844 
85 
1 1 
7 7 
9900 
9911 
111100 
2277 
3 3 
1133 
1144 
2288 
4400 
1100 
4455 
2233 111111 
111122 
111122 
111133 
111144 
111155 
111166 
Surg & ADT 
111188 
111177 
111121211919 111199 
6600
HIGH RISK RESULTS Weighted 
>40 months follow-up or less than 100 patients 
11/04/14 
BJU Int, 2012, Vol. 109(Supp 1) 
30 
2200 1166 
1188 
4422 
1111 
8833 8822 
7 7 
6 6 
65 
81 
74 
9922 
80 
78 
6677 
6600 
79 
3366 
2255 
1155 
5 5 
1199 
3300 
5522 
2299 
gor P ASP % 
17 
4444 
1 1 
9900 
2211 
8 8 
5544 
6666 
9 9 
2222 
Brachy 
2244 
2266 
3377 
4411 
4433 
1122 
Protons 
3355 
4466 
7722 
← Years from Treatment 
→ 
• Prostate Cancer Results Study Group 
• Numbers within symbols refer to references 
4477 
4488 
4499 
110011 
110022 
110033 
110044 
110055 
110066 
110077 
110099 
sseccuS t ne mt aer T 
1100 
2233 
44 110088 
2 2 
3311 
3399 
3322 
3333 
3344 
38 
5500 
5511 
53 
55 
HIFU 
5566 
8866 8877 
57 
5588 
5599 
6611 
6622 
6633 
6644 
6688 
6699 
7700 
7711 
7733 
75 
76 
77 
8888 
8899 
8844 
85 
Surgery 
EBRT 
EBRT & ADT 
EBRT & Seeds 
Hypo EBRT 
HDR 
EBRT Seeds + 
ADT 
Robot RP 
Prostate Cancer Center of Seattle 
9911 
111100 
2277 
3 3 
1133 
1144 
2288 
4400 
4455 
111111 
111122 
111122 
111133 
111144 
111155 
111166 
Surg & ADT 
111188 111199
OBSERVATIONS 
For most low risk patients, most therapies 
will be successful. 
There appears to be a higher cancer control 
success rate for Brachy over EBRT and 
Surgery for all groups. Patients are 
encouraged to look at graphs and determine 
for themselves 
 Serious side effect rates must be considered 
for any treatment 
 Relaxing the report selection criteria doesn’t 
seem to impact the results substantially 
11/04/14 31
= Seeds alone 
= EBRT & Seeds 
= Surgery = Standard Radical Prostatectomy 
= “Robot” =Robotic Prostatectomy 
= “HIFU” = High Frequency Ultrasound 
= “HDR”= High Dose Rate Brachytherapy +/-EBRT 
= EBRT alone 
= Hypo EBRT 
= Protons 
11/04/14 32
= “CRYO” Cryo Therapy 
= EBRT, Seeds, & ADT 
= Seeds & ADT 
= EBRT & ADT 
= Surgery & ADT 
= “Brachy” = all seed implant treatments 
= all Surgery treatments 
= all EBRT treatments 
= all EBRT & Seeds 
= all EBRT, Seeds & ADT 
+ + 
11/04/14 33
LLooww RRiisskk 
SSttaaggee:: TT11 oorr TT22aa,,bb 
GGlleeaassoonn SSuumm << 66 
PPSSAA << 1100 nngg//mmll 
IInntteerrmmeeddiiaattee RRiisskk 
SSttaaggee TT11 oorr TT11--22 SSttaaggee TT11--22 
GGlleeaassoonn SSccoorree 77 oorr GGlleeaassoonn 66 
PPSSAA << 1100 PPSSAA 1100--2200 
HHiigghh RRiisskk 
Stage T2c or T3 
Gleason score ≥ 8 
PSA > 20 ng/mL 
11/04/14 34
Peter Grimm, DO 
 peter@grimm.com 
Lisa Grimm, Research Coordinator 
 lisa@prostatecancertc.com 
 Or ProstateCancerTC.com 
Or contact PCRSG member 
Prostate Cancer Center of Seattle website 
 www.Prostatecancertreatmentcenter.com 
11/04/14 35

More Related Content

What's hot

IS IT ENDING OF START ERA
IS IT ENDING OF START ERAIS IT ENDING OF START ERA
IS IT ENDING OF START ERAKanhu Charan
 
POC Breast 1 | 2007 - Adjuvant Endocrine Therapy
POC Breast 1 | 2007 -  	Adjuvant Endocrine TherapyPOC Breast 1 | 2007 -  	Adjuvant Endocrine Therapy
POC Breast 1 | 2007 - Adjuvant Endocrine Therapyrtp
 
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMA
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMAEXTENDED TEMOZOLOMIDE IN GLIOBLASTOMA
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMAKanhu Charan
 
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...Office of Health Economics
 
POC Breast 1 | 2007 - Adjuvant Chemotherapy
POC Breast 1 | 2007 - Adjuvant ChemotherapyPOC Breast 1 | 2007 - Adjuvant Chemotherapy
POC Breast 1 | 2007 - Adjuvant Chemotherapyrtp
 
Closing the loop_on_referral_management_processes_circo
Closing the loop_on_referral_management_processes_circoClosing the loop_on_referral_management_processes_circo
Closing the loop_on_referral_management_processes_circoAmy Stiner, RN, MBA, MPA
 
phases of a clinical trial and accelerated drug
 phases of a clinical trial and accelerated drug phases of a clinical trial and accelerated drug
phases of a clinical trial and accelerated drugSabeena Choudhary
 
Readmission of Diabetes Patients Report
Readmission of Diabetes Patients ReportReadmission of Diabetes Patients Report
Readmission of Diabetes Patients ReportHong Lu
 
RCT Critical Appraisal - Results
RCT Critical Appraisal - ResultsRCT Critical Appraisal - Results
RCT Critical Appraisal - ResultsDr. Majdi Al Jasim
 
Classifying Readmissions of Diabetic Patient Encounters
Classifying Readmissions of Diabetic Patient EncountersClassifying Readmissions of Diabetic Patient Encounters
Classifying Readmissions of Diabetic Patient EncountersMayur Srinivasan
 

What's hot (19)

IS IT ENDING OF START ERA
IS IT ENDING OF START ERAIS IT ENDING OF START ERA
IS IT ENDING OF START ERA
 
POC Breast 1 | 2007 - Adjuvant Endocrine Therapy
POC Breast 1 | 2007 -  	Adjuvant Endocrine TherapyPOC Breast 1 | 2007 -  	Adjuvant Endocrine Therapy
POC Breast 1 | 2007 - Adjuvant Endocrine Therapy
 
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMA
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMAEXTENDED TEMOZOLOMIDE IN GLIOBLASTOMA
EXTENDED TEMOZOLOMIDE IN GLIOBLASTOMA
 
Stables R - AIMRADIAL 2015 - Bivalirudin and radial approach
Stables R - AIMRADIAL 2015 - Bivalirudin and radial approachStables R - AIMRADIAL 2015 - Bivalirudin and radial approach
Stables R - AIMRADIAL 2015 - Bivalirudin and radial approach
 
Sciahbasi A - AIMRADIAL 2013 - Radiation exposure
Sciahbasi A - AIMRADIAL 2013 - Radiation exposureSciahbasi A - AIMRADIAL 2013 - Radiation exposure
Sciahbasi A - AIMRADIAL 2013 - Radiation exposure
 
UOG Journal Club: Intrafetal laser treatment for twin reversed arterial perfu...
UOG Journal Club: Intrafetal laser treatment for twin reversed arterial perfu...UOG Journal Club: Intrafetal laser treatment for twin reversed arterial perfu...
UOG Journal Club: Intrafetal laser treatment for twin reversed arterial perfu...
 
International Journal of Ophthalmology & Vision Research
International Journal of Ophthalmology & Vision ResearchInternational Journal of Ophthalmology & Vision Research
International Journal of Ophthalmology & Vision Research
 
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...
Adjusting for Differential Item Functioning in the EQ-5D-5L Using Externally-...
 
POC Breast 1 | 2007 - Adjuvant Chemotherapy
POC Breast 1 | 2007 - Adjuvant ChemotherapyPOC Breast 1 | 2007 - Adjuvant Chemotherapy
POC Breast 1 | 2007 - Adjuvant Chemotherapy
 
Pima society
Pima societyPima society
Pima society
 
Closing the loop_on_referral_management_processes_circo
Closing the loop_on_referral_management_processes_circoClosing the loop_on_referral_management_processes_circo
Closing the loop_on_referral_management_processes_circo
 
phases of a clinical trial and accelerated drug
 phases of a clinical trial and accelerated drug phases of a clinical trial and accelerated drug
phases of a clinical trial and accelerated drug
 
Roberts J - AIMRADIAL 2015 - Ultrasound guidance
Roberts J - AIMRADIAL 2015 - Ultrasound guidanceRoberts J - AIMRADIAL 2015 - Ultrasound guidance
Roberts J - AIMRADIAL 2015 - Ultrasound guidance
 
New tif results
New tif resultsNew tif results
New tif results
 
NET - Kennecke
NET - KenneckeNET - Kennecke
NET - Kennecke
 
Readmission of Diabetes Patients Report
Readmission of Diabetes Patients ReportReadmission of Diabetes Patients Report
Readmission of Diabetes Patients Report
 
RCT Critical Appraisal - Results
RCT Critical Appraisal - ResultsRCT Critical Appraisal - Results
RCT Critical Appraisal - Results
 
Classifying Readmissions of Diabetic Patient Encounters
Classifying Readmissions of Diabetic Patient EncountersClassifying Readmissions of Diabetic Patient Encounters
Classifying Readmissions of Diabetic Patient Encounters
 
Saito S DRAGON trial
Saito S DRAGON trialSaito S DRAGON trial
Saito S DRAGON trial
 

Similar to Comparing Treatment Results Of PROSTATE CANCER - 2013

Hypofractionated Radiation Therapy in Breast Cancer
Hypofractionated Radiation Therapy in Breast CancerHypofractionated Radiation Therapy in Breast Cancer
Hypofractionated Radiation Therapy in Breast CancerDr.Ram Madhavan
 
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...breastcancerupdatecongress
 
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLCLeveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLCi3 Health
 
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdfNasrullahKhan94
 
2016 urooncology updates
2016 urooncology updates2016 urooncology updates
2016 urooncology updatesMohamed Abdulla
 
Brachytherapy temporary vs permanent seed placement
Brachytherapy temporary vs permanent seed placementBrachytherapy temporary vs permanent seed placement
Brachytherapy temporary vs permanent seed placementGil Lederman
 
What’s new in prostate cancer part 2, 2021
What’s new in prostate cancer part 2, 2021What’s new in prostate cancer part 2, 2021
What’s new in prostate cancer part 2, 2021Robert J Miller MD
 
Astro annual meeting 2014 highlights
Astro annual meeting 2014 highlightsAstro annual meeting 2014 highlights
Astro annual meeting 2014 highlightsAjeet Gandhi
 
ca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.pptca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.pptMusaibMushtaq
 
Astro highlights 2013
Astro highlights 2013Astro highlights 2013
Astro highlights 2013Ajeet Gandhi
 
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCER
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCERCOMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCER
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCERGil Lederman
 
Module 4 Submodule 4. 2 Final June 2007
Module 4 Submodule 4. 2 Final June 2007Module 4 Submodule 4. 2 Final June 2007
Module 4 Submodule 4. 2 Final June 2007Flavio Guzmán
 
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...Paul Pérez
 
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...hivlifeinfo
 
RAPIDO TRIAL RECTUM
RAPIDO TRIAL RECTUMRAPIDO TRIAL RECTUM
RAPIDO TRIAL RECTUMKanhu Charan
 

Similar to Comparing Treatment Results Of PROSTATE CANCER - 2013 (20)

Hypofractionated Radiation Therapy in Breast Cancer
Hypofractionated Radiation Therapy in Breast CancerHypofractionated Radiation Therapy in Breast Cancer
Hypofractionated Radiation Therapy in Breast Cancer
 
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
 
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLCLeveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
 
Radical prostatectomy
Radical prostatectomyRadical prostatectomy
Radical prostatectomy
 
Prostate cancer
Prostate cancer   Prostate cancer
Prostate cancer
 
Protec t trial- Journal club
Protec t trial- Journal clubProtec t trial- Journal club
Protec t trial- Journal club
 
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf
008473_pre-anesthesia-evaluation-guidelines_v7_160425.pdf
 
ASCO 2018 Recap :: June 2018 Webinar
ASCO 2018 Recap :: June 2018 WebinarASCO 2018 Recap :: June 2018 Webinar
ASCO 2018 Recap :: June 2018 Webinar
 
2016 urooncology updates
2016 urooncology updates2016 urooncology updates
2016 urooncology updates
 
Brachytherapy temporary vs permanent seed placement
Brachytherapy temporary vs permanent seed placementBrachytherapy temporary vs permanent seed placement
Brachytherapy temporary vs permanent seed placement
 
What’s new in prostate cancer part 2, 2021
What’s new in prostate cancer part 2, 2021What’s new in prostate cancer part 2, 2021
What’s new in prostate cancer part 2, 2021
 
Astro annual meeting 2014 highlights
Astro annual meeting 2014 highlightsAstro annual meeting 2014 highlights
Astro annual meeting 2014 highlights
 
ca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.pptca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.ppt
 
Astro highlights 2013
Astro highlights 2013Astro highlights 2013
Astro highlights 2013
 
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCER
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCERCOMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCER
COMPARISON OF TREATMENT FOR HIGH RISK PROSTATE CANCER
 
Module 4 Submodule 4. 2 Final June 2007
Module 4 Submodule 4. 2 Final June 2007Module 4 Submodule 4. 2 Final June 2007
Module 4 Submodule 4. 2 Final June 2007
 
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...
Tofacitinib, an oral janus kinase inhibitor, analysis of malignancies across ...
 
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...
 
BALKAN MCO 2011 - E. Vrdoljak - Radiotherapy
BALKAN MCO 2011 - E. Vrdoljak - RadiotherapyBALKAN MCO 2011 - E. Vrdoljak - Radiotherapy
BALKAN MCO 2011 - E. Vrdoljak - Radiotherapy
 
RAPIDO TRIAL RECTUM
RAPIDO TRIAL RECTUMRAPIDO TRIAL RECTUM
RAPIDO TRIAL RECTUM
 

Recently uploaded

Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 

Recently uploaded (20)

Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 

Comparing Treatment Results Of PROSTATE CANCER - 2013

  • 1. Comparing Treatment Results Of PROSTATE CANCER Prostate Cancer Results Study Group 2013 Peter Grimm, DO Prostate Cancer Center of Seattle 11/04/14 1
  • 2. Problem: Patients, physicians and carriers need a simple, unbiased means to compare the cancer control rates of modern prostate cancer treatment methods. 11/04/14 2
  • 3.  To solve this problem, we have assembled 11/04/14 experts from key treating disciplines: Surgery, External Radiation, Internal (or Brachytherapy), High Frequency Ultrasound, and Proton Therapy  The purpose of this work is to do a complete review study of the current literature on prostate cancer treatment 3
  • 4.  Ignace Billiet, MD F.E.B.U., Urologist Kortrijk, Belgium  David Bostwick, MD Bostwick Laboratories  David Crawford, MD Univ Colorado, Denver  Adam Dicker, MD Thomas Jefferson U Philadelphia,PA  Steven Frank, MD MD Andersen, Houston Texas  Peter Grimm, DO Prostate Cancer Center of Seattle  Jos Immerzeel, MD De Prostaat Kliniek Netherlands  Stephen Langley, MD St Luke's Cancer Centre, Guildford England  Alvaro Martinez, MD William Beaumont , Royal Oak, Mi  Mira Keyes, MD BC Cancer Agency , Vancouver Canada  Patrick Kupelian, MD UCLA Med Center Los Angeles  Robert Lee , MD Duke University Medical Center  Stefan Machtens, MD University Bergisch, Gladbach Germany  Jyoti Mayadev, UC Davis Davis ,California  Brian Moran, MD Chicago Prostate Institute Chicago 11/04/14 4
  • 5.  Gregory Merrick, MD Schiffler Cancer Center Wheeling West Virginia  Jeremy Millar, MD Alfred Health and Monash University, Melbourne Australia  Mack Roach, MD UCSF San Francisco California  Richard Stock, MD Mt. Sinai New York  Katsuto Shinohara, MD UCSF San Francisco California  Mark Scholz, MD Prostate Cancer Research Institute Marina del Ray California  Edward Weber, MD Prostate Cancer Center of Seattle  Anthony Zietman, MD Harvard Joint Center Boston Ma  Michael Zelefsky, MD Memorial Sloan Kettering New York  Jason Wong, MD UC Irvine Irvine California  Stacy Wentworth, MD Piedmont Radiation Oncology Greensboro , NC  Robyn Vera, DO Medical College of Virginia Richmond Virginia 11/04/14 5
  • 6. ABOUT THIS REVIEW STUDY  23,000+ prostate studies were published between 2000 and 2012  989 of those studies featured treatment results  195 of those met the criteria to be included in this review study. (*1st & 2nd group) Some treatment methods are under-represented due to failure to meet criteria 11/04/14 6
  • 7.  “Will I be cured?” or “Will my treatment make me cancer free?” are valid patient questions. However, PSA values (our best measurement tool today) cannot answer this absolutely. The current state-of-the-art can only indicate that the treatment was “successful” if PSA numbers do not indicate cancer progression. 11/04/14 7
  • 8.  After prostate removal, PSA numbers usually fall rapidly to very low numbers and stay low.  After radiation, PSA numbers usually come down slower, might increase then fall in the 1 to 3 year range (called a “PSA Bump”), and then usually level out at a higher number than the surgery patient.  These different PSA expectations result in dissimilar ways to review a man’s PSA history to judge treatment success.  This study makes no attempt to standardize those evaluation systems. 11/04/14 8
  • 9. Brachy = Seed implantation either permanent or temporary seeds IMRT = Intensity Modulated Radiation Therapy a form of External Radiation RP = Standard open radical prostatectomy Robot RP = Robotic Radical Prostatectomy HIFU = High frequency Ultrasound Cryo= Cryotherapy Protons = form of External Radiation using Protons EBRT= External Beam Radiation Therapy ADT= Hormone Therapy 11/04/14 9
  • 10. Criteria for Inclusion of Article* 1. Patients should be separated into Low, Intermediate, and High Risk 2. Success must be determined by PSA analysis 3. All Treatment types considered: Seeds (Brachy), Surgery (Standard or Robotic), IMRT (Intensity Modulated Radiation), HIFU (High Frequency Ultrasound), CRYO (Cryo Therapy), Protons, HDR (High dose Rate Brachytherapy) 4. Article must be in a Peer Reviewed Journal * Expert panel consensus 11/04/14 10
  • 11. 5. Low Risk articles must have a minimum of 100 patients 6. Intermediate Risk articles must have a minimum of 100 patients 7. High Risk articles, because of fewer patients, need only 50 patients to meet criteria 8. Patients must have been followed for a median of 5 years For additional criteria information contact: lisa@prostatecancertc.com 11/04/14 11
  • 12. RP EBRT/ IMRT Cryo Brachy/ HDR Robot RP Proton HIFU 8.7% 10.6% 6% 19% 6% 23% 3% 25/285 28/263 2/33 51/275 4/65 3/13 1/33 Total of 989 Treatment Articles. Some articles addressed several treatments and were counted as separate articles for each treatment. *A few articles evaluated other/minor treatments and are not listed here. These calculations only include primary accepted articles, and do not include secondary acceptance totals. 11/04/14 12
  • 13. How to Interpret the Results  Each treatment is given a symbol. For example Seed implant alone (Brachy) is given a blue dot with a number in it. 2277  The number in the symbol refers to the article. The article can be found in the notes section below the slide ( go into “view” in up left corner of PowerPoint and click on note section, then click on this portion and scroll down to see all the references)  Treatment Success % = Percent of men whose PSA numbers do not indicate cancer progression. (progression free) at a specific point in time  The bottom line indicates the number years the study is out An example, the blue dot with 27 inside indicates that, as per article 27, 97% of the patients treated with seeds alone in low risk patients at 12 years were free of disease progression according to PSA numbers 11/04/14 13
  • 14. How to Interpret the Results  First Establish your clinical risk group* by looking at the definitions or ask your physician Refer only to those slides for your risk group  Make your own judgment and then ask a doctor in each discipline ( Seeds, External Radiation Surgery, etc) to tell you where his/her own peer reviewed published Treatment Success % would fit on this plot. *Next Slide 11/04/14 14
  • 15. LLooww RRiisskk SSttaaggee:: TT11 oorr TT22aa,,bb GGlleeaassoonn SSuumm << 66 PPSSAA << 1100 nngg//mmll 11/04/14 15
  • 16. 100 90 80 70 LOW RISK RESULTS 11/04/14 BJU Int, 2012, Vol. 109(Supp. 1) 110011 1199 36 36 2 2 2233 7 7 60 1 1 1144 1122 2244 88 2277 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Seeds Surgery EBRT 55 2222 ← Years from Treatment → CRYO • Prostate Cancer Results Study Group • Numbers within symbols refer to references HIFU gor P ASP % 1111 1155 Protons 2211 44 1188 99 1100 EBRT & Seeds 2255 Robot RP 2266 Prostate Cancer Center of Seattle HDR 2299 2288 3300 3311 3333 3322 3344 3377 3388 sseccuS t ne mt aer T 33 3399 35 4400 110000 1133 16 110033 110022 6 6 1166 106 110044 106 110077 110088 1177
  • 17. LOW RISK RESULTS Weighted EBRT 1133 110011 1199 36 36 2 2 2233 2266 7 7 100 90 80 70 60 2277 55 2255 2222 1 1 1144 2211 1122 2244 88 44 1155 1188 99 1100 ← Years from Treatment → 1111 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 EBRT & Seeds Robot RP Seeds Surgery EBRT CRYO • Prostate Cancer Results Study Group • Numbers within symbols refer to references HIFU gor P ASP % Protons 11/04/14 BJU Int, 2012, Vol. 109(Supp. 1) 17 Prostate Cancer Center of Seattle HDR 2299 2288 3300 3311 3333 3322 3344 3377 3388 33 3399 35 4400 110000 Brachy Surgery Treatment Success 110033 110022 6 6 1166 106 110044 106 110077 110088 1177
  • 18. “The PCRSG criteria is pretty strict and not a lot of studies fit. What happens if you include articles with only 40 months of follow up or have a long follow up but less than 100 patients?” 11/04/14 18
  • 19. LOW RISK RESULTS >40 months follow-up or less than 100 patients 100 90 80 70 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) 8811 62 62 4444 EBRT & 19 110011 5511 6666 7755 8822 8888 6699 1199 36 36 2 2 2233 7 7 60 110000 1 1 1144 1122 2244 88 2277 5588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Seeds Surgery EBRT 55 2222 ← Years from Treatment → CRYO • Prostate Cancer Results Study Group • Numbers within symbols refer to references HIFU gor P ASP % 1111 1155 Protons 2211 44 1188 99 1100 EBRT & Seeds 2255 Robot RP 2266 Prostate Cancer Center of Seattle HDR 2299 2288 3300 3311 3333 3322 3344 3377 3388 sseccuS t ne mt aer T 33 3399 35 4400 4411 1133 6655 4499 7766 5566 8800 5599 6633 4411 7711 7722 9900 7733 7744 7700 4422 5577 8855 8844 4433 6644 ADT 5533 5544 7799 Hypo EBRT 8866 8877 4455 77778888 7777 44446666 44448888 9911 + + Seeds & ADT 899933 89 5500 6677 6688 99449955 5555 88883333 55552222 4477 6611 9966 110033 110022 9977 9988 6 6600 6 1166 106 110044 106 9999 110077 110088 1177
  • 20. LOW RISK RESULTS Weighted >40 months follow-up or less than 100 patients 100 90 80 70 EBRT Brachy 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) 9922 8811 62 62 4444 EBRT & 20 110011 5511 6666 7755 8822 8888 6699 8899 1199 36 36 2 2 2233 7 7 60 110000 1 1 1144 1122 2244 88 2277 5588 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Seeds Surgery EBRT 55 2222 ← Years from Treatment → CRYO • Prostate Cancer Results Study Group • Numbers within symbols refer to references HIFU gor P ASP % 1111 1155 Protons 2211 44 1188 99 1100 EBRT & Seeds 2255 Robot RP 2266 Prostate Cancer Center of Seattle HDR 2299 2288 3300 3311 3333 3322 3344 3377 3388 sseccuS t ne mt aer T 33 3399 35 4400 4411 1133 6655 4499 7766 5566 8800 5599 6633 4411 7711 7722 9900 7733 7744 7700 4422 5577 8855 8844 4433 6644 ADT 5533 5544 7799 8866 8877 4455 77778888 7777 44446666 44448888 9911 + + Seeds & ADT 9933 5500 6677 6688 99449955 5555 88883333 55552222 4477 6611 Surgery Hypo EBRT 9966 110033 110022 9977 9988 6 6600 6 1166 106 110044 106 9999 110077 110088 1177
  • 21. Zelefsky definition  Only 1 factor ▪ Clinical Stage T2c ▪ Gleason score > 7 ▪ PSA > 10 ng/ml D’Amico definition  PSA 10-20 Gleason Score 7 or Stage T2b 11/04/14 21
  • 22. INTERMEDIATE RISK RESULTS 100 90 80 70 60 50 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) Seeds + ADT EBRT & Seeds 22 40 4 4 2211 1155 3366 3377 4455 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Brachy Surgery EBRT CRYO HIFU 2299 2222 1199 55 sser gor P ASP % 1188 1122 2288 33 1177 1100 3322 9 9 88 22 2255 11 1133 HDR Protons ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle EBRT, Seeds + ADT 3388 + + Seeds Alone 4400 Robot RP 4411 4422 4444 4433 4466 Hypo EBRT sseccuS t ne mt aer T 7 7 1111 1144 2200 3355 3344 3399 2244 2233 1166 6 6 2266 3333 3300 2277 4488 4499 115500 115511 3311
  • 23. INTERMEDIATE RISK RESULTS Weighted 100 90 80 70 60 50 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) Seeds + ADT 23 40 Brachy 4 4 2211 1155 3366 3377 3388 4455 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Brachy Surgery EBRT CRYO HIFU 2299 2222 1199 55 sser gor P ASP % 1188 1122 2288 33 1177 1100 3322 9 9 88 22 2255 11 1133 HDR Protons ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references + + Seeds Alone 4400 Robot RP 4411 4422 4444 4433 4466 7 7 1111 1144 2200 3355 3344 3399 2244 2233 1166 6 6 2266 3333 EBRT & Seeds EBRT Surgery EBRT & Seeds Hypo EBRT EBRT, Seeds + ADT Treatment Success Prostate Cancer Center of Seattle 3300 2277 4488 4499 115500 115511 3311
  • 24. INTERMEDIATE RISK RESULTS >40 months follow-up or less than 100 patients 100 90 80 70 60 50 3300 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) Seeds + ADT EBRT & Seeds 24 40 4 4 6688 5588 5544 5599 9922 5577 7777 51 9911 9933 5500 8811 7711 2211 6666 1155 3366 4455 9977 6633 6677 7700 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Brachy Surgery EBRT CRYO HIFU 2299 2222 55 1199 sser gor P ASP % 1188 1122 2288 33 1177 1100 3322 9 9 88 22 2255 11 1133 HDR Protons ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle 3377 EBRT, Seeds + ADT 3388 + + Seeds Alone 4400 Robot RP 4411 4422 4444 4433 4466 sseccuS t ne mt aer T 7 7 1111 1144 2200 3355 3344 3399 2244 2233 1166 66 2266 3333 8822 8888 6655 110033 110022 110011 8866 8855 8877 EBRT + ADT 9944 6699 Hypo EBRT 9999 7755 9900 8899 5566 5555 8800 8833 6600 7733 7722 9988 5533 5522 7799 9955 6644 110000 8844 7788 6622 7744 9966 7766 110044 5599 5599 110055 2277 4488 4499 115500 115511 107 110066 107 3311 110099 110088
  • 25. INTERMEDIATE RISK RESULTS weighted >40 months follow-up or less than 100 patients 100 90 80 70 60 50 3300 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) Seeds + ADT 25 40 4 4 6688 5588 5544 5599 9922 5577 7777 51 9911 9933 5500 8811 7711 2211 6666 1155 3366 4455 9977 6633 6677 7700 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Brachy Surgery EBRT CRYO HIFU 2299 2222 55 1199 sser gor P ASP % 1188 1122 2288 33 1177 1100 3322 9 9 88 22 2255 11 1133 HDR Protons ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle 3377 3388 + + Seeds Alone 4400 Robot RP 4411 4422 4444 4433 4466 7 7 1111 1144 2200 3355 3344 3399 2244 2233 1166 66 2266 3333 8822 8888 6655 110033 110022 110011 8866 8855 8877 EBRT + ADT 9944 6699 Hypo EBRT 9999 7755 9900 8899 5566 5555 8800 8833 6600 7733 7722 9988 5533 5522 7799 9955 6644 110000 8844 7788 6622 7744 9966 7766 EBRT Brachy Surgery EBRT & Seeds EBRT, Seeds + ADT Treatment Success 110044 110055 2277 4488 4499 115500 115511 107 110066 107 3311 110099 110088
  • 26. Zelefsky definition  2 or more factors  Gleason > 7  PSA 10-20 Clinical Stage T1c- T2b D'Amico  Gleason Score 8-10  PSA >20 11/04/14 26
  • 27. HIGH RISK RESULTS 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) EBRT & ADT EBRT & Seeds 27 2200 1166 1188 4455 4422 1111 6 6 3366 2255 1155 5 5 EBRT Seeds + ADT 1199 3300 2299 gor P ASP % 17 4444 2211 8 8 9 9 2244 2266 3377 4411 4433 1122 Protons HDR 3355 4466 ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle 4477 Robot RP 4488 4499 110011 110022 110033 110044 110055 110066 Hypo EBRT 110077 110099 sseccuS t ne mt aer T 2233 44 110088 2 2 3311 3399 3322 3333 3344 38 7 7 1 1 111100 2277 3 3 1133 1144 2288 4400 1100 111111 111122 111122 111133 111144 111155 Surg & ADT 111166 111188 111177 112211 111199
  • 28. HIGH RISK RESULTS Weighted 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) 28 EBRT, Seeds & ADT 2200 1166 1188 4455 4422 1111 6 6 3366 2255 1155 5 5 EBRT Seeds + ADT 1199 3300 2299 gor P ASP % 17 4444 2211 8 8 9 9 2222 2244 2266 3377 4411 4433 1122 Protons HDR 3355 4466 111100 ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle 4477 Robot RP 4488 4499 110011 110022 110033 110044 110055 110066 110077 110099 2233 44 110088 2 2 3311 3399 3322 3333 3344 38 Brachy EBRT Surgery EBRT & ADT EBRT & Seeds Hypo EBRT Treatment Success 1 1 7 7 2277 3 3 1133 1144 2288 4400 1100 111111 111122 111122 111133 111144 111155 111166 Surg & ADT 111188 111177 112211 111199
  • 29. HIGH RISK RESULTS >40 months follow-up or less than 100 patients 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) EBRT & ADT EBRT & Seeds 29 4422 1111 8833 8822 6 6 65 81 74 9922 80 78 6677 6666 79 3366 2255 1155 5 5 EBRT Seeds + ADT 1199 3300 2200 1166 1188 5522 2299 gor P ASP % 17 4444 2211 8 8 5544 9 9 2222 2244 2266 3377 4411 4433 1122 Protons HDR 4466 7722 ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references Prostate Cancer Center of Seattle 4477 Robot RP 4488 4499 110011 110022 110033 110044 110055 110066 Hypo EBRT 110077 110099 sseccuS t ne mt aer T 3355 44 110088 2 2 3311 3399 3322 3333 3344 38 5500 5511 53 55 HIFU 5566 8866 8877 57 5588 5599 6611 6622 6633 6644 6688 6699 7700 7711 7733 75 76 77 8888 8899 8844 85 1 1 7 7 9900 9911 111100 2277 3 3 1133 1144 2288 4400 1100 4455 2233 111111 111122 111122 111133 111144 111155 111166 Surg & ADT 111188 111177 111121211919 111199 6600
  • 30. HIGH RISK RESULTS Weighted >40 months follow-up or less than 100 patients 11/04/14 BJU Int, 2012, Vol. 109(Supp 1) 30 2200 1166 1188 4422 1111 8833 8822 7 7 6 6 65 81 74 9922 80 78 6677 6600 79 3366 2255 1155 5 5 1199 3300 5522 2299 gor P ASP % 17 4444 1 1 9900 2211 8 8 5544 6666 9 9 2222 Brachy 2244 2266 3377 4411 4433 1122 Protons 3355 4466 7722 ← Years from Treatment → • Prostate Cancer Results Study Group • Numbers within symbols refer to references 4477 4488 4499 110011 110022 110033 110044 110055 110066 110077 110099 sseccuS t ne mt aer T 1100 2233 44 110088 2 2 3311 3399 3322 3333 3344 38 5500 5511 53 55 HIFU 5566 8866 8877 57 5588 5599 6611 6622 6633 6644 6688 6699 7700 7711 7733 75 76 77 8888 8899 8844 85 Surgery EBRT EBRT & ADT EBRT & Seeds Hypo EBRT HDR EBRT Seeds + ADT Robot RP Prostate Cancer Center of Seattle 9911 111100 2277 3 3 1133 1144 2288 4400 4455 111111 111122 111122 111133 111144 111155 111166 Surg & ADT 111188 111199
  • 31. OBSERVATIONS For most low risk patients, most therapies will be successful. There appears to be a higher cancer control success rate for Brachy over EBRT and Surgery for all groups. Patients are encouraged to look at graphs and determine for themselves  Serious side effect rates must be considered for any treatment  Relaxing the report selection criteria doesn’t seem to impact the results substantially 11/04/14 31
  • 32. = Seeds alone = EBRT & Seeds = Surgery = Standard Radical Prostatectomy = “Robot” =Robotic Prostatectomy = “HIFU” = High Frequency Ultrasound = “HDR”= High Dose Rate Brachytherapy +/-EBRT = EBRT alone = Hypo EBRT = Protons 11/04/14 32
  • 33. = “CRYO” Cryo Therapy = EBRT, Seeds, & ADT = Seeds & ADT = EBRT & ADT = Surgery & ADT = “Brachy” = all seed implant treatments = all Surgery treatments = all EBRT treatments = all EBRT & Seeds = all EBRT, Seeds & ADT + + 11/04/14 33
  • 34. LLooww RRiisskk SSttaaggee:: TT11 oorr TT22aa,,bb GGlleeaassoonn SSuumm << 66 PPSSAA << 1100 nngg//mmll IInntteerrmmeeddiiaattee RRiisskk SSttaaggee TT11 oorr TT11--22 SSttaaggee TT11--22 GGlleeaassoonn SSccoorree 77 oorr GGlleeaassoonn 66 PPSSAA << 1100 PPSSAA 1100--2200 HHiigghh RRiisskk Stage T2c or T3 Gleason score ≥ 8 PSA > 20 ng/mL 11/04/14 34
  • 35. Peter Grimm, DO  peter@grimm.com Lisa Grimm, Research Coordinator  lisa@prostatecancertc.com  Or ProstateCancerTC.com Or contact PCRSG member Prostate Cancer Center of Seattle website  www.Prostatecancertreatmentcenter.com 11/04/14 35

Editor's Notes

  1. 1st Group References: Kupelian P, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33.(RP) Thames H, et al. Increasing external beam dose for T1-T2 prostate cancer: Effect on risk groups. Int J Radiat Oncol Biol Phys 2006;65(4):975-981. Zelefsky M, et al. Multi-institutional analysis of long-term outcome for stages T1-T2 prostate cancer treated with permanent seed implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333. Martin AG, Roy J, Beaulieu L, et al. Permanent prostate implant using high activity seeds and inverse planning with fast simulated annealing algorithm: A 12-Year Canadian experience. Int J Radiat Oncol Biol Phys 2007;67(2):334-341. Potters L, et al.12-Year outcomes following permanent prostate brachytherapy in patients with clinically localized prostate cancer. J Urology 2005;173:1562-1566. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. Zelefsky M, et al. Long term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. J Urology 2006;176:1415-1419. Zelefsky M, et al. Five-Year outcome of Intraoperative conformal permanent I-125 interstitial implantation for patients with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys 2007;67(1):65-70. Boorjian S, et al. Mayo Clinic validation of the D&amp;apos;Amico risk group classification for predicting survival following radical prostatectomy. J Urology 2008;179:1354-1361. Critz J, et al. 10-Year disease free survival rates after simultaneous irradiation for prostate cancer with a focus on calculation and methodology. J Urology 2004;172:2232-2238. Kuban D, et al. Long-Term multi-institutional analysis of stage T1-T2 prostate cancer treated with radiotherapy in the PSA era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928. Weight C, et al. Limited pelvic lymph node dissection does not improve biochemical relapse free survival at 10-years after radical prostatectomy in patients with low risk prostate cancer. J Urology 2008;71(1):141-145. Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-Free Survival After Prostate Brachytherapy. J Urol 2005;66(5):1048-1053. Merrick G, et al. Androgen deprivation therapy does not impact cause-specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2006;65(3):669-67 Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Community Oncology 2007;4(4):235-240. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. Morris, W et al. Population-based 10-year oncologic outcomes after low-dose-rate brachytherapy for low-risk and intermediate-risk prostate cancer. Cancer 2012; epub ahead of print Dec. 26. Zelefsky M, et al. Long-term results of conformal radiotherapy for prostate cancer: Impact of dose escalation in biochemical tumor control and distant metastases-free survival outcomes. Int J Radiat Oncol Biol Phys 2008;71(4):1028-1033. Pickles T, et al. Brachytherapy or Conformal External Radiotherapy for Prostate Cancer: A single-Institutional Matched Pair Analysis. Int J Radiat Oncol Biol Phys 2010; 76(1): 43-49. (EBRT) (Open) Bittner N, et al. Primary causes of death after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2008;72(2):433-440. Morris W, et al. Population-based Study of Biochemical and Survival Outcomes After Permanenet 125I Brachytherapy for Low and Intermediate-risk Prostate Cancer. Urol 2009; 73(4);860-867. Moyad M, et al. Statins, especially Atorvastatin may favorably influence clinical presentation and biochemical PFS after brachytherapy of clinically localized prostate cancer. Urology 2005;66(6):1150-1154. Bhatta-Dhar N, et al. No difference in 6 year biochemical failure rates with or without pelvic lymph node during radical prostatectomy in low risk patients with prostate cancer. Urology 2004;63(3): 528-531. Zietman A, et al. Comparison of conventional dose vs high dose conformal radiation therapy in clinically localized Adenocarcinoma of the prostate. JAMA 2005;294(10):1233-1239 &amp; Correction: JAMA 2008; 299(8): 898-900. Nguyen P, et al. Biochemical recurrence after radical prostatectomy for prevalent versus incident cases of prostate cancer. Cancer 2008;113(11):3146-3152. Taira A, et al. Natural history of clinically staged low- and intermediate risk prostate cancer treated with monotherapeutic permanent interstitial brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. Demanes J, et al. Excellent results from high dose rate brachytherapy and external beam for prostate cancer are not improved by Androgen deprivation. Amer J Clin Oncol 2009;32(4):342-347. Stone N, et al. Local control following permanent prostate brachytherapy: Effect of high biologically effective dose on biopsy results and oncologic outcomes. Int J Radiat Oncol Biol Phys 2010;76(2):355-360. Pickles T, et al. Brachytherapy or conformal external radiotherapy for prostate cancer: A single-istitution matched-pair analysis. Int J Radiat Oncol Biol Phys 2010;76(1):43-49. (Seeds) Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Protons) Zeitman A, et al. Randomized trial comparing conventional dose with high dose conformal radiation therapy in early-stage Adenocarcinoma of the prostate: Long term results from proton radiation oncology group/American College of Radiology 95-09. J Clin Oncol 2010;28(7):1106-1111. Menon M, et al. Biochemical recurrence following robot-assisted radical prostatectomy: Analysis of 1384 patients with a median 5-year follow-up. Eur Urol. 2010;58:838-46. Kane CJ, et al. Outcomes after radical prostatectomy among men who are candidates for active surveillance: Results from the SEARCH database urology. Urol 2010;76(3):695-700. Ellis R, et al. Ten year outcomes : The clinical utility of single photon emission computed tomography/computed tomography capromab pendetide (prostascint) in a cohort diagnosed with localized prostate cancer. Int J Radiat Oncol Biol Phys 2011; 81(1): 29-34. Epub date: 10-18-2010. Hinnen, K. et al. Long term biochemical and survival outcome of 921 patients treated with I-125 permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (Seeds) Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (IMRT 81Gy) Burri, R. et al. Young Men Have Equivalent Biochemical outcomes Compared With Older Men After Treatment With Brachytherapy For Prostate Cancer. Int J Radiat Oncol Biol Phys 2010; 77(5):1315-1321. Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Seeds) 100. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (Seeds) 101. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (EBRT) 102. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Brachy) 103. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Protons) 104. Sylvester, J, Grimm P et at Fifteen Year Biochemical RFS CSS, OS Following I-125 Prostate Brachytherapy in Clinically localized prostate cancer Int J Radiat Oncol Biol Phys 2011;81;376-81: 105. (Open) 106. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 107 Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 108. Mulllins, J et al. Radical prostatectomy outcome in men 65 years old or older with low risk prostate cancer. J Urol 2012;187(5):1620-25.
  2. 1st Group References: Kupelian P, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33.(RP) Thames H, et al. Increasing external beam dose for T1-T2 prostate cancer: Effect on risk groups. Int J Radiat Oncol Biol Phys 2006;65(4):975-981. Zelefsky M, et al. Multi-institutional analysis of long-term outcome for stages T1-T2 prostate cancer treated with permanent seed implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333. Martin AG, Roy J, Beaulieu L, et al. Permanent prostate implant using high activity seeds and inverse planning with fast simulated annealing algorithm: A 12-Year Canadian experience. Int J Radiat Oncol Biol Phys 2007;67(2):334-341. Potters L, et al.12-Year outcomes following permanent prostate brachytherapy in patients with clinically localized prostate cancer. J Urology 2005;173:1562-1566. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. Zelefsky M, et al. Long term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. J Urology 2006;176:1415-1419. Zelefsky M, et al. Five-Year outcome of Intraoperative conformal permanent I-125 interstitial implantation for patients with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys 2007;67(1):65-70. Boorjian S, et al. Mayo Clinic validation of the D&amp;apos;Amico risk group classification for predicting survival following radical prostatectomy. J Urology 2008;179:1354-1361. Critz J, et al. 10-Year disease free survival rates after simultaneous irradiation for prostate cancer with a focus on calculation and methodology. J Urology 2004;172:2232-2238. Kuban D, et al. Long-Term multi-institutional analysis of stage T1-T2 prostate cancer treated with radiotherapy in the PSA era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928. Weight C, et al. Limited pelvic lymph node dissection does not improve biochemical relapse free survival at 10-years after radical prostatectomy in patients with low risk prostate cancer. J Urology 2008;71(1):141-145. Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-Free Survival After Prostate Brachytherapy. J Urol 2005;66(5):1048-1053. Merrick G, et al. Androgen deprivation therapy does not impact cause-specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2006;65(3):669-67 Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Community Oncology 2007;4(4):235-240. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. Morris, W et al. Population-based 10-year oncologic outcomes after low-dose-rate brachytherapy for low-risk and intermediate-risk prostate cancer. Cancer 2012; epub ahead of print Dec. 26. Zelefsky M, et al. Long-term results of conformal radiotherapy for prostate cancer: Impact of dose escalation in biochemical tumor control and distant metastases-free survival outcomes. Int J Radiat Oncol Biol Phys 2008;71(4):1028-1033. Pickles T, et al. Brachytherapy or Conformal External Radiotherapy for Prostate Cancer: A single-Institutional Matched Pair Analysis. Int J Radiat Oncol Biol Phys 2010; 76(1): 43-49. (EBRT) (Open) Bittner N, et al. Primary causes of death after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2008;72(2):433-440. Morris W, et al. Population-based Study of Biochemical and Survival Outcomes After Permanenet 125I Brachytherapy for Low and Intermediate-risk Prostate Cancer. Urol 2009; 73(4);860-867. Moyad M, et al. Statins, especially Atorvastatin may favorably influence clinical presentation and biochemical PFS after brachytherapy of clinically localized prostate cancer. Urology 2005;66(6):1150-1154. Bhatta-Dhar N, et al. No difference in 6 year biochemical failure rates with or without pelvic lymph node during radical prostatectomy in low risk patients with prostate cancer. Urology 2004;63(3): 528-531. Zietman A, et al. Comparison of conventional dose vs high dose conformal radiation therapy in clinically localized Adenocarcinoma of the prostate. JAMA 2005;294(10):1233-1239 &amp; Correction: JAMA 2008; 299(8): 898-900. Nguyen P, et al. Biochemical recurrence after radical prostatectomy for prevalent versus incident cases of prostate cancer. Cancer 2008;113(11):3146-3152. Taira A, et al. Natural history of clinically staged low- and intermediate risk prostate cancer treated with monotherapeutic permanent interstitial brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. Demanes J, et al. Excellent results from high dose rate brachytherapy and external beam for prostate cancer are not improved by Androgen deprivation. Amer J Clin Oncol 2009;32(4):342-347. Stone N, et al. Local control following permanent prostate brachytherapy: Effect of high biologically effective dose on biopsy results and oncologic outcomes. Int J Radiat Oncol Biol Phys 2010;76(2):355-360. Pickles T, et al. Brachytherapy or conformal external radiotherapy for prostate cancer: A single-istitution matched-pair analysis. Int J Radiat Oncol Biol Phys 2010;76(1):43-49. (Seeds) Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Protons) Zeitman A, et al. Randomized trial comparing conventional dose with high dose conformal radiation therapy in early-stage Adenocarcinoma of the prostate: Long term results from proton radiation oncology group/American College of Radiology 95-09. J Clin Oncol 2010;28(7):1106-1111. Menon M, et al. Biochemical recurrence following robot-assisted radical prostatectomy: Analysis of 1384 patients with a median 5-year follow-up. Eur Urol. 2010;58:838-46. Kane CJ, et al. Outcomes after radical prostatectomy among men who are candidates for active surveillance: Results from the SEARCH database urology. Urol 2010;76(3):695-700. Ellis R, et al. Ten year outcomes : The clinical utility of single photon emission computed tomography/computed tomography capromab pendetide (prostascint) in a cohort diagnosed with localized prostate cancer. Int J Radiat Oncol Biol Phys 2011; 81(1): 29-34. Epub date: 10-18-2010. Hinnen, K. et al. Long term biochemical and survival outcome of 921 patients treated with I-125 permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (Seeds) Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (IMRT 81Gy) Burri, R. et al. Young Men Have Equivalent Biochemical outcomes Compared With Older Men After Treatment With Brachytherapy For Prostate Cancer. Int J Radiat Oncol Biol Phys 2010; 77(5):1315-1321. Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Seeds) 100. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (Seeds) 101. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (EBRT) 102. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Brachy) 103. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Protons) 104. Sylvester, J, Grimm P et at Fifteen Year Biochemical RFS CSS, OS Following I-125 Prostate Brachytherapy in Clinically localized prostate cancer Int J Radiat Oncol Biol Phys 2011;81;376-81: 105. (Open) 106 Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 107. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 108. Mullins, J et al. Radical prostatectomy outcome in men 65 years old or older with low risk prostate cancer. J Urol 2012;187(5):1620-25.
  3. 1st Group References: Kupelian P, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33.(RP) Thames H, et al. Increasing external beam dose for T1-T2 prostate cancer: Effect on risk groups. Int J Radiat Oncol Biol Phys 2006;65(4):975-981. Zelefsky M, et al. Multi-institutional analysis of long-term outcome for stages T1-T2 prostate cancer treated with permanent seed implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333. Martin AG, Roy J, Beaulieu L, et al. Permanent prostate implant using high activity seeds and inverse planning with fast simulated annealing algorithm: A 12-Year Canadian experience. Int J Radiat Oncol Biol Phys 2007;67(2):334-341. Potters L, et al.12-Year outcomes following permanent prostate brachytherapy in patients with clinically localized prostate cancer. J Urology 2005;173:1562-1566. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. Zelefsky M, et al. Long term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. J Urology 2006;176:1415-1419. Zelefsky M, et al. Five-Year outcome of Intraoperative conformal permanent I-125 interstitial implantation for patients with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys 2007;67(1):65-70. Boorjian S, et al. Mayo Clinic validation of the D&amp;apos;Amico risk group classification for predicting survival following radical prostatectomy. J Urology 2008;179:1354-1361. Critz J, et al. 10-Year disease free survival rates after simultaneous irradiation for prostate cancer with a focus on calculation and methodology. J Urology 2004;172:2232-2238. Kuban D, et al. Long-Term multi-institutional analysis of stage T1-T2 prostate cancer treated with radiotherapy in the PSA era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928. Weight C, et al. Limited pelvic lymph node dissection does not improve biochemical relapse free survival at 10-years after radical prostatectomy in patients with low risk prostate cancer. J Urology 2008;71(1):141-145. Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-Free Survival After Prostate Brachytherapy. J Urol 2005;66(5):1048-1053. Merrick G, et al. Androgen deprivation therapy does not impact cause-specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2006;65(3):669-67 Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Community Oncology 2007;4(4):235-240. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. Morris, W et al. Population-based 10-year oncologic outcomes after low-dose-rate brachytherapy for low-risk and intermediate-risk prostate cancer. Cancer 2012; epub ahead of print Dec. 26. Zelefsky M, et al. Long-term results of conformal radiotherapy for prostate cancer: Impact of dose escalation in biochemical tumor control and distant metastases-free survival outcomes. Int J Radiat Oncol Biol Phys 2008;71(4):1028-1033. Pickles T, et al. Brachytherapy or Conformal External Radiotherapy for Prostate Cancer: A single-Institutional Matched Pair Analysis. Int J Radiat Oncol Biol Phys 2010; 76(1): 43-49. (EBRT) (Open) Bittner N, et al. Primary causes of death after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2008;72(2):433-440. Morris W, et al. Population-based Study of Biochemical and Survival Outcomes After Permanenet 125I Brachytherapy for Low and Intermediate-risk Prostate Cancer. Urol 2009; 73(4);860-867. Moyad M, et al. Statins, especially Atorvastatin may favorably influence clinical presentation and biochemical PFS after brachytherapy of clinically localized prostate cancer. Urology 2005;66(6):1150-1154. Bhatta-Dhar N, et al. No difference in 6 year biochemical failure rates with or without pelvic lymph node during radical prostatectomy in low risk patients with prostate cancer. Urology 2004;63(3): 528-531. Zietman A, et al. Comparison of conventional dose vs high dose conformal radiation therapy in clinically localized Adenocarcinoma of the prostate. JAMA 2005;294(10):1233-1239 &amp; Correction: JAMA 2008; 299(8): 898-900. Nguyen P, et al. Biochemical recurrence after radical prostatectomy for prevalent versus incident cases of prostate cancer. Cancer 2008;113(11):3146-3152. Taira A, et al. Natural history of clinically staged low- and intermediate risk prostate cancer treated with monotherapeutic permanent interstitial brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. Demanes J, et al. Excellent results from high dose rate brachytherapy and external beam for prostate cancer are not improved by Androgen deprivation. Amer J Clin Oncol 2009;32(4):342-347. Stone N, et al. Local control following permanent prostate brachytherapy: Effect of high biologically effective dose on biopsy results and oncologic outcomes. Int J Radiat Oncol Biol Phys 2010;76(2):355-360. Pickles T, et al. Brachytherapy or conformal external radiotherapy for prostate cancer: A single-istitution matched-pair analysis. Int J Radiat Oncol Biol Phys 2010;76(1):43-49. (Seeds) Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Protons) Zeitman A, et al. Randomized trial comparing conventional dose with high dose conformal radiation therapy in early-stage Adenocarcinoma of the prostate: Long term results from proton radiation oncology group/American College of Radiology 95-09. J Clin Oncol 2010;28(7):1106-1111. Menon M, et al. Biochemical recurrence following robot-assisted radical prostatectomy: Analysis of 1384 patients with a median 5-year follow-up. Eur Urol. 2010;58:838-46. Kane CJ, et al. Outcomes after radical prostatectomy among men who are candidates for active surveillance: Results from the SEARCH database urology. Urol 2010;76(3):695-700. Ellis R, et al. Ten year outcomes : The clinical utility of single photon emission computed tomography/computed tomography capromab pendetide (prostascint) in a cohort diagnosed with localized prostate cancer. Int J Radiat Oncol Biol Phys 2011; 81(1): 29-34. Epub date: 10-18-2010. Hinnen, K. et al. Long term biochemical and survival outcome of 921 patients treated with I-125 permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (Seeds) Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (IMRT 81Gy) Burri, R. et al. Young Men Have Equivalent Biochemical outcomes Compared With Older Men After Treatment With Brachytherapy For Prostate Cancer. Int J Radiat Oncol Biol Phys 2010; 77(5):1315-1321. Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Seeds) 100. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (Seeds) 101. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (EBRT) 102. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Brachy) 103. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Protons) 104. Sylvester, J, Grimm P et at Fifteen Year Biochemical RFS CSS, OS Following I-125 Prostate Brachytherapy in Clinically localized prostate cancer Int J Radiat Oncol Biol Phys 2011;81;376-81: 105. (Open) 106. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 107. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 108 Mullins, J et al. Radical prostatectomy outcome in men 65 years old or older with low risk prostate cancer. J Urol 2012;187(5):1620-25. 2nd Group References: Blasko J, et al. Palladium-103 brachytherapy for prostate carcinoma. Int J Radiat Oncol Biol Phys 2000;46(4):839-850. Demanes D, et al. High-Dose-Rate Intensity-Modulated Brachytherapy with External Beam Radiotherapy for Prostate Cancer: California Endocurietherapy;s 10-Year results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. Grimm P, et al. 10-year biochemical (prostate-specific antigen) control of prostate cancer with I-125 brachytherapy. Int J Radiat Oncol Biol Phys 2001;51(1):31-40. Hernandez D, et al. Contemporary evaluation of the D&amp;apos;Amico risk classification of prostate cancer. J Urol 2007; 70(5): 931-935 Kupelian P, et al.Improved Biochemical relapse-free survuval with increased external radiation doses in patients with localized prostate cancer: the combined experience of nine institutions in patients treated in 1994 and 1995. Int J Radiat Oncol Biol Phys 2005;61(2):415-419. Merrick G, et al. Impact of supplemental external beam radiotherapy and/or androgen deprivation therapy on biochemical outcome after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2005;61(1):132-43. Vora S, et al. Analysis of biochemical control and prognostic factors in patients treated with either low-dose three-dimensional conformal radiation therapy or high-dose intensity-modulated radiotherapy for localized prostate cancer. Int J Radiat Oncol Bio Phys 2007;68(4):1053-1058. Merrick G, et al. Brachytherapy inmen aged &amp;lt;54 years with clinically localized prostate cancer. BJU Int 2006;98:324-328. Bahn D, et al. Targeted cryoablation of the prostate: 7 year outcome in the primary treatment of prostate cancer. Urol 2002;60(Supp 2A):3-11. Phan T, et al. High dose rate brachytherapy as a boost for the treatment of localized prostate cancer. J Urol 2007;177:123-127. Cahlon O, et al. Ultra high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Biol Phys 2008;71(2):330-337. Sylvester J, et al. 15-Year biochemical relapse free survival in clinical stage T1-T3 prostate cancer following combined external beam radiotherapy and brachytherapy; Seattle experience. Int J Radiat Oncol Biol Phys 2007;67(1):57-64. Higgins G, et al. Outcome analysis of 300 prostate cancer patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy. Int J Radiat Oncol Biol Phys 2006;65(4):982-989. Kollmeier M, et al. Biochemical outcomes after prostate brachytherapy with 5-year minimal follow-up: importance of patient selection and implant quality. Int J Radiat Oncol Biol Phys 2003;57(3):645-653. Stone N, et al. Customized dose prescription for permanent prostate brachytherapy: Insights from a multicenter analysis of dosimetry outcomes. Int J Radiat Oncol Biol Phys 2007;69(5):1472-1477. Beyer D, et al. Relative influence of Gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. Ellis R, et al. Biochemical disease-free survival rates following definitive low-dose rate prostate brachytherapy with dose escalation to biologic target volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. Kwok Y, et al. Risk group stratification in patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Biol Phys 2002;53(3):588-594. Blana A, et al. Eight years’ experience with high-intensity focused ultrasonography for treatment of localized prostate cancer. J Urol 2008;72(6):1329-1333. Lawton, C et al. Long-term Results of a Phase II Trial of Ultrasound-Guided Radioactive Implantation of the Prostate for Definitive Management of Localized Adenocarcinoma of the Prostate (RTOG 98-05.) Int J Radiat Oncol Bio Phys 2011;81(1):1-7. Zelefsky M, et al. High dose radiation delivered by intensity modulated conformal radiotherapy improves the outcome of localized prostate cancer. J Urol 2001;166:876-881. (81Gy) Khuntia D, et al. Recurrence free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate-specific antigen era. Cancer 2004;100(6):1283-1292. Blana A, et al. First Analysis of the Long-Term results with Transrectal HIFU in Patients with Localised prostate Cancer. Eurr Urology 2008;53:1194-1203. Henry A, et al. Outcomes following Iodine-125 monotherapy for localized prostate cancer: the results of Leeds 10-year single-center brachytherapy experience. Int J Radiat Oncol Biol Phys 2010;76(1):50-56. Aizer A, et al. Radical prostatectomy vs. intensity-modulated radiation therapy in the management of localized prostate adenocarcinoma. Radiotherapy and Oncology 2009; 93:185-191. Gómez-Iturriaga Piña A, et al. Median 5 year Follow-up of I-125 Brachytherapy as Monotherapy in Men aged &amp;lt;55 Years with Favorable Prostate Cancer. J Urology 2010;75(6):1416-17. &amp; Gómez-Iturriaga Piña A, et al. Biochemical Disease-free rate toxicicty for Men treated with I-125 prostate Brachytherapy with D90&amp;gt; 180GY. Int J Radia Oncol Bio Phys 2010;78(2):422-427. Prada P, et al. Prostate-specific antigen relapse-free survival and side effects in 734 patients with up to 10 years of follow-up with localized prostate cancer treated by permanent Iodine-125 implants. BJU Int 2010;106(1):32-36. Rene N, et al. Hypofractionated radiotherapy for favorable risk prostate cancer. Int J Radiat Oncol Biol Phys 2010;77(3):805-810. Lawton C, et al. Results of a Phase II Trial of Transrectal Ultrasound-guided permanent radioactive implantation of the prostate for definitive management of localized adenocarcinoma of the prostate (radiation therapy oncology group 98-05). Int J Radiat Oncol Bio Phys 2007;67(1):39-47. Deger S, et al. High dose rate (HDR) brachytherapy with conformal radiation therapy for localized prostate cancer. Eurr Urology 2005;47(4):441-448. Colberg J, et al. Surgery versus implant for early prostate cancer: results from a single institution, 1992-2005. Cancer J 2007;13(4):229-232. (RP) Colberg J, et al. Surgery versus implant for early prostate cancer: results from a single institution, 1992-2005. Cancer J 2007;13(4):229-232. (Seeds) D’Amico A, et al. Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 2002;95(2):281-285. (RP) D’Amico A, et al. Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 2002;95(2):281-285. (EBRT) Block T, et al. Transperineal permanent seed implantation of “low-risk” prostate cancer. Strahlentherapie und Onkologie 2006;182:666-671. Battermann J, et al. Results of permanent prostate brachytherapy, 13 years of experience at a single institution. Radiotherapy &amp; Oncology 2004;71:23-28. Livsey J, et al. Hypofractionated conformal radiotherapy in carcinoma of the prostate: five-year outcome analysis. Int J Radiat Oncol Biol Phys 2003;57(5):1254-1259. Lederman G.S, et al. Retrospective stratification of a consecutive cohort of prostate cancer patients treated with a combined regimen of external-beam radiotherapy and brachytherapy. Int J Radiat Oncol Biol Phys 2001; 49(5):1297-1303. Kuban D, et al. Long-term results of the M.D. Anderson randomized dose-escalation trial for prostate cancer. Int J Radiat Oncol Biol Phys 2008;70(1):67-74. (78Gy) Berglund R, et al. Limited pelvic lymph node dissection at the time of radical prostatectomy does not affect 5-year failure rates for low, intermediate and high risk prostate cancer: results from CaPSURE. J Urology 2007;177:526-530. Khaksar S, et al. Interstitial low dose rate brachytherapy for prostate cancer- A focus on intermediate- and high-risk disease. Clinical Oncology 2006;18:513-518. Hull G, et al. Cancer control with radical prostatectomy alone in 1,000 consecutive patients. J Urology 2002;167:528-534. Sylvester J, et al. Ten-year biochemical relapse-free survival after external beam radiation and brachytherapy for localized prostate cancer: The Seattle experience. Int J Radiat Oncol Biol Phys 2003;57(4)944-952. Giberti C, et al. Radial retropubic prostatectomy versus brachytherapy for low-risk prostatic cancer: a prospective study. World J Urol 2009;27:607-612. (RP) Giberti C, et al. Radial retropubic prostatectomy versus brachytherapy for low-risk prostatic cancer: a prospective study. World J Urol 2009;27:607-612. (Seeds) Kupelian P, et al. Hypofractionated intersity-modulated radiotherapy (70 GY at 2.5GY per fraction) for localized prostate cancer: Cleveland clinic experience. Int J Radiat Oncol Biol Phys 2007;68(5):1424-1430. Kupelian P, et al. Comparison of the efficacy of local therapies for localized prostate cancer in the prostate-specific antigen era: A large scale single institution experience with radical prostatectomy and external-beam radiotherapy. J Clinical Oncology 2002;20(16):3376-3385. (RP) Kupelian P, et al. Comparison of the efficacy of local therapies for localized prostate cancer in the prostate-specific antigen era: A large scale single institution experience with radical prostatectomy and external-beam radiotherapy. J Clinical Oncology 2002;20(16):3376-3385. (EBRT) Peschel R, et al. Iodine 125 versus palladium 103 implants for prostate cancer: Clinical outcomes and complications. The Cancer Journal 2004;10(3):170-174. Crouzet S, et al. Multicentric Oncologic Outcomes of High Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. Misraї V, et al. Oncologic control provided by HIFU therapy as single treatment in men with localized prostate cancer. World J Urol 2008;26:481-485. Nobes JP, et al. Biochemical relapse-free survival in 400 patients treated with I-125 prostate brachytherapy: the Guildford experience. Prostate Cancer &amp; Prostatic Disease 2009;12:61-66. (Seeds) Nobes JP, et al. Biochemical relapse-free survival in 400 patients treated with I-125 prostate brachytherapy: the Guildford experience. Prostate Cancer &amp; Prostatic Disease 2009;12:61-66. (Seeds &amp; ADT) Shapiro E, et al. Long-Term outcomes in younger men following permanent prostate brachytherapy. J Urol 2009;181:1665-1671. (&amp;lt;60 yrs old) Shapiro E, et al. Long-Term outcomes in younger men following permanent prostate brachytherapy. J Urol 2009;181:1665-1671. (&amp;gt;60 yrs old) 96. Crook, J et al. 10-Year Experience with I-125 Prostate Brachytherapy at the Princess Margaret Hospital: Results for 1,100 Patients. Int J Radiat Oncol Bio Phys 2011;80(5):1323-29. 97. Goldner, G et al. Comparison of seed brachytherapy or external beam radiotherapy (70Gy or 74Gy) in 919 low-risk prostate cancer patients. Stathentherapie und Onkol 2012;4:305-10. (Brachy) 98. Goldner, G et al. Comparison of seed brachytherapy or external beam radiotherapy (70Gy or 74Gy) in 919 low-risk prostate cancer patients. Stathentherapie und Onkol 2012;4:305-10. (EBRT) 99.Lubbe, W et al. Biochemical and clinical experience with real-time intraoperatively planned permanent prostate brachytherapy. Brachytherapy 2012;11(3):209-13.
  4. 1st Group References: Kupelian P, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33.(RP) Thames H, et al. Increasing external beam dose for T1-T2 prostate cancer: Effect on risk groups. Int J Radiat Oncol Biol Phys 2006;65(4):975-981. Zelefsky M, et al. Multi-institutional analysis of long-term outcome for stages T1-T2 prostate cancer treated with permanent seed implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333. Martin AG, Roy J, Beaulieu L, et al. Permanent prostate implant using high activity seeds and inverse planning with fast simulated annealing algorithm: A 12-Year Canadian experience. Int J Radiat Oncol Biol Phys 2007;67(2):334-341. Potters L, et al.12-Year outcomes following permanent prostate brachytherapy in patients with clinically localized prostate cancer. J Urology 2005;173:1562-1566. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. Zelefsky M, et al. Long term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. J Urology 2006;176:1415-1419. Zelefsky M, et al. Five-Year outcome of Intraoperative conformal permanent I-125 interstitial implantation for patients with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys 2007;67(1):65-70. Boorjian S, et al. Mayo Clinic validation of the D&amp;apos;Amico risk group classification for predicting survival following radical prostatectomy. J Urology 2008;179:1354-1361. Critz J, et al. 10-Year disease free survival rates after simultaneous irradiation for prostate cancer with a focus on calculation and methodology. J Urology 2004;172:2232-2238. Kuban D, et al. Long-Term multi-institutional analysis of stage T1-T2 prostate cancer treated with radiotherapy in the PSA era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928. Weight C, et al. Limited pelvic lymph node dissection does not improve biochemical relapse free survival at 10-years after radical prostatectomy in patients with low risk prostate cancer. J Urology 2008;71(1):141-145. Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-Free Survival After Prostate Brachytherapy. J Urol 2005;66(5):1048-1053. Merrick G, et al. Androgen deprivation therapy does not impact cause-specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2006;65(3):669-67 Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Community Oncology 2007;4(4):235-240. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. Morris, W et al. Population-based 10-year oncologic outcomes after low-dose-rate brachytherapy for low-risk and intermediate-risk prostate cancer. Cancer 2012; epub ahead of print Dec. 26. Zelefsky M, et al. Long-term results of conformal radiotherapy for prostate cancer: Impact of dose escalation in biochemical tumor control and distant metastases-free survival outcomes. Int J Radiat Oncol Biol Phys 2008;71(4):1028-1033. Pickles T, et al. Brachytherapy or Conformal External Radiotherapy for Prostate Cancer: A single-Institutional Matched Pair Analysis. Int J Radiat Oncol Biol Phys 2010; 76(1): 43-49. (EBRT) (Open) Bittner N, et al. Primary causes of death after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2008;72(2):433-440. Morris W, et al. Population-based Study of Biochemical and Survival Outcomes After Permanenet 125I Brachytherapy for Low and Intermediate-risk Prostate Cancer. Urol 2009; 73(4);860-867. Moyad M, et al. Statins, especially Atorvastatin may favorably influence clinical presentation and biochemical PFS after brachytherapy of clinically localized prostate cancer. Urology 2005;66(6):1150-1154. Bhatta-Dhar N, et al. No difference in 6 year biochemical failure rates with or without pelvic lymph node during radical prostatectomy in low risk patients with prostate cancer. Urology 2004;63(3): 528-531. Zietman A, et al. Comparison of conventional dose vs high dose conformal radiation therapy in clinically localized Adenocarcinoma of the prostate. JAMA 2005;294(10):1233-1239 &amp; Correction: JAMA 2008; 299(8): 898-900. Nguyen P, et al. Biochemical recurrence after radical prostatectomy for prevalent versus incident cases of prostate cancer. Cancer 2008;113(11):3146-3152. Taira A, et al. Natural history of clinically staged low- and intermediate risk prostate cancer treated with monotherapeutic permanent interstitial brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. Demanes J, et al. Excellent results from high dose rate brachytherapy and external beam for prostate cancer are not improved by Androgen deprivation. Amer J Clin Oncol 2009;32(4):342-347. Stone N, et al. Local control following permanent prostate brachytherapy: Effect of high biologically effective dose on biopsy results and oncologic outcomes. Int J Radiat Oncol Biol Phys 2010;76(2):355-360. Pickles T, et al. Brachytherapy or conformal external radiotherapy for prostate cancer: A single-istitution matched-pair analysis. Int J Radiat Oncol Biol Phys 2010;76(1):43-49. (Seeds) Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Protons) Zeitman A, et al. Randomized trial comparing conventional dose with high dose conformal radiation therapy in early-stage Adenocarcinoma of the prostate: Long term results from proton radiation oncology group/American College of Radiology 95-09. J Clin Oncol 2010;28(7):1106-1111. Menon M, et al. Biochemical recurrence following robot-assisted radical prostatectomy: Analysis of 1384 patients with a median 5-year follow-up. Eur Urol. 2010;58:838-46. Kane CJ, et al. Outcomes after radical prostatectomy among men who are candidates for active surveillance: Results from the SEARCH database urology. Urol 2010;76(3):695-700. Ellis R, et al. Ten year outcomes : The clinical utility of single photon emission computed tomography/computed tomography capromab pendetide (prostascint) in a cohort diagnosed with localized prostate cancer. Int J Radiat Oncol Biol Phys 2011; 81(1): 29-34. Epub date: 10-18-2010. Hinnen, K. et al. Long term biochemical and survival outcome of 921 patients treated with I-125 permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (Seeds) Zelefsky et al. Comparison of Tumor Control and toxicity Outcomes of IMRT and Brachytherapy for Patients with Favorable Risk PCa J Urology 2011; 77(4): 986-90. Epub date: 12-31-2010. (IMRT 81Gy) Burri, R. et al. Young Men Have Equivalent Biochemical outcomes Compared With Older Men After Treatment With Brachytherapy For Prostate Cancer. Int J Radiat Oncol Biol Phys 2010; 77(5):1315-1321. Jabbari S, et al. Equivalent biochemical control and improved prostate-specific antigen nadir after permanent prostate seed implant brachytherapy versus high-dose three-dimensional conformal radiotherapy and high-dose conformal proton beam radiotherapy boost. Int J Radiat Oncol Biol Phys 2010;76(1):36-42. (Seeds) 100. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (Seeds) 101. Kupelian P, Kuban D, Thames H, et al. Radical prostatectomy, external beam radiotherapy &amp;lt;72 Gy, external beam radiotherapy ≥72 Gy, permanent seed implantation, or combined seeds/external beam radiotherapy for stage T1-T2 prostate cancer. Int J Radiat Oncol Biol Phys 2004;58:(1):25-33. (EBRT) 102. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Brachy) 103. Coen, J et al. Comparison of High-Dose-Rate Proton Radiotherapy and Brachytherapy in Localized Prostate Cancer: A Case-Matched Analysis. Int J Radiat Oncol Biol Phys 2012;81(1):e25-e31. (Protons) 104. Sylvester, J, Grimm P et at Fifteen Year Biochemical RFS CSS, OS Following I-125 Prostate Brachytherapy in Clinically localized prostate cancer Int J Radiat Oncol Biol Phys 2011;81;376-81: 105. (Open) 106. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 107. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 108. Mullins, J et al. Radical prostatectomy outcome in men 65 years old or older with low risk prostate cancer. J Urol 2012;187(5):1620-25. 2nd Group References: Blasko J, et al. Palladium-103 brachytherapy for prostate carcinoma. Int J Radiat Oncol Biol Phys 2000;46(4):839-850. Demanes D, et al. High-Dose-Rate Intensity-Modulated Brachytherapy with External Beam Radiotherapy for Prostate Cancer: California Endocurietherapy;s 10-Year results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. Grimm P, et al. 10-year biochemical (prostate-specific antigen) control of prostate cancer with I-125 brachytherapy. Int J Radiat Oncol Biol Phys 2001;51(1):31-40. Hernandez D, et al. Contemporary evaluation of the D&amp;apos;Amico risk classification of prostate cancer. J Urol 2007; 70(5): 931-935. Kupelian P, et al.Improved Biochemical relapse-free survuval with increased external radiation doses in patients with localized prostate cancer: the combined experience of nine institutions in patients treated in 1994 and 1995. Int J Radiat Oncol Biol Phys 2005;61(2):415-419. Merrick G, et al. Impact of supplemental external beam radiotherapy and/or androgen deprivation therapy on biochemical outcome after permanent prostate brachytherapy. Int J Radiat Oncol Biol Phys 2005;61(1):132-43. Vora S, et al. Analysis of biochemical control and prognostic factors in patients treated with either low-dose three-dimensional conformal radiation therapy or high-dose intensity-modulated radiotherapy for localized prostate cancer. Int J Radiat Oncol Bio Phys 2007;68(4):1053-1058. Merrick G, et al. Brachytherapy inmen aged &amp;lt;54 years with clinically localized prostate cancer. BJU Int 2006;98:324-328. Bahn D, et al. Targeted cryoablation of the prostate: 7 year outcome in the primary treatment of prostate cancer. Urol 2002;60(Supp 2A):3-11. Phan T, et al. High dose rate brachytherapy as a boost for the treatment of localized prostate cancer. J Urol 2007;177:123-127. Cahlon O, et al. Ultra high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Biol Phys 2008;71(2):330-337. Sylvester J, et al. 15-Year biochemical relapse free survival in clinical stage T1-T3 prostate cancer following combined external beam radiotherapy and brachytherapy; Seattle experience. Int J Radiat Oncol Biol Phys 2007;67(1):57-64. Higgins G, et al. Outcome analysis of 300 prostate cancer patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy. Int J Radiat Oncol Biol Phys 2006;65(4):982-989. Kollmeier M, et al. Biochemical outcomes after prostate brachytherapy with 5-year minimal follow-up: importance of patient selection and implant quality. Int J Radiat Oncol Biol Phys 2003;57(3):645-653. Stone N, et al. Customized dose prescription for permanent prostate brachytherapy: Insights from a multicenter analysis of dosimetry outcomes. Int J Radiat Oncol Biol Phys 2007;69(5):1472-1477. Beyer D, et al. Relative influence of Gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. Ellis R, et al. Biochemical disease-free survival rates following definitive low-dose rate prostate brachytherapy with dose escalation to biologic target volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. Kwok Y, et al. Risk group stratification in patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Biol Phys 2002;53(3):588-594. Blana A, et al. Eight years’ experience with high-intensity focused ultrasonography for treatment of localized prostate cancer. J Urol 2008;72(6):1329-1333. Lawton, C et al. Long-term Results of a Phase II Trial of Ultrasound-Guided Radioactive Implantation of the Prostate for Definitive Management of Localized Adenocarcinoma of the Prostate (RTOG 98-05.) Int J Radiat Oncol Bio Phys 2011;81(1):1-7. Zelefsky M, et al. High dose radiation delivered by intensity modulated conformal radiotherapy improves the outcome of localized prostate cancer. J Urol 2001;166:876-881. (81Gy) Khuntia D, et al. Recurrence free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate-specific antigen era. Cancer 2004;100(6):1283-1292. Blana A, et al. First Analysis of the Long-Term results with Transrectal HIFU in Patients with Localised prostate Cancer. Eurr Urology 2008;53:1194-1203. Henry A, et al. Outcomes following Iodine-125 monotherapy for localized prostate cancer: the results of Leeds 10-year single-center brachytherapy experience. Int J Radiat Oncol Biol Phys 2010;76(1):50-56. Aizer A, et al. Radical prostatectomy vs. intensity-modulated radiation therapy in the management of localized prostate adenocarcinoma. Radiotherapy and Oncology 2009; 93:185-191. Gómez-Iturriaga Piña A, et al. Median 5 year Follow-up of I-125 Brachytherapy as Monotherapy in Men aged &amp;lt;55 Years with Favorable Prostate Cancer. J Urology 2010;75(6):1416-17. &amp; Gómez-Iturriaga Piña A, et al. Biochemical Disease-free rate toxicicty for Men treated with I-125 prostate Brachytherapy with D90&amp;gt; 180GY. Int J Radia Oncol Bio Phys 2010;78(2):422-427. Prada P, et al. Prostate-specific antigen relapse-free survival and side effects in 734 patients with up to 10 years of follow-up with localized prostate cancer treated by permanent Iodine-125 implants. BJU Int 2010;106(1):32-36. Rene N, et al. Hypofractionated radiotherapy for favorable risk prostate cancer. Int J Radiat Oncol Biol Phys 2010;77(3):805-810. Lawton C, et al. Results of a Phase II Trial of Transrectal Ultrasound-guided permanent radioactive implantation of the prostate for definitive management of localized adenocarcinoma of the prostate (radiation therapy oncology group 98-05). Int J Radiat Oncol Bio Phys 2007;67(1):39-47. Deger S, et al. High dose rate (HDR) brachytherapy with conformal radiation therapy for localized prostate cancer. Eurr Urology 2005;47(4):441-448. Colberg J, et al. Surgery versus implant for early prostate cancer: results from a single institution, 1992-2005. Cancer J 2007;13(4):229-232. (RP) Colberg J, et al. Surgery versus implant for early prostate cancer: results from a single institution, 1992-2005. Cancer J 2007;13(4):229-232. (Seeds) D’Amico A, et al. Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 2002;95(2):281-285. (RP) D’Amico A, et al. Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 2002;95(2):281-285. (EBRT) Block T, et al. Transperineal permanent seed implantation of “low-risk” prostate cancer. Strahlentherapie und Onkologie 2006;182:666-671. Battermann J, et al. Results of permanent prostate brachytherapy, 13 years of experience at a single institution. Radiotherapy &amp; Oncology 2004;71:23-28. Livsey J, et al. Hypofractionated conformal radiotherapy in carcinoma of the prostate: five-year outcome analysis. Int J Radiat Oncol Biol Phys 2003;57(5):1254-1259. Lederman G.S, et al. Retrospective stratification of a consecutive cohort of prostate cancer patients treated with a combined regimen of external-beam radiotherapy and brachytherapy. Int J Radiat Oncol Biol Phys 2001; 49(5):1297-1303. Kuban D, et al. Long-term results of the M.D. Anderson randomized dose-escalation trial for prostate cancer. Int J Radiat Oncol Biol Phys 2008;70(1):67-74. (78Gy) Berglund R, et al. Limited pelvic lymph node dissection at the time of radical prostatectomy does not affect 5-year failure rates for low, intermediate and high risk prostate cancer: results from CaPSURE. J Urology 2007;177:526-530. Khaksar S, et al. Interstitial low dose rate brachytherapy for prostate cancer- A focus on intermediate- and high-risk disease. Clinical Oncology 2006;18:513-518. Hull G, et al. Cancer control with radical prostatectomy alone in 1,000 consecutive patients. J Urology 2002;167:528-534. Sylvester J, et al. Ten-year biochemical relapse-free survival after external beam radiation and brachytherapy for localized prostate cancer: The Seattle experience. Int J Radiat Oncol Biol Phys 2003;57(4)944-952. Giberti C, et al. Radial retropubic prostatectomy versus brachytherapy for low-risk prostatic cancer: a prospective study. World J Urol 2009;27:607-612. (RP) Giberti C, et al. Radial retropubic prostatectomy versus brachytherapy for low-risk prostatic cancer: a prospective study. World J Urol 2009;27:607-612. (Seeds) Kupelian P, et al. Hypofractionated intersity-modulated radiotherapy (70 GY at 2.5GY per fraction) for localized prostate cancer: Cleveland clinic experience. Int J Radiat Oncol Biol Phys 2007;68(5):1424-1430. Kupelian P, et al. Comparison of the efficacy of local therapies for localized prostate cancer in the prostate-specific antigen era: A large scale single institution experience with radical prostatectomy and external-beam radiotherapy. J Clinical Oncology 2002;20(16):3376-3385. (RP) Kupelian P, et al. Comparison of the efficacy of local therapies for localized prostate cancer in the prostate-specific antigen era: A large scale single institution experience with radical prostatectomy and external-beam radiotherapy. J Clinical Oncology 2002;20(16):3376-3385. (EBRT) Peschel R, et al. Iodine 125 versus palladium 103 implants for prostate cancer: Clinical outcomes and complications. The Cancer Journal 2004;10(3):170-174. Crouzet S, et al. Multicentric Oncologic Outcomes of High Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. Misraї V, et al. Oncologic control provided by HIFU therapy as single treatment in men with localized prostate cancer. World J Urol 2008;26:481-485. Nobes JP, et al. Biochemical relapse-free survival in 400 patients treated with I-125 prostate brachytherapy: the Guildford experience. Prostate Cancer &amp; Prostatic Disease 2009;12:61-66. (Seeds) Nobes JP, et al. Biochemical relapse-free survival in 400 patients treated with I-125 prostate brachytherapy: the Guildford experience. Prostate Cancer &amp; Prostatic Disease 2009;12:61-66. (Seeds &amp; ADT) Shapiro E, et al. Long-Term outcomes in younger men following permanent prostate brachytherapy. J Urol 2009;181:1665-1671. (&amp;lt;60 yrs old) Shapiro E, et al. Long-Term outcomes in younger men following permanent prostate brachytherapy. J Urol 2009;181:1665-1671. (&amp;gt;60 yrs old) 96. Crook, J et al. 10-Year Experience with I-125 Prostate Brachytherapy at the Princess Margaret Hospital: Results for 1,100 Patients. Int J Radiat Oncol Bio Phys 2011;80(5):1323-29. 97. Goldner, G et al. Comparison of seed brachytherapy or external beam radiotherapy (70Gy or 74Gy) in 919 low-risk prostate cancer patients. Stathentherapie und Onkol 2012;4:305-10. (Brachy) 98. Goldner, G et al. Comparison of seed brachytherapy or external beam radiotherapy (70Gy or 74Gy) in 919 low-risk prostate cancer patients. Stathentherapie und Onkol 2012;4:305-10. (EBRT) 99.Lubbe, W et al. Biochemical and clinical experience with real-time intraoperatively planned permanent prostate brachytherapy. Brachytherapy 2012;11(3):209-13.
  5. 1st Group References: Bahn, D et al. Targeted Cryo-Ablation of the Prostate:7 yr Outcomes in Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 3Critz, F et al. 10-Year Disease Free Survival Rates after Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation and Methodology. J Urology 2004;172:2232-2238. 4Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal high Dose Brachytherapy Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 5Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (RP) 6Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (Seeds) 7Kupelian, P et al. Imporved biochemial Relapse-Free Survival With Increased External Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in patients in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 8Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Bio Phys 2003;57(4):915-928. 9 Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT) 10Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (RP) 11Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (Seeds) 12Martin, A et al. Permanent Prostate Implant Using High activity Seeds and Inverse Planning with Fast simulated annealing Algorithm: 12 Year Canadian Experience Int J Radiat Oncol Bio Phys 2007;67(2):334-341. 13Merrick G, et al. Androgen Deprivation Therapy Dose not Impact Cause Specific Overall Survival after Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-677. 14Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. J Urology 2005;66(5):1048-1053. 15Phan, T, et al. High Dose Rate Brachytherapy as a Boost for the Treatment of Localized Prostate Cancer. J Urology 2002;177:123-127. 16Burri, R et al. Young Men Have Equivalent Biochmical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer Int J Radiat Oncol Bio Phys 2010; 77(5): 1315-1321. 17Potters, L et al. 12 year Outcomes Following Permanent Prostate Brachytherapy in Patients with Clinically Localized Prostate Cancer J Urol 2005;173:1562-1566. 18Rossi, C et al. Conformal Proton Beam Radiation Therapy for Prostate Cancer: Concepts &amp; Clinical Results. Comm Oncol 2007;4:235-240. 19 Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (EBRT) 20Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Low int) 21Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Mid int) 22Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (High int) 23Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds) 24Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds &amp; EBRT) 25Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for Prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and Distant Metastases-free Survival Outcomes. Int J Oncol Bio Phys 2008;71(4):1028-1033. 26Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT &amp; Seeds) 27. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. 28Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-1419. 29Zelefsky, M et al. Multi Institutional Analysis of Long term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333 30. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 31. Lawton, C et al. Long-term results of an RTOG phase II trial (00-19) of external-beam radiation therapy combined with permanent source brachytherapy for intermediate-risk clinically localized adenocarcinoma of the prostate. Int J Radiat Oncol Bio Phys 2012;82(5):e795-e801. 32 Dattoli, M et al. Long-term Outcomes after Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients having Intermediate and High-risk Features. Cancer 2007;110(3):551-555. Moyad, M et al. Statins, Especially Atorvastatin, May Favorably Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; EBRT) Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; ADT) 36. Galalae, R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer: Is Escalation to Very High Biologically Equivalent Dose Beneficial in All Prognostic Risk Groups? Strahlenther Onkol 2006;182(3):135-141. 37. Taira, A et al. Natural History of Clinically Staged Low and Intermediate risk Prostate Cancer Treated with Monotherapeutic Permanent Interstitial Brachytherapy Int J Radiat Oncol Bio Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. 38. Demanes, J et al. Excellent Results from HDR Brachytherapy and EBRT for PCA are not Improved by Androgen deprivation Amer J Clin Oncology 2009;32(4):342-347. 39. Stone, N et al. Local Control Following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes Int J Radiat Oncol Bio Phys 2010;76(2):355-360. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Radiation and Brachytherapy J Oncology 2010; 2010(Art. Id 471375): 6 pages. Menon, M et al. Biochemical Recurrence Following Robot Assisted RP: Analysis of 1384 patients with a median 5 year Follow-up. Eur Urol 2010; 58:838-846. (Robot) Munro, N et al. ( Leeds) Outcomes for Gleason Score 7, intermediate risk Localized Prostate Cancer Treated with I-125 monotherapy over 10 years. Radiother Oncol 2010;96(1):34-37. Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (RP) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Proatate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (Seeds) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (EBRT) Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients treated with I-125 Permanent Prostate Brachytherapy. Int J Rad Oncol Biol Phys 2010;76(5):1433-1438. 47. (Open) 48. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 49. Herbert, C et al. Outcomes following inodine-125 brachytherapy in patients with gleason 7, intermediate risk prostate cancer: A population-based cohort study. Radiother Oncol 2012;103(2):228-32. 150. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 151.Cury, F et al. Single-fraction high-dose-rate brachytherapy and hypofractionated external beam radiation therapy in the treatment-risk prostate cancer- long term results. Int J Rad Oncol Biol Phys 2012;82(4):1417-23.
  6. 1st Group References: Bahn, D et al. Targeted Cryo-Ablation of the Prostate:7 yr Outcomes in Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 3Critz, F et al. 10-Year Disease Free Survival Rates after Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation and Methodology. J Urology 2004;172:2232-2238. 4Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal high Dose Brachytherapy Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 5Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (RP) 6Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (Seeds) 7Kupelian, P et al. Imporved biochemial Relapse-Free Survival With Increased External Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in patients in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 8Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Bio Phys 2003;57(4):915-928. 9 Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT) 10Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (RP) 11Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (Seeds) 12Martin, A et al. Permanent Prostate Implant Using High activity Seeds and Inverse Planning with Fast simulated annealing Algorithm: 12 Year Canadian Experience Int J Radiat Oncol Bio Phys 2007;67(2):334-341. 13Merrick G, et al. Androgen Deprivation Therapy Dose not Impact Cause Specific Overall Survival after Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-677. 14Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. J Urology 2005;66(5):1048-1053. 15Phan, T, et al. High Dose Rate Brachytherapy as a Boost for the Treatment of Localized Prostate Cancer. J Urology 2002;177:123-127. 16Burri, R et al. Young Men Have Equivalent Biochmical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer Int J Radiat Oncol Bio Phys 2010; 77(5): 1315-1321. 17Potters, L et al. 12 year Outcomes Following Permanent Prostate Brachytherapy in Patients with Clinically Localized Prostate Cancer J Urol 2005;173:1562-1566. 18Rossi, C et al. Conformal Proton Beam Radiation Therapy for Prostate Cancer: Concepts &amp; Clinical Results. Comm Oncol 2007;4:235-240. 19 Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (EBRT) 20Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Low int) 21Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Mid int) 22Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (High int) 23Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds) 24Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds &amp; EBRT) 25Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for Prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and Distant Metastases-free Survival Outcomes. Int J Oncol Bio Phys 2008;71(4):1028-1033. 26Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT &amp; Seeds) 27. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. 28Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-1419. 29Zelefsky, M et al. Multi Institutional Analysis of Long term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333 30. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360.) 31. Lawton, C et al. Long-term results of an RTOG phase II trial (00-19) of external-beam radiation therapy combined with permanent source brachytherapy for intermediate-risk clinically localized adenocarcinoma of the prostate. Int J Radiat Oncol Bio Phys 2012;82(5):e795-e801. 32 Dattoli, M et al. Long-term Outcomes after Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients having Intermediate and High-risk Features. Cancer 2007;110(3):551-555. Moyad, M et al. Statins, Especially Atorvastatin, May Favorably Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; EBRT) Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; ADT) 36. Galalae, R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer: Is Escalation to Very High Biologically Equivalent Dose Beneficial in All Prognostic Risk Groups? Strahlenther Onkol 2006;182(3):135-141. 37. Taira, A et al. Natural History of Clinically Staged Low and Intermediate risk Prostate Cancer Treated with Monotherapeutic Permanent Interstitial Brachytherapy Int J Radiat Oncol Bio Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. 38. Demanes, J et al. Excellent Results from HDR Brachytherapy and EBRT for PCA are not Improved by Androgen deprivation Amer J Clin Oncology 2009;32(4):342-347. 39. Stone, N et al. Local Control Following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes Int J Radiat Oncol Bio Phys 2010;76(2):355-360. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Radiation and Brachytherapy J Oncology 2010; 2010(Art. Id 471375): 6 pages. Menon, M et al. Biochemical Recurrence Following Robot Assisted RP: Analysis of 1384 patients with a median 5 year Follow-up. Eur Urol 2010; 58:838-846. (Robot) Munro, N et al. ( Leeds) Outcomes for Gleason Score 7, intermediate risk Localized Prostate Cancer Treated with I-125 monotherapy over 10 years. Radiother Oncol 2010;96(1):34-37. Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (RP) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Proatate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (Seeds) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (EBRT) Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients treated with I-125 Permanent Prostate Brachytherapy. Int J Rad Onc Biol Phys 2010;76(5):1433-1438. 47. (Open) 48. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 49. Herbert, C et al. Outcomes following inodine-125 brachytherapy in patients with gleason 7, intermediate risk prostate cancer: A population-based cohort study. Radiother Oncol 2012;103(2):228-32. 150. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 151. Cury, F et al. Single-fraction high-dose-rate brachytherapy and hypofractionated external beam radiation therapy in the treatment-risk prostate cancer- long term results. Int J Rad Oncol Biol Phys 2012;82(4):1417-23.
  7. 1st Group References: Bahn, D et al. Targeted Cryo-Ablation of the Prostate:7 yr Outcomes in Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 3Critz, F et al. 10-Year Disease Free Survival Rates after Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation and Methodology. J Urology 2004;172:2232-2238. 4Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal high Dose Brachytherapy Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 5Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (RP) 6Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (Seeds) 7Kupelian, P et al. Imporved biochemial Relapse-Free Survival With Increased External Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in patients in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 8Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Bio Phys 2003;57(4):915-928. 9 Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT) 10Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (RP) 11Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (Seeds) 12Martin, A et al. Permanent Prostate Implant Using High activity Seeds and Inverse Planning with Fast simulated annealing Algorithm: 12 Year Canadian Experience Int J Radiat Oncol Bio Phys 2007;67(2):334-341. 13Merrick G, et al. Androgen Deprivation Therapy Dose not Impact Cause Specific Overall Survival after Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-677. 14Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. J Urology 2005;66(5):1048-1053. 15Phan, T, et al. High Dose Rate Brachytherapy as a Boost for the Treatment of Localized Prostate Cancer. J Urology 2002;177:123-127. 16Burri, R et al. Young Men Have Equivalent Biochmical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer Int J Radiat Oncol Bio Phys 2010; 77(5): 1315-1321. 17Potters, L et al. 12 year Outcomes Following Permanent Prostate Brachytherapy in Patients with Clinically Localized Prostate Cancer J Urol 2005;173:1562-1566. 18Rossi, C et al. Conformal Proton Beam Radiation Therapy for Prostate Cancer: Concepts &amp; Clinical Results. Comm Oncol 2007;4:235-240. 19 Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (EBRT) 20Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Low int) 21Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Mid int) 22Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (High int) 23Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds) 24Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds &amp; EBRT) 25Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for Prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and Distant Metastases-free Survival Outcomes. Int J Oncol Bio Phys 2008;71(4):1028-1033. 26Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT &amp; Seeds) 27Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500.) 28Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-1419. 29Zelefsky, M et al. Multi Institutional Analysis of Long term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333 30Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360.) 31. Lawton, C et al. Long-term results of an RTOG phase II trial (00-19) of external-beam radiation therapy combined with permanent source brachytherapy for intermediate-risk clinically localized adenocarcinoma of the prostate. Int J Radiat Oncol Bio Phys 2012;82(5):e795-e801. 32 Dattoli, M et al. Long-term Outcomes after Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients having Intermediate and High-risk Features. Cancer 2007;110(3):551-555. Moyad, M et al. Statins, Especially Atorvastatin, May Favorably Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; EBRT) Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; ADT) 36. Galalae, R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer: Is Escalation to Very High Biologically Equivalent Dose Beneficial in All Prognostic Risk Groups? Strahlenther Onkol 2006;182(3):135-141. 37. Taira, A et al. Natural History of Clinically Staged Low and Intermediate risk Prostate Cancer Treated with Monotherapeutic Permanent Interstitial Brachytherapy Int J Radiat Oncol Bio Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. 38. Demanes, J et al. Excellent Results from HDR Brachytherapy and EBRT for PCA are not Improved by Androgen deprivation Amer J Clin Oncology 2009;32(4):342-347. 39. Stone, N et al. Local Control Following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes Int J Radiat Oncol Bio Phys 2010;76(2):355-360. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Radiation and Brachytherapy J Oncology 2010; 2010(Art. Id 471375): 6 pages. Menon, M et al. Biochemical Recurrence Following Robot Assisted RP: Analysis of 1384 patients with a median 5 year Follow-up. Eur Urol 2010; 58:838-846. (Robot) Munro, N et al. ( Leeds) Outcomes for Gleason Score 7, intermediate risk Localized Prostate Cancer Treated with I-125 monotherapy over 10 years. Radiother Oncol 2010;96(1):34-37. Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (RP) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Proatate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (Seeds) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (EBRT) Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 47. (Open) 48. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 49. Herbert, C et al. Outcomes following inodine-125 brachytherapy in patients with gleason 7, intermediate risk prostate cancer: A population-based cohort study. Radiother Oncol 2012;103(2):228-32. 150. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 151. Cury, F et al. Single-fraction high-dose-rate brachytherapy and hypofractionated external beam radiation therapy in the treatment-risk prostate cancer- long term results. Int J Rad Oncol Biol Phys 2012;82(4):1417-23. 2nd Group References: 50.Hernandez D, et al. Contemporary Evaluation of the D&amp;apos;Amico Risk Classification of Prostate Cancer. Urology 2007;70(5):931-935. 51.Koontz B, et al. Morbidity and prostate-specific antigen control of external beam radiation therapy plus low-dose-rate brachytherapy boost for low, intermediate, and high-risk prostate cancer. Brachytherapy 2009;8:191-196. 52.Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000:47(1):129-136. (RP) 53.Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000:47(1):129-136. (Seeds) 54.Merrick G, et al. Brachytherapy in Men aged &amp;lt;54 years with clinically localized prostate cancer. BJU Int 2006;98:324-328. 55.Merrick G, et al. Impact of Supplemental External beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After permanent Prostate Brachytherapy. Int J Oncol Bio Phys, 2005;61(1):32-43. (seeds) 56.Merrick G, et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Oncol Bio Phys, 2005;61(1):32-43. (seeds &amp; EBRT) 57.Nobes J, et al. Biochemical Relapse-Free Survival in 400 Patients Treated with I-125 Prostate Brachytherapy: the Guildford Experience. Prostate cancer &amp; Prostatic Disease 2009;12:61-66. 58.Demanes D, et al. High-Dose-Rate Intensity-Modulated Brachytherapy with external beam radiotherapy for prostate cancer: California Endocurietherapy’s 10-Year results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. 59.Yamada Y, et al. Favorable clinical outcomes of three-dimensional computer-optimized high-dose-rate prostate brachytherapy in the management of localized prostate cancer. Brachytherapy 2006;5:157-164. 60.Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Comm Oncol 2007;4(4):235-240. 61.(Open) 62.Yassa M, et al. Combined hypofractionated radiation and hormone therapy for the treatment of intermediate-risk prostate cancer. Int J Radiat Oncol Bio Phys 2008;71(1):58-63. 63.Cahlon O, et al . Ultra-high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Bio Phys 2008;71(2):330-337. 64.Sylvester J, et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy; Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 65.Cohen J, et al. Ten-Year Biochemical Disease Control for patients with Prostate Cancer Treated with Cyrosurgery as Primary Therapy. J Urol 2008;71(3):515-518. 66.Bachand F, et al. An Eight-Year Experience of HDR Brachytherapy Boost for Localized Prostate cancer: Biopsy and PSA outcome. Int J Radiat Oncol Bio Phys 2009;73(3):679-684. 67.Beyer D, et al. Relative influence of Gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. 68.Ellis R, et al. Biochemical Disease-free Survival rates following Definitive Low-Dose-Rate Prostate Brachytherapy with Dose Escalation to Biologic Target Volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. 69.Kuban D, et al. Long term results of the MD Anderson randomized dose escalation trial for prostate cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 70.Blana A, et al. Eight Years’ Experience with High-Intensity Focused Ultrasonography for Treatment of localized prostate cancer. J Urol 2008;72(6):1329-1333. 71.Grimm P, et al. 10-Year Biochemical (Prostate-specific antigen) control of prostate cancer with I-125 Brachytherapy. Int J Radiat Oncol Bio Phys 2001;51(1):31-40. 72.Shapiro E, et al. Long-Term Outcomes in Younger Men Following Permanent Prostate Brachytherapy. J Urology 2009;181:1665-1671. (Seeds &amp;lt;60yr old) 73.Shapiro E, et al. Long-Term Outcomes in Younger Men Following Permanent Prostate Brachytherapy. J Urology 2009;181:1665-1671. (Seeds &amp;gt;60yr old) 74.Zietman A, et al. Comparison of Conventional-Dose vs High-Dose Conformal Radiation Therapy in Clincially Localized Prostate Cancer. JAMA 2005;294(10):1233-1239. &amp; CORRECTION JAMA 2008;299(8):899-900. 75.Kwok Y, et al. Risk Group Stratification in Patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Bio Phys 2002;53(3):588-594. 76.Zelefsky M, et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75-81 Gy ) 77.Khunita D, et al. Recurrence-free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate specific antigen era. Cancer 2004;100(6):1283-1292. 78.Vora S, et al. Analysis of biochemical control and prognostic factors in patients treated with either low-dose three-dimensional conformal radiation therapy or high-dose intensity-modulated radiotherapy for localized prostate cancer. Int J Radiat Oncol Bio Phys 2007;68(4):1053-1058. 79.Stone N, et al. Customized Dose prescription for Permanent Prostate Brachytherapy : Insights from Multicenter Analysis of Dosimetry Outcomes. Int J Radiat Oncol Bio Phys 2007;69(5):1472-1477. (High dose: &amp;gt;200Gy) 80.Misrai V, et al. Oncologic Control provided by HIFU therapy as single treament with clinically localized prostate cancer. World J Urol 2008;26:481-485. 81.Henry, A, et al. Outcomes Following Iodine-125 Monotherapy for localized Prostate Cancer: The Results of Leeds 10-year single-center brachytherapy experience. Int. J. Radiat Oncol Bio Phys 2010;76(1):50-56. 82.Aizer A, et al. Radical Prostatectomy vs. Intensity-Modulated Radiation Therapy in the Management of Localized Prostate Cancer. Radiotherapy and Oncology 2009;93:185-191. 83.Prada P, et al. Prostate-Specific Antigen Relapse-Free Survival and Side-Effects in 734 Patients with up to 10 years of Follow-up with Localized Prostate Cancer Treated by permanent 125-Iodine Implants. BJU Int 2010;106(1):32-36. 84.Vassil A, et al. Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after Radical Prostatectomy, External Beam Radiation Therapy, or Permanent Seed Implantation. Urology 2010;76(5):1251-1257. (Robot) 85.Deger S, et al. High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urol 2005;47:441-448. 86.D’Amico A, et al. Biochemical Outcome after Radical Prostatectomy or External Beam Radiation Therapy for Patients with Clinically Localized Prostate Carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-285. (low vol- RP) 87.D’Amico A, et al. Biochemical Outcome after Radical Prostatectomy or External Beam Radiation Therapy for Patients with Clinically Localized Prostate Carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-285. (low vol- EBRT) 88.Battermann J, et al. Results of Permanent Prostate Brachytherapy, 13 years of experience at a Single Institution. Radiotherapy &amp; Oncol 2004;71:23-28. 89.Livsey J, et al. Hypofractionated Conformal Radiotherapy In Carcinoma of the Prostate: five-year outcome analysis. Int J Radiat Oncol Bio Phys 2003;57(5):1254-1259. 90.Lederman G, et al. Retrospective Stratification of a Consecutive Cohort of Prostate Cancer Patients Treated with a Combined Regimen of External-beam Radiotherapy and Brachytherapy. Int J Radiat Oncol Bio Phys 2001;49(5):1297-1303. 91.Kollmeier M, et al. Biochemical Outcomes after Prostate brachytherapy with 5-year minimal follow-up: importance of patient selection and implant quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 92.Khaksar S, et al. Interstitial Low Dose Rate Brachytherapy for Prostate Cancer- A Focus on Intermediate &amp; High Risk Disease. Clinical Oncol 2006;18:513-518. 93.Hull G, et al. Cancer Control with Radical Prostatectomy alone in 1000 Consecutive Patients. J Urol 2002;167:528-534. 94.Higgins G, et al. Outcome Analysis of 300 Prostate Cancer Patients Treated With Neoadjuvant Androgen Deprivation &amp; Hypofractionated Radiotherapy. Int J Radiat Oncol Bio Phys 2006;65(4):982-989. 95.Sylvester J, et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. 96.Zelefsky M, et al. Five-Year Outcome of Intraoperative Conformal Permanent I-125 Interstitial Implantation for Patients With Clinically Localized Prostate Cancer. Int J Oncol Bio Phys 2007;67(1):65-70. 97.Blasko J, et al. Palladium-103 Brachytherapy for Prostate Carcinoma. Int J Radiat Oncol Biol Phys 2000;46(4):839-850. Stock, R, et al. Impact of Hormonal Therapy on Intermediate Risk Prostate Cancer Treated with Combination Brachytherapy and External Beam Irradiation. J Urol 2010;183:546-551. 99.Kupelian P, et al. Hypofractionated Intensity-Modulated Radiotherapy (70Gy at 2.5Gy per fraction) for Localized Prostate Cancer: Cleveland Clinic Experience. Int J Radiat Oncol Bio Phys 2007;68(5):1424-1430. 100.Tang J, et al. A prospective dose Escalation Trial of High-dose-rate Brachyhteapy Boost for Prostate Cancer: Evidence of hypofractionation efficacy? Brachytherapy 2006;5:256-261. 101.Crouzet S, et al. Multicentric Oncologic Outcomes of High-Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. 102.Colberg J, et al. Surgery versus Implant for early Prostate Cancer: Results from a Single Institution, 1992-2005. Cancer 2007;13(4):229-232. (RP) 103.Colberg J, et al. Surgery versus Implant for early Prostate Cancer: Results from a Single Institution, 1992-2005. Cancer 2007;13(4):229-232. (Seeds) 104. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. (HDR) 105. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. (IMRT) 106. Goldner, G et al. Comparison between external beam radiotherapy (70Gy/74Gy) and permanent interstitial brachytherapy in 890 intermediate risk prostate cancer patients. Radiother Oncol 2012;103(2):223-27. (EBRT) 107. Goldner, G et al. Comparison between external beam radiotherapy (70Gy/74Gy) and permanent interstitial brachytherapy in 890 intermediate risk prostate cancer patients. Radiother Oncol 2012;103(2):223-27. (Seeds) 108. Edelman, S et al. High-dose radiotherapy with or without androgen deprivation therapy for intermediate-risk prostate cancer: cancer control and toxicity. Int J Radiat Oncol Bio Phys 2012;83(5):1473-79. (EBRT alone) 109. Edelman, S et al. High-dose radiotherapy with or without androgen deprivation therapy for intermediate-risk prostate cancer: cancer control and toxicity. Int J Radiat Oncol Bio Phys 2012;83(5):1473-79. (EBRT &amp; ADT)
  8. 1st Group References: Bahn, D et al. Targeted Cryo-Ablation of the Prostate:7 yr Outcomes in Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 3Critz, F et al. 10-Year Disease Free Survival Rates after Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation and Methodology. J Urology 2004;172:2232-2238. 4Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal high Dose Brachytherapy Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 5Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (RP) 6Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (Seeds) 7Kupelian, P et al. Imporved biochemial Relapse-Free Survival With Increased External Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in patients in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 8Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Bio Phys 2003;57(4):915-928. 9 Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT) 10Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (RP) 11Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (Seeds) 12Martin, A et al. Permanent Prostate Implant Using High activity Seeds and Inverse Planning with Fast simulated annealing Algorithm: 12 Year Canadian Experience Int J Radiat Oncol Bio Phys 2007;67(2):334-341. 13Merrick G, et al. Androgen Deprivation Therapy Dose not Impact Cause Specific Overall Survival after Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-677. 14Merrick G, et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. J Urology 2005;66(5):1048-1053. 15Phan, T, et al. High Dose Rate Brachytherapy as a Boost for the Treatment of Localized Prostate Cancer. J Urology 2002;177:123-127. 16Burri, R et al. Young Men Have Equivalent Biochmical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer Int J Radiat Oncol Bio Phys 2010; 77(5): 1315-1321. 17Potters, L et al. 12 year Outcomes Following Permanent Prostate Brachytherapy in Patients with Clinically Localized Prostate Cancer J Urol 2005;173:1562-1566. 18Rossi, C et al. Conformal Proton Beam Radiation Therapy for Prostate Cancer: Concepts &amp; Clinical Results. Comm Oncol 2007;4:235-240. 19 Klein E, et al. Outcomes for Intermediate Risk Prostate Cancer: Are There Advantage For Surgery, External Beam, or Brachytherapy. Urologic Oncology 2009;27(1):67-71. (EBRT) 20Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Low int) 21Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (Mid int) 22Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups Int J Radiat Oncol Bio Phys 2006;65(4):975-981 (High int) 23Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds) 24Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008; 72(2): 433-440. (Seeds &amp; EBRT) 25Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for Prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and Distant Metastases-free Survival Outcomes. Int J Oncol Bio Phys 2008;71(4):1028-1033. 26Kupelian, P et al. Radical Prostatectomy, External Beam Radiotherapy &amp;lt;72 Gy, External Beam Radiotherapy ≥72 Gy, Permanent Seed Implantation, or Combined Seeds/External Beam Radiotherapy for Stage T1-T2 Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(1):25-33. (EBRT &amp; Seeds) 27Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500. 28Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-1419. 29Zelefsky, M et al. Multi Institutional Analysis of Long term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Biol Phys 2007;67(2):327-333 30Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 31. Lawton, C et al. Long-term results of an RTOG phase II trial (00-19) of external-beam radiation therapy combined with permanent source brachytherapy for intermediate-risk clinically localized adenocarcinoma of the prostate. Int J Radiat Oncol Bio Phys 2012;82(5):e795-e801. 32 Dattoli, M et al. Long-term Outcomes after Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients having Intermediate and High-risk Features. Cancer 2007;110(3):551-555. Moyad, M et al. Statins, Especially Atorvastatin, May Favorably Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; EBRT) Ho, A et al. Radiation Dose Predicts for Biochemical Control in Intermediate-Risk Prostate Cancer Patients Treated with Low-dose-rate Brachytherapy. Int J Radiat Oncol Biol Phys 2009;75(1):16-22. (Seeds &amp; ADT) 36. Galalae, R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer: Is Escalation to Very High Biologically Equivalent Dose Beneficial in All Prognostic Risk Groups? Strahlenther Onkol 2006;182(3):135-141. 37. Taira, A et al. Natural History of Clinically Staged Low and Intermediate risk Prostate Cancer Treated with Monotherapeutic Permanent Interstitial Brachytherapy Int J Radiat Oncol Bio Phys 2010;76(2):349-354. Update Paper: Taira, A et al. Long-Term Outcomes for Clinically Licalized Prostate Cancer Treated with Permanene Interstitial Brachytherapy. Int J Radiat Oncol Bio Phys, 2011;79(5):1336-42. 38. Demanes, J et al. Excellent Results from HDR Brachytherapy and EBRT for PCA are not Improved by Androgen deprivation Amer J Clin Oncology 2009;32(4):342-347. 39. Stone, N et al. Local Control Following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes Int J Radiat Oncol Bio Phys 2010;76(2):355-360. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Radiation and Brachytherapy J Oncology 2010; 2010(Art. Id 471375): 6 pages. Menon, M et al. Biochemical Recurrence Following Robot Assisted RP: Analysis of 1384 patients with a median 5 year Follow-up. Eur Urol 2010; 58:838-846. (Robot) Munro, N et al. ( Leeds) Outcomes for Gleason Score 7, intermediate risk Localized Prostate Cancer Treated with I-125 monotherapy over 10 years. Radiother Oncol 2010;96(1):34-37. Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (RP) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Proatate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (Seeds) Vassil, A et al. ( Cleveland Clinic) Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after RP, EBRT, or Permanent Seed Implantation Urology 2010;76(5):1251-1257 (EBRT) Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 47. (Open) 48. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 49. Herbert, C et al. Outcomes following inodine-125 brachytherapy in patients with gleason 7, intermediate risk prostate cancer: A population-based cohort study. Radiother Oncol 2012;103(2):228-32. 150. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 151 Cury, F et al. Single-fraction high-dose-rate brachytherapy and hypofractionated external beam radiation therapy in the treatment-risk prostate cancer- long term results. Int J Rad Oncol Biol Phys 2012;82(4):1417-23. 2nd Group References: 50.Hernandez D, et al. Contemporary Evaluation of the D&amp;apos;Amico Risk Classification of Prostate Cancer. Urology 2007;70(5):931-935. 51.Koontz B, et al. Morbidity and prostate-specific antigen control of external beam radiation therapy plus low-dose-rate brachytherapy boost for low, intermediate, and high-risk prostate cancer. Brachytherapy 2009;8:191-196. 52.Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000:47(1):129-136. (RP) 53.Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000:47(1):129-136. (Seeds) 54.Merrick G, et al. Brachytherapy in Men aged &amp;lt;54 years with clinically localized prostate cancer. BJU Int 2006;98:324-328. 55.Merrick G, et al. Impact of Supplemental External beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After permanent Prostate Brachytherapy. Int J Oncol Bio Phys, 2005;61(1):32-43. (seeds) 56.Merrick G, et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Oncol Bio Phys, 2005;61(1):32-43. (seeds &amp; EBRT) 57.Nobes J, et al. Biochemical Relapse-Free Survival in 400 Patients Treated with I-125 Prostate Brachytherapy: the Guildford Experience. Prostate cancer &amp; Prostatic Disease 2009;12:61-66. 58.Demanes D, et al. High-Dose-Rate Intensity-Modulated Brachytherapy with external beam radiotherapy for prostate cancer: California Endocurietherapy’s 10-Year results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. 59.Yamada Y, et al. Favorable clinical outcomes of three-dimensional computer-optimized high-dose-rate prostate brachytherapy in the management of localized prostate cancer. Brachytherapy 2006;5:157-164. 60.Rossi C, et al. Conformal proton beam radiation therapy for prostate cancer: concepts and clinical results. Comm Oncol 2007;4(4):235-240. 61.(Open) 62.Yassa M, et al. Combined hypofractionated radiation and hormone therapy for the treatment of intermediate-risk prostate cancer. Int J Radiat Oncol Bio Phys 2008;71(1):58-63. 63.Cahlon O, et al . Ultra-high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Bio Phys 2008;71(2):330-337. 64.Sylvester J, et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy; Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 65.Cohen J, et al. Ten-Year Biochemical Disease Control for patients with Prostate Cancer Treated with Cyrosurgery as Primary Therapy. J Urol 2008;71(3):515-518. 66.Bachand F, et al. An Eight-Year Experience of HDR Brachytherapy Boost for Localized Prostate cancer: Biopsy and PSA outcome. Int J Radiat Oncol Bio Phys 2009;73(3):679-684. 67.Beyer D, et al. Relative influence of Gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. 68.Ellis R, et al. Biochemical Disease-free Survival rates following Definitive Low-Dose-Rate Prostate Brachytherapy with Dose Escalation to Biologic Target Volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. 69.Kuban D, et al. Long term results of the MD Anderson randomized dose escalation trial for prostate cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 70.Blana A, et al. Eight Years’ Experience with High-Intensity Focused Ultrasonography for Treatment of localized prostate cancer. J Urol 2008;72(6):1329-1333. 71.Grimm P, et al. 10-Year Biochemical (Prostate-specific antigen) control of prostate cancer with I-125 Brachytherapy. Int J Radiat Oncol Bio Phys 2001;51(1):31-40. 72.Shapiro E, et al. Long-Term Outcomes in Younger Men Following Permanent Prostate Brachytherapy. J Urology 2009;181:1665-1671. (Seeds &amp;lt;60yr old) 73.Shapiro E, et al. Long-Term Outcomes in Younger Men Following Permanent Prostate Brachytherapy. J Urology 2009;181:1665-1671. (Seeds &amp;gt;60yr old) 74.Zietman A, et al. Comparison of Conventional-Dose vs High-Dose Conformal Radiation Therapy in Clincially Localized Prostate Cancer. JAMA 2005;294(10):1233-1239. &amp; CORRECTION JAMA 2008;299(8):899-900. 75.Kwok Y, et al. Risk Group Stratification in Patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Bio Phys 2002;53(3):588-594. 76.Zelefsky M, et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75-81 Gy ) 77.Khunita D, et al. Recurrence-free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate specific antigen era. Cancer 2004;100(6):1283-1292. 78.Vora S, et al. Analysis of biochemical control and prognostic factors in patients treated with either low-dose three-dimensional conformal radiation therapy or high-dose intensity-modulated radiotherapy for localized prostate cancer. Int J Radiat Oncol Bio Phys 2007;68(4):1053-1058. 79.Stone N, et al. Customized Dose prescription for Permanent Prostate Brachytherapy : Insights from Multicenter Analysis of Dosimetry Outcomes. Int J Radiat Oncol Bio Phys 2007;69(5):1472-1477. (High dose: &amp;gt;200Gy) 80.Misrai V, et al. Oncologic Control provided by HIFU therapy as single treament with clinically localized prostate cancer. World J Urol 2008;26:481-485. 81.Henry, A, et al. Outcomes Following Iodine-125 Monotherapy for localized Prostate Cancer: The Results of Leeds 10-year single-center brachytherapy experience. Int. J. Radiat Oncol Bio Phys 2010;76(1):50-56. 82.Aizer A, et al. Radical Prostatectomy vs. Intensity-Modulated Radiation Therapy in the Management of Localized Prostate Cancer. Radiotherapy and Oncology 2009;93:185-191. 83.Prada P, et al. Prostate-Specific Antigen Relapse-Free Survival and Side-Effects in 734 Patients with up to 10 years of Follow-up with Localized Prostate Cancer Treated by permanent 125-Iodine Implants. BJU Int 2010;106(1):32-36. 84.Vassil A, et al. Five Year Biochemical recurrence Free Survival for Intermediate Risk Prostate Cancer after Radical Prostatectomy, External Beam Radiation Therapy, or Permanent Seed Implantation. Urology 2010;76(5):1251-1257. (Robot) 85.Deger S, et al. High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urol 2005;47:441-448. 86.D’Amico A, et al. Biochemical Outcome after Radical Prostatectomy or External Beam Radiation Therapy for Patients with Clinically Localized Prostate Carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-285. (low vol- RP) 87.D’Amico A, et al. Biochemical Outcome after Radical Prostatectomy or External Beam Radiation Therapy for Patients with Clinically Localized Prostate Carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-285. (low vol- EBRT) 88.Battermann J, et al. Results of Permanent Prostate Brachytherapy, 13 years of experience at a Single Institution. Radiotherapy &amp; Oncol 2004;71:23-28. 89.Livsey J, et al. Hypofractionated Conformal Radiotherapy In Carcinoma of the Prostate: five-year outcome analysis. Int J Radiat Oncol Bio Phys 2003;57(5):1254-1259. 90.Lederman G, et al. Retrospective Stratification of a Consecutive Cohort of Prostate Cancer Patients Treated with a Combined Regimen of External-beam Radiotherapy and Brachytherapy. Int J Radiat Oncol Bio Phys 2001;49(5):1297-1303. 91.Kollmeier M, et al. Biochemical Outcomes after Prostate brachytherapy with 5-year minimal follow-up: importance of patient selection and implant quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 92.Khaksar S, et al. Interstitial Low Dose Rate Brachytherapy for Prostate Cancer- A Focus on Intermediate &amp; High Risk Disease. Clinical Oncol 2006;18:513-518. 93.Hull G, et al. Cancer Control with Radical Prostatectomy alone in 1000 Consecutive Patients. J Urol 2002;167:528-534. 94.Higgins G, et al. Outcome Analysis of 300 Prostate Cancer Patients Treated With Neoadjuvant Androgen Deprivation &amp; Hypofractionated Radiotherapy. Int J Radiat Oncol Bio Phys 2006;65(4):982-989. 95.Sylvester J, et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. 96.Zelefsky M, et al. Five-Year Outcome of Intraoperative Conformal Permanent I-125 Interstitial Implantation for Patients With Clinically Localized Prostate Cancer. Int J Oncol Bio Phys 2007;67(1):65-70. 97.Blasko J, et al. Palladium-103 Brachytherapy for Prostate Carcinoma. Int J Radiat Oncol Biol Phys 2000;46(4):839-850. Stock, R, et al. Impact of Hormonal Therapy on Intermediate Risk Prostate Cancer Treated with Combination Brachytherapy and External Beam Irradiation. J Urol 2010;183:546-551. 99.Kupelian P, et al. Hypofractionated Intensity-Modulated Radiotherapy (70Gy at 2.5Gy per fraction) for Localized Prostate Cancer: Cleveland Clinic Experience. Int J Radiat Oncol Bio Phys 2007;68(5):1424-1430. 100.Tang J, et al. A prospective dose Escalation Trial of High-dose-rate Brachyhteapy Boost for Prostate Cancer: Evidence of hypofractionation efficacy? Brachytherapy 2006;5:256-261. 101.Crouzet S, et al. Multicentric Oncologic Outcomes of High-Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. 102.Colberg J, et al. Surgery versus Implant for early Prostate Cancer: Results from a Single Institution, 1992-2005. Cancer 2007;13(4):229-232. (RP) 103.Colberg J, et al. Surgery versus Implant for early Prostate Cancer: Results from a Single Institution, 1992-2005. Cancer 2007;13(4):229-232. (Seeds) 104. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. (HDR) 105. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. (IMRT) 106. Goldner, G et al. Comparison between external beam radiotherapy (70Gy/74Gy) and permanent interstitial brachytherapy in 890 intermediate risk prostate cancer patients. Radiother Oncol 2012;103(2):223-27. (EBRT) 107. Goldner, G et al. Comparison between external beam radiotherapy (70Gy/74Gy) and permanent interstitial brachytherapy in 890 intermediate risk prostate cancer patients. Radiother Oncol 2012;103(2):223-27. (Seeds) 108. Edelman, S et al. High-dose radiotherapy with or without androgen deprivation therapy for intermediate-risk prostate cancer: cancer control and toxicity. Int J Radiat Oncol Bio Phys 2012;83(5):1473-79. (EBRT alone) 109. Edelman, S et al. High-dose radiotherapy with or without androgen deprivation therapy for intermediate-risk prostate cancer: cancer control and toxicity. Int J Radiat Oncol Bio Phys 2012;83(5):1473-79. (EBRT &amp; ADT)
  9. 1st Group References: 1. Bahn, D et al. Targeted Cryoablation of the Prostate:7-year Outcomes in the Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. 2. Burri, R et al. Young Men have Equivalent Biochemical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer. Int J Radiat Oncol Bio Phys 2010;77(5):1315-21. 3. Ploussard, G et al. Radical Prostatectomy of High-Risk Prostate Cancer Defined by Preoperative criteria: Oncologic Follow-up in National Multicenter Study in 813 Patients and Assessment of Easy-to-use Prognostic Substratification. Urol 2011;78(3):607-13 4. Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008;72(2):433-440. 5. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 6. Carver, B et al. Long Term Outcome following Radical Prostatectomy in Men with Clinical T3 Prostate Cancer. J Urology 2006;176:564-568. 7. Cohen, J et al. Ten-Year Biochemical Disease Control in Patients with Prostate Cancer Treated with Cryosurgery as Primary Therapy. Urology 2008;71(3):515-518. 8. Critz, Fet al. 10-year Disease Survival Rates After Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation Methodology. J Urology 2004;172:2232-2238. 9. Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal High-Dose-Rate Brachytherapy (HDR-BT) Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 10. Kollmeier, M et al. Biochemical Outcomes After Prostate Brachytherapy with 5-year Minimal follow-up: Importance of patient Selection and implant Quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 11. Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928.(PSA:4-10,GS:2-6,&amp;gt;70 Gy) 12. Kuban, D et al. Long-Term Results of the MD Anderson Randomized Dose-Escalation Trial for Prostate Cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 13. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 14. Stenmark, M et al. Continued Benefit to Androgen Deprivation Therapy for Prostate Cancer Patients Treated with Dose-Escalated Radiation Therapy Across Multiple Definitions of High-Risk Disease. Int J Radiat Oncol Bio Phys 2011;81(4):3335-44. 15. Loeb, S et al. Intermediate-term potency, continence &amp; survival outcomes of radical prostatectomy for clinically high-risk or locally advanced prostate cancer. Urology 2007;69(6):1170-1175. 16. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT, Seeds, ADT) 17. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int j Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT &amp; Seeds) 18. Merrick, G et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. Urology 2005;66(5):1048-1053. 19. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT &amp; Seeds) 20. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT, Seeds, ADT) 21. Mian, B et al. Outcome of Patients w/ Gleason score 8 or Higher Prostate Cancer following Radical Prostatectomy alone. J Urology 2002;167:1675-1680. 22. Pellizzon, A et al. The Relationship Between the Biochemical Control Outcomes and the Quality of Planning of HDR as a Boost to External Beam Radiotherapy for locally and locally advanced Prostate Cancer using the RTOG-ASTRO Phoenix definition. Int J Med Sci 2008;5:113-120. 23. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (EBRT) 24. Potters, L et al. 12-Year Outcomes Following Permanent Prostate Brachytherapy in Patients With Clinically Localized Prostate Cancer. J Urology 2005;173:1562-1566. 25. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (RP) 26. Sylvester, J et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. Lau, W et al. Radical Prostatectomy for Pathological Gleason 8 or Greater Prostate Cancer: Influence of Concomitant Pathological Variables. J Urol 2002;167:117-22. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500.29. Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups. Int J Radiat Oncol Bio Phys 2006;65(4):975-981. 30. Ward, J et al. Radical Prostatectomy for Clinically Advanced (cT3) Prostate Cancer since the advent of PSA testing: 15 year outcome. BJU Int 2005;95:751-6. 31. Zelefsky, M et al. Multi-Institutional Analysis of Long-Term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Bio Phys 2007;67(2):327-333. 32. Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-19. (81 Gy) 33. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol Bio Phys 2008;71(4):1028-33. (81 Gy) 34. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol bio Phys 2008;71(4):1028-33. (86 Gy) 35. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75 Gy) 36. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (81 Gy) 37. Dattoli, M et al. Long-term Outcomes After Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients Having Intermediate and High-Risk Features. Cancer 2007;110(3):551-555. 38. Moyad, M et al. Statins, especially Atorvastatin, may Favorable Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. 39. Zelefsky, M et al. Long Term Outcome Following Three dimensional Conformal/IMRT for Clinical Stage T3 Prostate Cancer. Eurr Urol 2008;53:1172-79. 40. Yoshioka, Y et al. Monotherapeutic High-dose-rate Brachytherapy for Prostate Cancer: Five-year Results of an Extreme Hypofractionation Regimen with 54Gy in Nine Fractions. Int J Radiat Oncol Bio Phys 2011;80(2):469-75. 41. Galalae R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer. Strahlenther Onkol 2006;182(3):135-141. 42. Demanes, DJ et al. Excellent Results from High Dose Rate Brachytherapy and External Beam Radiation Therapy for Prostate Cancer are Not Imroved by Androgen Deprivation. Amer J Clin Oncol 2009;32(4):342-347. 43. Stock, R et al. Outcomes for patients with High-Grade Prostate Cancer Treated with a Combination of Brachytherapy, EBRT and Hormone therapy. BJU Int 2009;104:1631-1636. 44. Stone, N et al. Local Control following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes. Int J Radiat Oncol Bio Phys 2010;76(2):355-360. 45. Bittner, N et al. Whole Pelvis Radiotherapy in Combination with Interstitial Brachytherapy: Does Coverage of the Pelvic Lymph Nodes Improve Treatment Outcome in High Risk Prostate Cancer? Int J Radiat Oncol Bio Phys 2010;76(4):1078-1084. 46. Rubio-Briones, J et al. Metastatic Progression, Cancer Specific Mortality and Need for Secondary Treatments in Patients with Clinically High Risk Prostate Cancer Treated Initially with Radical Prostatectomy. Actas Urologicas Esanolas 2010;34(7):610-617. 47. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Beam Irradiation and Brachytherapy. J Oncology 2010;2010(Article Id 471375):6 pages. 48. Menon, M et al. Biochemical Recurrence Following Robot Assisted Radical Prostatectomy: Analysis of 1384 patients with a median 5 year follow-up. Eurr Urol 2010;58:838-46. 49. Pierorazio, P et al. Long Term Survival after Radical Prostatectomy for Men with High Gleason Sum in Pathologic Specimen. Urology 2010;76(3):715-21. 101. Deger, S et al. (Germany) High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urology 2005;47:441-448. 102. Magheli A et al. (Johns Hopkins) Importance of Tumor Location in Patients with High Preoperative PSA Levels ( greater than 20 ng/ml treated with Radical Prostatectomy. J Urology 2007;178:1311-15. 103. Kupelian P, et al. Improved Biochemical Relapse-Free Survival With Increased Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 104. Sylvester, J et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy: Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 105. Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients Treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 106. Hsu, C et al. Comparing Results After Surgery in Patients with Clinical Unilateral T3a Prostate Cnacer Treated with or without neoadjuvent Androgen-Deprivation Therapy. BJU Int 2006;99:311-314. 107. Roehl, K et al. Cancer Progression and Survival Rates Following Anatomical Radical Prostatectomy in 3,478 Consecutive Patients: Long Term Results. J Urology 2004;172:910-914. 108. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (No ADT) 109. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (Plus ADT) Kuban, D et al. Long-Term Failure Patterns and Survival in a Randomized Dose-Escalation Trial for Prostate Cancer. Who Dies of Disease? Int J Radiat Oncol Bio Phys 2011;79(5):1310-17. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) Prada, P et al. Biochemical outcome after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy: 12 years of experience. BJU Int 2012;109(12):1787-93. (1 high risk criteria &amp; 2&amp;gt; high risk criteria) (Study Update: Prada, P et al. Long-term biochemical results after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy for high risk prostate cancer. Radiation Oncol 2012;7,31-39. Thomson, D et al. Dose-escalated hypofractionated intensity-modulated radiotherapy in high-risk carcinoma of the prostate: outcome and toxicity. 2012; epub June 20. 114. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 115. Yamamoto, S et al. Long-term oncological outcome and risk stratification in men with high-risk prostate cancer treated with radical prostatectomy. Jpn J Clin Oncol 2012;42(6):541-47. 116. Berglund, R et al. Ten-year follow-up of neoadjuvant therapy with Goserelin Acetate and Flutamide before radical prostatectomy for clinical T3 and T4 prostate cancer: update on Southwest Oncology Group Study 9109. Urol 2012;79(3):633-37. 117. Freedland, S et al. Radical Prostatectomy for clinical stage T3a disease. Cancer 2007;109(7):1273-78. 118. Dearnaley, D et al. Escalated-dose versus standard-dose conformal radiotherapy in prostate cancer: first results from the MRC RT01 randomised controlled trial. Lancet 2007;8:475-87. 119. Spahn, M et al. Outcome predictors of radical prostatectomy in patients with prostate-specific antigen greater than 20 ng/ml: a European mulit-institutional study of 712 patients. Eur Urol 2010;58,1-7. 120. (Open) 121. Tendulkar, R et al. Redefining high-risk prostate cancer based on distant metastases and mortality after high-dose radiotherapy with androgen deprivation therapy. Int J Radiat Oncol Bio Phys 2012;82(4):1397-1404.
  10. 1st Group References: 1. Bahn, D et al. Targeted Cryoablation of the Prostate:7-year Outcomes in the Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. 2. Burri, R et al. Young Men have Equivalent Biochemical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer. Int J Radiat Oncol Bio Phys 2010;77(5):1315-21. 3. Ploussard, G et al. Radical Prostatectomy of High-Risk Prostate Cancer Defined by Preoperative criteria: Oncologic Follow-up in National Multicenter Study in 813 Patients and Assessment of Easy-to-use Prognostic Substratification. Urol 2011;78(3):607-13 4. Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008;72(2):433-440. 5. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 6. Carver, B et al. Long Term Outcome following Radical Prostatectomy in Men with Clinical T3 Prostate Cancer. J Urology 2006;176:564-568. 7. Cohen, J et al. Ten-Year Biochemical Disease Control in Patients with Prostate Cancer Treated with Cryosurgery as Primary Therapy. Urology 2008;71(3):515-518. 8. Critz, Fet al. 10-year Disease Survival Rates After Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation Methodology. J Urology 2004;172:2232-2238. 9. Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal High-Dose-Rate Brachytherapy (HDR-BT) Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 10. Kollmeier, M et al. Biochemical Outcomes After Prostate Brachytherapy with 5-year Minimal follow-up: Importance of patient Selection and implant Quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 11. Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928.(PSA:4-10,GS:2-6,&amp;gt;70 Gy) 12. Kuban, D et al. Long-Term Results of the MD Anderson Randomized Dose-Escalation Trial for Prostate Cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 13. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 14. Stenmark, M et al. Continued Benefit to Androgen Deprivation Therapy for Prostate Cancer Patients Treated with Dose-Escalated Radiation Therapy Across Multiple Definitions of High-Risk Disease. Int J Radiat Oncol Bio Phys 2011;81(4):3335-44. 15. Loeb, S et al. Intermediate-term potency, continence &amp; survival outcomes of radical prostatectomy for clinically high-risk or locally advanced prostate cancer. Urology 2007;69(6):1170-1175. 16. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT, Seeds, ADT) 17. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int j Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT &amp; Seeds) 18. Merrick, G et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. Urology 2005;66(5):1048-1053. 19. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT &amp; Seeds) 20. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT, Seeds, ADT) 21. Mian, B et al. Outcome of Patients w/ Gleason score 8 or Higher Prostate Cancer following Radical Prostatectomy alone. J Urology 2002;167:1675-1680. 22. Pellizzon, A et al. The Relationship Between the Biochemical Control Outcomes and the Quality of Planning of HDR as a Boost to External Beam Radiotherapy for locally and locally advanced Prostate Cancer using the RTOG-ASTRO Phoenix definition. Int J Med Sci 2008;5:113-120. 23. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (EBRT) 24. Potters, L et al. 12-Year Outcomes Following Permanent Prostate Brachytherapy in Patients With Clinically Localized Prostate Cancer. J Urology 2005;173:1562-1566. 25. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (RP) 26. Sylvester, J et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. 27. Lau, W et al. Radical Prostatectomy for Pathological Gleason 8 or Greater Prostate Cancer: Influence of Concomitant Pathological Variables. J Urol 2002;167:117-22. 28. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500.) 29. Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups. Int J Radiat Oncol Bio Phys 2006;65(4):975-981. 30. Ward, J et al. Radical Prostatectomy for Clinically Advanced (cT3) Prostate Cancer since the advent of PSA testing: 15 year outcome. BJU Int 2005;95:751-6. 31. Zelefsky, M et al. Multi-Institutional Analysis of Long-Term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Bio Phys 2007;67(2):327-333. 32. Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-19. (81 Gy) 33. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol Bio Phys 2008;71(4):1028-33. (81 Gy) 34. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol bio Phys 2008;71(4):1028-33. (86 Gy) 35. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75 Gy) 36. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (81 Gy) 37. Dattoli, M et al. Long-term Outcomes After Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients Having Intermediate and High-Risk Features. Cancer 2007;110(3):551-555. 38. Moyad, M et al. Statins, especially Atorvastatin, may Favorable Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. 39. Zelefsky, M et al. Long Term Outcome Following Three dimensional Conformal/IMRT for Clinical Stage T3 Prostate Cancer. Eurr Urol 2008;53:1172-79. 40. (Yoshioka, Y et al. Monotherapeutic High-dose-rate Brachytherapy for Prostate Cancer: Five-year Results of an Extreme Hypofractionation Regimen with 54Gy in Nine Fractions. Int J Radiat Oncol Bio Phys 2011;80(2):469-75. ) 41. Galalae R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer. Strahlenther Onkol 2006;182(3):135-141. 42. Demanes, DJ et al. Excellent Results from High Dose Rate Brachytherapy and External Beam Radiation Therapy for Prostate Cancer are Not Imroved by Androgen Deprivation. Amer J Clin Oncol 2009;32(4):342-347. 43. Stock, R et al. Outcomes for patients with High-Grade Prostate Cancer Treated with a Combination of Brachytherapy, EBRT and Hormone therapy. BJU Int 2009;104:1631-1636. 44. Stone, N et al. Local Control following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes. Int J Radiat Oncol Bio Phys 2010;76(2):355-360. 45. Bittner, N et al. Whole Pelvis Radiotherapy in Combination with Interstitial Brachytherapy: Does Coverage of the Pelvic Lymph Nodes Improve Treatment Outcome in High Risk Prostate Cancer? Int J Radiat Oncol Bio Phys 2010;76(4):1078-1084. 46. Rubio-Briones, J et al. Metastatic Progression, Cancer Specific Mortality and Need for Secondary Treatments in Patients with Clinically High Risk Prostate Cancer Treated Initially with Radical Prostatectomy. Actas Urologicas Esanolas 2010;34(7):610-617. 47. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Beam Irradiation and Brachytherapy. J Oncology 2010;2010(Article Id 471375):6 pages. 48. Menon, M et al. Biochemical Recurrence Following Robot Assisted Radical Prostatectomy: Analysis of 1384 patients with a median 5 year follow-up. Eurr Urol 2010;58:838-46. 49. Pierorazio, P et al. Long Term Survival after Radical Prostatectomy for Men with High Gleason Sum in Pathologic Specimen. Urology 2010;76(3):715-21. 101. Deger, S et al. (Germany) High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urology 2005;47:441-448. 102. Magheli A et al. (Johns Hopkins) Importance of Tumor Location in Patients with High Preoperative PSA Levels ( greater than 20 ng/ml treated with Radical Prostatectomy. J Urology 2007;178:1311-15. 103. Kupelian P, et al. Improved Biochemical Relapse-Free Survival With Increased Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 104. Sylvester, J et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy: Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 105. Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients Treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 106. Hsu, C et al. Comparing Results After Surgery in Patients with Clinical Unilateral T3a Prostate Cnacer Treated with or without neoadjuvent Androgen-Deprivation Therapy. BJU Int 2006;99:311-314. 107. Roehl, K et al. Cancer Progression and Survival Rates Following Anatomical Radical Prostatectomy in 3,478 Consecutive Patients: Long Term Results. J Urology 2004;172:910-914. 108. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (No ADT) 109. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (Plus ADT) Kuban, D et al. Long-Term Failure Patterns and Survival in a Randomized Dose-Escalation Trial for Prostate Cancer. Who Dies of Disease? Int J Radiat Oncol Bio Phys 2011;79(5):1310-17. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) Prada, P et al. Biochemical outcome after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy: 12 years of experience. BJU Int 2012;109(12):1787-93. (1 high risk criteria &amp; 2&amp;gt; high risk criteria) (Study Update: Prada, P et al. Long-term biochemical results after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy for high risk prostate cancer. Radiation Oncol 2012;7,31-39.) Thomson, D et al. Dose-escalated hypofractionated intensity-modulated radiotherapy in high-risk carcinoma of the prostate: outcome and toxicity. 2012; epub June 20. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. Yamamoto, S et al. Long-term oncological outcome and risk stratification in men with high-risk prostate cancer treated with radical prostatectomy. Jpn J Clin Oncol 2012;42(6):541-47. Berglund, R et al. Ten-year follow-up of neoadjuvant therapy with Goserelin Acetate and Flutamide before radical prostatectomy for clinical T3 and T4 prostate cancer: update on Southwest Oncology Group Study 9109. Urol 2012;79(3):633-37. 117. Freedland, S et al. Radical Prostatectomy for clinical stage T3a disease. Cancer 2007;109(7):1273-78. 118. Dearnaley, D et al. Escalated-dose versus standard-dose conformal radiotherapy in prostate cancer: first results from the MRC RT01 randomised controlled trial. Lancet 2007;8:475-87. 119. Spahn, M et al. Outcome predictors of radical prostatectomy in patients with prostate-specific antigen greater than 20 ng/ml: a European mulit-institutional study of 712 patients. Eur Urol 2010;58,1-7. 120. (Open) 121. Tendulkar, R et al. Redefining high-risk prostate cancer based on distant metastases and mortality after high-dose radiotherapy with androgen deprivation therapy. Int J Radiat Oncol Bio Phys 2012;82(4):1397-1404.
  11. 1st Group References: 1. Bahn, D et al. Targeted Cryoablation of the Prostate:7-year Outcomes in the Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. 2. Burri, R et al. Young Men have Equivalent Biochemical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer. Int J Radiat Oncol Bio Phys 2010;77(5):1315-21. 3. Ploussard, G et al. Radical Prostatectomy of High-Risk Prostate Cancer Defined by Preoperative criteria: Oncologic Follow-up in National Multicenter Study in 813 Patients and Assessment of Easy-to-use Prognostic Substratification. Urol 2011;78(3):607-13 4. Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008;72(2):433-440. 5. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 6. Carver, B et al. Long Term Outcome following Radical Prostatectomy in Men with Clinical T3 Prostate Cancer. J Urology 2006;176:564-568. 7. Cohen, J et al. Ten-Year Biochemical Disease Control in Patients with Prostate Cancer Treated with Cryosurgery as Primary Therapy. Urology 2008;71(3):515-518. 8. Critz, Fet al. 10-year Disease Survival Rates After Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation Methodology. J Urology 2004;172:2232-2238. 9. Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal High-Dose-Rate Brachytherapy (HDR-BT) Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 10. Kollmeier, M et al. Biochemical Outcomes After Prostate Brachytherapy with 5-year Minimal follow-up: Importance of patient Selection and implant Quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 11. Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928.(PSA:4-10,GS:2-6,&amp;gt;70 Gy) 12. Kuban, D et al. Long-Term Results of the MD Anderson Randomized Dose-Escalation Trial for Prostate Cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 13. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 14. Stenmark, M et al. Continued Benefit to Androgen Deprivation Therapy for Prostate Cancer Patients Treated with Dose-Escalated Radiation Therapy Across Multiple Definitions of High-Risk Disease. Int J Radiat Oncol Bio Phys 2011;81(4):3335-44. 15. Loeb, S et al. Intermediate-term potency, continence &amp; survival outcomes of radical prostatectomy for clinically high-risk or locally advanced prostate cancer. Urology 2007;69(6):1170-1175. 16. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT, Seeds, ADT) 17. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int j Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT &amp; Seeds) 18. Merrick, G et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. Urology 2005;66(5):1048-1053. 19. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT &amp; Seeds) 20. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT, Seeds, ADT) 21. Mian, B et al. Outcome of Patients w/ Gleason score 8 or Higher Prostate Cancer following Radical Prostatectomy alone. J Urology 2002;167:1675-1680. 22. Pellizzon, A et al. The Relationship Between the Biochemical Control Outcomes and the Quality of Planning of HDR as a Boost to External Beam Radiotherapy for locally and locally advanced Prostate Cancer using the RTOG-ASTRO Phoenix definition. Int J Med Sci 2008;5:113-120. 23. Dearnely, D et al Escalated dose vs standard dose confromal radiotherapy in prostate cancer First results from the MRC RT101 randomised trial Lancet Oncolo 2007;8:475-87 24. Potters, L et al. 12-Year Outcomes Following Permanent Prostate Brachytherapy in Patients With Clinically Localized Prostate Cancer. J Urology 2005;173:1562-1566. 25. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (RP) 26. Sylvester, J et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. 27. Lau, W et al. Radical Prostatectomy for Pathological Gleason 8 or Greater Prostate Cancer: Influence of Concomitant Pathological Variables. J Urol 2002;167:117-22.Open) 28. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500.29. Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups. Int J Radiat Oncol Bio Phys 2006;65(4):975-981. 30. Ward, J et al. Radical Prostatectomy for Clinically Advanced (cT3) Prostate Cancer since the advent of PSA testing: 15 year outcome. BJU Int 2005;95:751-6. 31. Zelefsky, M et al. Multi-Institutional Analysis of Long-Term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Bio Phys 2007;67(2):327-333. 32. Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-19. (81 Gy) 33. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol Bio Phys 2008;71(4):1028-33. (81 Gy) 34. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol bio Phys 2008;71(4):1028-33. (86 Gy) 35. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75 Gy) 36. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (81 Gy) 37. Dattoli, M et al. Long-term Outcomes After Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients Having Intermediate and High-Risk Features. Cancer 2007;110(3):551-555. 38. Moyad, M et al. Statins, especially Atorvastatin, may Favorable Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. 39. Zelefsky, M et al. Long Term Outcome Following Three dimensional Conformal/IMRT for Clinical Stage T3 Prostate Cancer. Eurr Urol 2008;53:1172-79. 40. Yoshioka, Y et al. Monotherapeutic High-dose-rate Brachytherapy for Prostate Cancer: Five-year Results of an Extreme Hypofractionation Regimen with 54Gy in Nine Fractions. Int J Radiat Oncol Bio Phys 2011;80(2):469-75. 41. Galalae R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer. Strahlenther Onkol 2006;182(3):135-141. 42. Demanes, DJ et al. Excellent Results from High Dose Rate Brachytherapy and External Beam Radiation Therapy for Prostate Cancer are Not Imroved by Androgen Deprivation. Amer J Clin Oncol 2009;32(4):342-347. 43. Stock, R et al. Outcomes for patients with High-Grade Prostate Cancer Treated with a Combination of Brachytherapy, EBRT and Hormone therapy. BJU Int 2009;104:1631-1636. 44. Stone, N et al. Local Control following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes. Int J Radiat Oncol Bio Phys 2010;76(2):355-360. 45. Bittner, N et al. Whole Pelvis Radiotherapy in Combination with Interstitial Brachytherapy: Does Coverage of the Pelvic Lymph Nodes Improve Treatment Outcome in High Risk Prostate Cancer? Int J Radiat Oncol Bio Phys 2010;76(4):1078-1084. 46. Rubio-Briones, J et al. Metastatic Progression, Cancer Specific Mortality and Need for Secondary Treatments in Patients with Clinically High Risk Prostate Cancer Treated Initially with Radical Prostatectomy. Actas Urologicas Esanolas 2010;34(7):610-617. 47. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Beam Irradiation and Brachytherapy. J Oncology 2010;2010(Article Id 471375):6 pages. 48. Menon, M et al. Biochemical Recurrence Following Robot Assisted Radical Prostatectomy: Analysis of 1384 patients with a median 5 year follow-up. Eurr Urol 2010;58:838-46. 49. Pierorazio, P et al. Long Term Survival after Radical Prostatectomy for Men with High Gleason Sum in Pathologic Specimen. Urology 2010;76(3):715-21. 100. (Open) 101. Deger, S et al. (Germany) High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urology 2005;47:441-448. 102. Magheli A et al. (Johns Hopkins) Importance of Tumor Location in Patients with High Preoperative PSA Levels ( greater than 20 ng/ml treated with Radical Prostatectomy. J Urology 2007;178:1311-15. 103. Kupelian P, et al. Improved Biochemical Relapse-Free Survival With Increased Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 104. Sylvester, J et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy: Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 105. Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients Treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 106. Hsu, C et al. Comparing Results After Surgery in Patients with Clinical Unilateral T3a Prostate Cnacer Treated with or without neoadjuvent Androgen-Deprivation Therapy. BJU Int 2006;99:311-314. 107. Roehl, K et al. Cancer Progression and Survival Rates Following Anatomical Radical Prostatectomy in 3,478 Consecutive Patients: Long Term Results. J Urology 2004;172:910-914. 108. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (No ADT) 109. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (Plus ADT) 110. Kuban, D et al. Long-Term Failure Patterns and Survival in a Randomized Dose-Escalation Trial for Prostate Cancer. Who Dies of Disease? Int J Radiat Oncol Bio Phys 2011;79(5):1310-17. 111. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 112. Prada, P et al. Biochemical outcome after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy: 12 years of experience. BJU Int 2012;109(12):1787-93. (1 high risk criteria &amp; 2&amp;gt; high risk criteria) (Study Update: Prada, P et al. Long-term biochemical results after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy for high risk prostate cancer. Radiation Oncol 2012;7,31-39.) 113. Thomson, D et al. Dose-escalated hypofractionated intensity-modulated radiotherapy in high-risk carcinoma of the prostate: outcome and toxicity. 2012; epub June 20. 114. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 115. Yamamoto, S et al. Long-term oncological outcome and risk stratification in men with high-risk prostate cancer treated with radical prostatectomy. Jpn J Clin Oncol 2012;42(6):541-47. 116.Berglund, R et al. Ten-year follow-up of neoadjuvant therapy with Goserelin Acetate and Flutamide before radical prostatectomy for clinical T3 and T4 prostate cancer: update on Southwest Oncology Group Study 9109. Urol 2012;79(3):633-37. 117. Freedland, S et al. Radical Prostatectomy for clinical stage T3a disease. Cancer 2007;109(7):1273-78. 118. Dearnaley, D et al. Escalated-dose versus standard-dose conformal radiotherapy in prostate cancer: first results from the MRC RT01 randomised controlled trial. Lancet 2007;8:475-87. 119. Spahn, M et al. Outcome predictors of radical prostatectomy in patients with prostate-specific antigen greater than 20 ng/ml: a European mulit-institutional study of 712 patients. Eur Urol 2010;58,1-7. 120. (Open) 121. Tendulkar, R et al. Redefining high-risk prostate cancer based on distant metastases and mortality after high-dose radiotherapy with androgen deprivation therapy. Int J Radiat Oncol Bio Phys 2012;82(4):1397-1404. 2nd Group References: 50.Aizer A, et al. Radical Prostatectomy vs Intensity-Modulated Radiation Therapy in the Management of Localized Prostate Adenocarcinoma. Radiotherapy and Oncology 2009;93:185-191. 51.Battermann J, et al. Results of permanent prostate brachytherapy, 13 years of experience at a single institution. Radiotherapy &amp; Oncology 2004;71:23-28. 52.Berglund R, et al. Limited Pelvic Lymph Node Dissection at the Time of Radical Prostatectomy Does Not Affect 5-Year Failure Rates for Low, Intermediate and High Risk Prostate Cancer: Results From CaPSURE. J Urology 2007;177:526-530. 53.Beyer D, et al. Relative influence of gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. 54.Cahlon O, et al. Ultra high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Bio Phys 2008;71(2):330-337. 55.Copp H, et al. Tumor Control Outcomes of Patients Treated With Trimodality Therapy For Locally Advanced Prostate Cancer. Urology 2005;65(6):1146-1151. 56.Crouzet S, et al. Multicentric Oncologic Outcomes of High-Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. 57.Demanes D, et al. High-Dose-Rate Intensity Modulated Brachytherapy With External Beam Radiotherapy for Prostate Cancer: California Endocurietherapy&amp;apos;s 10-Year Results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. 58. Donohue J, et al. Poorly Differentiated Prostate Cancer Treated With Radical Prostatectomy: Long-Term Outcome and Incidence of Pathological Downgrading. J Urology 2006;176(3):991-995. 59.Ellis R, et al. Biochemical disease free survival rates following definitive low-dose-rate prostate brachytherapy with dose escalation to biologic target volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. 60.Fonteyne, V et al. Clinical results after high-dose intentisy-modulated radiotherapy for high-risk prostate cancer. Adv Urol 2012; Article ID 368528. 61.Henry A, et al. Outcomes Following Iodine-125 Monotherapy for localized Prostate Cancer: The results of Leeds 10-year single-center brachytherapy experience. Int J Radiat Oncol Bio Phys 2010;76(1):50-56. 62.Hernandez D, et al. Contemporary Evaluation of the D’Amico risk classification of Prostate Cancer. J Urol 2007;70(5):931-935. 63.Hong S, et al. Predictions of Outcomes after Radical Prostatectomy in Patients Diagnosed with Prostate Cancer of Biopsy GS &amp;gt; 8 via Contemporary multi (&amp;gt;12)-core prostate biopsy. BJU Int 2011;108(2):217-222. 64.Hull G, et al. Cancer control with radical prostatectomy alone in 1000 consecutive patients. J Urology 2002;167:528-534. 65.Khaksar S, et al. Interstitial low dose rate brachytherapy for prostate cancer-a focus on intermediate &amp; high risk disease. Clinical Oncology 2006;18:513-518. 66.Khuntia D, et al. Recurrence-free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate specific antigen era. Cancer 2004;100(6):1283-1292. 67.Koontz B, et al. Morbidity and Prostate Specific Antigen Control of External Beam Radiation Therapy plus Low Dose Rate Brachytherapy Boost for Low ,Intermediate and High Risk Prostate Cancer. Brachytherapy 2009;8:191-196. 68.Kupelian P, et al. Hypofractionated Intensity-Modulated Radiotherapy (70Gy at 2.5Gy per fraction) for Localized Prostate Cancer: Cleveland Clinic Experience. Int J Radiat Oncol Bio Phys 2007;68(5):1424-1430. 69.Kwok Y, et al. Risk Group stratification in patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Bio Phys 2002;53(3):588-594. 70.Lederman G, et al. Retrospective Stratification of a Consecutive Cohort of Prostate Cancer Patients Treated with a Combined Regimen of External-beam Radiotherapy and Brachytherapy. Int J Radiat Oncol Bio Phys 2001;49(5):1297-1303. 71.Lee L, et al. Role of Hormonal therapy in the management of intermediate to high risk prostate cancer treated with permanent radioactive seed implantation. Int J Radiat Oncol Bio Phys 2002;52(2):444-452. 72.Liauw S, et al. Dose-escalated radiotherapy for hight-risk prostate cancer: outcomes in modern ear with short termandrogen deprivation therapy. Int J Radiat Oncol Bio Phys 2010;77(1):125-130. 73.Livsey J, et al. Hypofractionated Conformal Radiotherapy in Carcinoma of the Prostate: five-Year Outcome Analysis. Int J Radiat Oncol Bio Phys 2003;57(5):1254-1259. 74.Nobes J, et al. Biochemical Relapse-Free Survival in 400 Patients Treated with I-125 Prostate Brachytherapy: the Guildford Experience. Prostate Ca &amp; Prostatic Disease 2009;12:61-66. 75.Phan T, et al. High dose rate brachytherapy as a boost for the treatment of localized prostate cancer. J Urology 2007;177:123-127. Prada P, et al. High-dose-rate intensity modulated brachytherapy with external-beam radiotherapy improves local and biochemical control in patients with high risk prostate cancer. Clin Transl Oncol 2008;10:415-421. Sathya J, et al. Randomized Trial comparing Iridium implants plus external-beam radiation therapy with external-beam radiation therapy alone in node-negative locally advanced cancer of the prostate. J Clin Oncol 2005;23(5):1192-1199. Stock, R. et al. Combined Modality Treatment in the Management of High Risk Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;59(5):1352-1359. Stone N, et al. Multicenter Analysis of Effect of High Biologic Effective dose on Biochemical Failure and Survival Outcomes in Patients with Gleason 7-10 Prostate cancer Treated with Permanent Prostate Bracyhhterapy. Int J Radiat Oncol Bio Phys 2009;73(2):341-346. Stone N, et al. Customized dose Prescription for Permanent Prostate Brachytherapy: Insights From a Multicenter Analysis of Dosimetry Outcomes. Int J Radiat Oncol Bio Phys 2007;69(5):1472-1477. Yamada Y, et al. Favorable Clinical Outcomes of 3-D Computer Optimized High Dose Rate Prostate Brachytherapy in the management of Localized Prostate cancer. Brachytherapy 2006;5:157-164. Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #1) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #2) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #3) Zwahlen D, et al. High Dose Rate Brachytherapy in Combination with Conformal External Beam Radiotherapy in the Treatment of Prostate Cancer. Brachytherapy 2010;9:27-35. D’Amico A, et al. Biochemical outcomes after Radical Prostatectomy or External Beam Radiation Therapy for patients with clinically localized prostate carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-286. (RP) D’Amico A, et al. Biochemical outcomes after Radical Prostatectomy or External Beam Radiation Therapy for patients with clinically localized prostate carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-286. (EBRT) Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation. Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (seeds) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #4) Higgins G, et al. Outcome Analysis of 300 prostate cancer patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy. IJROBP;65(4):982-89. 91. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. 92. Zapatero, A et al. Long-Term Results After High-Dose Radiotherapy and Adjuvant Hormones in Prostate Cancer: How Curable in High Risk Disease? Int J Radiat Oncol Bio Phys 2011;81(5):1279-85. .
  12. 1st Group References: 1. Bahn, D et al. Targeted Cryoablation of the Prostate:7-year Outcomes in the Primary Treatment of Prostate Cancer. Urology 2002;60(Supp 2A):3-11. 2. Burri, R et al. Young Men have Equivalent Biochemical Outcomes Compared with Older Men After Treatment with Brachytherapy for Prostate Cancer. Int J Radiat Oncol Bio Phys 2010;77(5):1315-21. 3. Ploussard, G et al. Radical Prostatectomy of High-Risk Prostate Cancer Defined by Preoperative criteria: Oncologic Follow-up in National Multicenter Study in 813 Patients and Assessment of Easy-to-use Prognostic Substratification. Urol 2011;78(3):607-13 4. Bittner, N et al. Primary Causes of Death After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2008;72(2):433-440. 5. Boorjian, S et al. Mayo Clinic Validation of the D&amp;apos;Amico Risk Group Classification for Predicting Survival Following Radical Prostatectomy. J Urology 2008;179:1354-1361. 6. Carver, B et al. Long Term Outcome following Radical Prostatectomy in Men with Clinical T3 Prostate Cancer. J Urology 2006;176:564-568. 7. Cohen, J et al. Ten-Year Biochemical Disease Control in Patients with Prostate Cancer Treated with Cryosurgery as Primary Therapy. Urology 2008;71(3):515-518. 8. Critz, Fet al. 10-year Disease Survival Rates After Simultaneous Irradiation for Prostate Cancer with a Focus on Calculation Methodology. J Urology 2004;172:2232-2238. 9. Galalae, R et al. Long-term Outcome by Risk Factors Using Conformal High-Dose-Rate Brachytherapy (HDR-BT) Boost with or without Neoadjuvant Androgen Suppression for Localized Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;58(4):1048-1055. 10. Kollmeier, M et al. Biochemical Outcomes After Prostate Brachytherapy with 5-year Minimal follow-up: Importance of patient Selection and implant Quality. Int J Radiat Oncol Bio Phys 2003;57(3):645-653. 11. Kuban, D et al. Long-Term Multi-Institutional Analysis of Stage T1-T2 Prostate Cancer Treated with Radiotherapy in the PSA Era. Int J Radiat Oncol Biol Phys 2003;57(4):915-928.(PSA:4-10,GS:2-6,&amp;gt;70 Gy) 12. Kuban, D et al. Long-Term Results of the MD Anderson Randomized Dose-Escalation Trial for Prostate Cancer. Int J Radiat Oncol Bio Phys 2008;70(1):67-74. 13. Sabolch, A et al. Gleason Patter 5 is Greatest Risk Factor for Clinical Failure and Death from Prostate Cancer after Dose-Escalation Radiation Therapy and Hormonal Ablation. Int J Radiat Oncol Bio Phys 2011;81(4):e351-e360. 14. Stenmark, M et al. Continued Benefit to Androgen Deprivation Therapy for Prostate Cancer Patients Treated with Dose-Escalated Radiation Therapy Across Multiple Definitions of High-Risk Disease. Int J Radiat Oncol Bio Phys 2011;81(4):3335-44. 15. Loeb, S et al. Intermediate-term potency, continence &amp; survival outcomes of radical prostatectomy for clinically high-risk or locally advanced prostate cancer. Urology 2007;69(6):1170-1175. 16. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int J Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT, Seeds, ADT) 17. Merrick, G et al. Androgen deprivation therapy does not impact cause specific overall survival after permanent prostate brachytherapy. Int j Radiat Oncol Bio Phys 2006;65(3):669-77. (EBRT &amp; Seeds) 18. Merrick, G et al. Prognostic Significance of Perineural Invasion on Biochemical Progression-free Survival after Prostate Brachytherapy. Urology 2005;66(5):1048-1053. 19. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT &amp; Seeds) 20. Merrick, G et al. Impact of Supplemental External Beam Radiotherapy and/or Androgen Deprivation Therapy on Biochemical Outcome After Permanent Prostate Brachytherapy. Int J Radiat Oncol Bio Phys 2005;61(1):32-43. (EBRT, Seeds, ADT) 21. Mian, B et al. Outcome of Patients w/ Gleason score 8 or Higher Prostate Cancer following Radical Prostatectomy alone. J Urology 2002;167:1675-1680. 22. Pellizzon, A et al. The Relationship Between the Biochemical Control Outcomes and the Quality of Planning of HDR as a Boost to External Beam Radiotherapy for locally and locally advanced Prostate Cancer using the RTOG-ASTRO Phoenix definition. Int J Med Sci 2008;5:113-120. 23. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (EBRT) 24. Potters, L et al. 12-Year Outcomes Following Permanent Prostate Brachytherapy in Patients With Clinically Localized Prostate Cancer. J Urology 2005;173:1562-1566. 25. Stokes, S et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (RP) 26. Sylvester, J et al. Ten Year Biochemical Relapse Free Survival After External Beam Radiation and Brachytherapy for Localized Prostate Cancer: The Seattle Experience. Int J Radiat Oncol Bio Phys 2003;57(4):944-952. Lau, W et al. Radical Prostatectomy for Pathological Gleason 8 or Greater Prostate Cancer: Influence of Concomitant Pathological Variables. J Urol 2002;167:117-22. Stone, N et al. Influence of Pretreatment and Treatment Factors on Intermediate to Long-term Outcome After Prostate Brachytherapy. J Urol 2011;185:495-500.29. Thames, H et al. Increasing External Beam Dose for T1-T2 Prostate Cancer: Effect on Risk Groups. Int J Radiat Oncol Bio Phys 2006;65(4):975-981. 30. Ward, J et al. Radical Prostatectomy for Clinically Advanced (cT3) Prostate Cancer since the advent of PSA testing: 15 year outcome. BJU Int 2005;95:751-6. 31. Zelefsky, M et al. Multi-Institutional Analysis of Long-Term Outcome for T1-T2 Prostate Cancer Treated with Permanent Seed Implantation. Int J Radiat Oncol Bio Phys 2007;67(2):327-333. 32. Zelefsky, M et al. Long Term Outcome of High Dose Intensity Modulated Radiation Therapy for Patients With Clinically Localized Prostate Cancer. J Urology 2006;176:1415-19. (81 Gy) 33. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol Bio Phys 2008;71(4):1028-33. (81 Gy) 34. Zelefsky, M et al. Long-term Results of Conformal Radiotherapy for prostate Cancer: Impact of Dose Escalation in Biochemical Tumor Control and distant Metastases-free Survival Outcomes. Int j Radiat Oncol bio Phys 2008;71(4):1028-33. (86 Gy) 35. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (75 Gy) 36. Zelefsky, M et al. High Dose Radiation Delivered by Intensity Modulated Conformal Radiotherapy Improves the Outcome of Localized Prostate Cancer. J Urology 2001;166:876-881. (81 Gy) 37. Dattoli, M et al. Long-term Outcomes After Treatment with Brachytherapy and Supplemental Conformal Radiation for Prostate Cancer Patients Having Intermediate and High-Risk Features. Cancer 2007;110(3):551-555. 38. Moyad, M et al. Statins, especially Atorvastatin, may Favorable Influence Clinical Presentation and Biochemical Progression-free Survival after Brachytherapy for Clinically Localized Prostate Cancer. Urology 2005;66(6):1150-1154. 39. Zelefsky, M et al. Long Term Outcome Following Three dimensional Conformal/IMRT for Clinical Stage T3 Prostate Cancer. Eurr Urol 2008;53:1172-79. 40. Yoshioka, Y et al. Monotherapeutic High-dose-rate Brachytherapy for Prostate Cancer: Five-year Results of an Extreme Hypofractionation Regimen with 54Gy in Nine Fractions. Int J Radiat Oncol Bio Phys 2011;80(2):469-75. 41. Galalae R et al. Hypofractionated Conformal HDR Brachytherapy in Hormone Naïve Men with Localized Prostate Cancer. Strahlenther Onkol 2006;182(3):135-141. 42. Demanes, DJ et al. Excellent Results from High Dose Rate Brachytherapy and External Beam Radiation Therapy for Prostate Cancer are Not Imroved by Androgen Deprivation. Amer J Clin Oncol 2009;32(4):342-347. 43. Stock, R et al. Outcomes for patients with High-Grade Prostate Cancer Treated with a Combination of Brachytherapy, EBRT and Hormone therapy. BJU Int 2009;104:1631-1636. 44. Stone, N et al. Local Control following Permanent Prostate Brachytherapy: Effect of High Biologically Effective Dose on Biopsy Results and Oncologic Outcomes. Int J Radiat Oncol Bio Phys 2010;76(2):355-360. 45. Bittner, N et al. Whole Pelvis Radiotherapy in Combination with Interstitial Brachytherapy: Does Coverage of the Pelvic Lymph Nodes Improve Treatment Outcome in High Risk Prostate Cancer? Int J Radiat Oncol Bio Phys 2010;76(4):1078-1084. 46. Rubio-Briones, J et al. Metastatic Progression, Cancer Specific Mortality and Need for Secondary Treatments in Patients with Clinically High Risk Prostate Cancer Treated Initially with Radical Prostatectomy. Actas Urologicas Esanolas 2010;34(7):610-617. 47. Dattoli, M et al. Long Term Outcomes for Patients with Prostate Cancer Having Intermediate and High Risk Disease, Treated with Combination External Beam Irradiation and Brachytherapy. J Oncology 2010;2010(Article Id 471375):6 pages. 48. Menon, M et al. Biochemical Recurrence Following Robot Assisted Radical Prostatectomy: Analysis of 1384 patients with a median 5 year follow-up. Eurr Urol 2010;58:838-46. 49. Pierorazio, P et al. Long Term Survival after Radical Prostatectomy for Men with High Gleason Sum in Pathologic Specimen. Urology 2010;76(3):715-21. 100. (Open) 101. Deger, S et al. (Germany) High Dose Rate (HDR) Brachytherapy with Conformal Radiation Therapy for Localized Prostate Cancer. Eurr Urology 2005;47:441-448. 102. Magheli A et al. (Johns Hopkins) Importance of Tumor Location in Patients with High Preoperative PSA Levels ( greater than 20 ng/ml treated with Radical Prostatectomy. J Urology 2007;178:1311-15. 103. Kupelian P, et al. Improved Biochemical Relapse-Free Survival With Increased Radiation Doses in Patients With Localized Prostate Cancer: The Combined Experience of Nine Institutions in 1994 and 1995. Int J Radiat Oncol Bio Phys 2005;61(2):415-419. 104. Sylvester, J et al. 15-Year Biochemical Relapse Free Survival in Clinical Stage T1-T3 Prostate Cancer Following Combined External Beam Radiotherapy and Brachytherapy: Seattle Experience. Int J Radiat Oncol Bio Phys 2007;67(1):57-64. 105. Hinnen, K et al. (Netherlands) Long Term Biochemical and Survival Outcome of 921 Patients Treated with I-125 Permanent Prostate Brachytherapy. Int J Radiat Oncol Biol Phys 2010;76(5):1433-1438. 106. Hsu, C et al. Comparing Results After Surgery in Patients with Clinical Unilateral T3a Prostate Cnacer Treated with or without neoadjuvent Androgen-Deprivation Therapy. BJU Int 2006;99:311-314. 107. Roehl, K et al. Cancer Progression and Survival Rates Following Anatomical Radical Prostatectomy in 3,478 Consecutive Patients: Long Term Results. J Urology 2004;172:910-914. 108. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (No ADT) 109. Merrick, G et al. Prostate Cancer Death is Unlikely in High Risk Patients Following Quality Permanent Seed Implantation. BJU Int 2010;107:226-233. (Plus ADT) 110. Kuban, D et al. Long-Term Failure Patterns and Survival in a Randomized Dose-Escalation Trial for Prostate Cancer. Who Dies of Disease? Int J Radiat Oncol Bio Phys 2011;79(5):1310-17. 111. Busch, J et al. Long-term oncological and continence outcomes after laparoscopic radical prostatectomy: a single-centre experience. BJU Int 2012; 110(11):E985-90. (Robot) 112. Prada, P et al. Biochemical outcome after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy: 12 years of experience. BJU Int 2012;109(12):1787-93. (1 high risk criteria &amp; 2&amp;gt; high risk criteria) (Study Update: Prada, P et al. Long-term biochemical results after high-dose-rate intensity modulated brachytherapy with external beam radiotherapy for high risk prostate cancer. Radiation Oncol 2012;7,31-39. 113. Thomson, D et al. Dose-escalated hypofractionated intensity-modulated radiotherapy in high-risk carcinoma of the prostate: outcome and toxicity. 2012; epub June 20. 114. Sooriakumaran, P et al. Biochemical recurrence after robot-assisted radical prostatectomy in a European single-centre cohort with a minimum follow-up time of 5 years. Eur Urol 2012;62(5):768-74. 115. Yamamoto, S et al. Long-term oncological outcome and risk stratification in men with high-risk prostate cancer treated with radical prostatectomy. Jpn J Clin Oncol 2012;42(6):541-47. 116. Berglund, R et al. Ten-year follow-up of neoadjuvant therapy with Goserelin Acetate and Flutamide before radical prostatectomy for clinical T3 and T4 prostate cancer: update on Southwest Oncology Group Study 9109. Urol 2012;79(3):633-37. 117. Freedland, S et al. Radical Prostatectomy for clinical stage T3a disease. Cancer 2007;109(7):1273-78. 118. Dearnaley, D et al. Escalated-dose versus standard-dose conformal radiotherapy in prostate cancer: first results from the MRC RT01 randomised controlled trial. Lancet 2007;8:475-87. 119. Spahn, M et al. Outcome predictors of radical prostatectomy in patients with prostate-specific antigen greater than 20 ng/ml: a European mulit-institutional study of 712 patients. Eur Urol 2010;58,1-7. 120. (Open) 121. Tendulkar, R et al. Redefining high-risk prostate cancer based on distant metastases and mortality after high-dose radiotherapy with androgen deprivation therapy. Int J Radiat Oncol Bio Phys 2012;82(4):1397-1404. 2nd Group References: 50.Aizer A, et al. Radical Prostatectomy vs Intensity-Modulated Radiation Therapy in the Management of Localized Prostate Adenocarcinoma. Radiotherapy and Oncology 2009;93:185-191. 51.Battermann J, et al. Results of permanent prostate brachytherapy, 13 years of experience at a single institution. Radiotherapy &amp; Oncology 2004;71:23-28. 52.Berglund R, et al. Limited Pelvic Lymph Node Dissection at the Time of Radical Prostatectomy Does Not Affect 5-Year Failure Rates for Low, Intermediate and High Risk Prostate Cancer: Results From CaPSURE. J Urology 2007;177:526-530. 53.Beyer D, et al. Relative influence of gleason score and pretreatment PSA in predicting survival following brachytherapy for prostate cancer. Brachytherapy 2003;2:77-84. 54.Cahlon O, et al. Ultra high dose (86.4Gy) IMRT for localized prostate cancer: toxicity and biochemical outcomes. Int J Radiat Oncol Bio Phys 2008;71(2):330-337. 55.Copp H, et al. Tumor Control Outcomes of Patients Treated With Trimodality Therapy For Locally Advanced Prostate Cancer. Urology 2005;65(6):1146-1151. 56.Crouzet S, et al. Multicentric Oncologic Outcomes of High-Intensity Focused Ultrasound for Localized Prostate Cancer in 803 patients. Eurr Urol 2010;58:559-566. 57.Demanes D, et al. High-Dose-Rate Intensity Modulated Brachytherapy With External Beam Radiotherapy for Prostate Cancer: California Endocurietherapy&amp;apos;s 10-Year Results. Int J Radiat Oncol Bio Phys 2005;61(5):1306-1316. 58. Donohue J, et al. Poorly Differentiated Prostate Cancer Treated With Radical Prostatectomy: Long-Term Outcome and Incidence of Pathological Downgrading. J Urology 2006;176(3):991-995. 59.Ellis R, et al. Biochemical disease free survival rates following definitive low-dose-rate prostate brachytherapy with dose escalation to biologic target volumes identified with SPECT/CT capromab pendetide. Brachytherapy 2007;6:16-25. 60.Fonteyne, V et al. Clinical results after high-dose intentisy-modulated radiotherapy for high-risk prostate cancer. Adv Urol 2012; Article ID 368528. 61.Henry A, et al. Outcomes Following Iodine-125 Monotherapy for localized Prostate Cancer: The results of Leeds 10-year single-center brachytherapy experience. Int J Radiat Oncol Bio Phys 2010;76(1):50-56. 62.Hernandez D, et al. Contemporary Evaluation of the D’Amico risk classification of Prostate Cancer. J Urol 2007;70(5):931-935. 63.Hong S, et al. Predictions of Outcomes after Radical Prostatectomy in Patients Diagnosed with Prostate Cancer of Biopsy GS &amp;gt; 8 via Contemporary multi (&amp;gt;12)-core prostate biopsy. BJU Int 2011;108(2):217-222. 64.Hull G, et al. Cancer control with radical prostatectomy alone in 1000 consecutive patients. J Urology 2002;167:528-534. 65.Khaksar S, et al. Interstitial low dose rate brachytherapy for prostate cancer-a focus on intermediate &amp; high risk disease. Clinical Oncology 2006;18:513-518. 66.Khuntia D, et al. Recurrence-free survival rates after external-beam radiotherapy for patients with clinical T1-T3 prostate carcinoma in prostate specific antigen era. Cancer 2004;100(6):1283-1292. 67.Koontz B, et al. Morbidity and Prostate Specific Antigen Control of External Beam Radiation Therapy plus Low Dose Rate Brachytherapy Boost for Low ,Intermediate and High Risk Prostate Cancer. Brachytherapy 2009;8:191-196. 68.Kupelian P, et al. Hypofractionated Intensity-Modulated Radiotherapy (70Gy at 2.5Gy per fraction) for Localized Prostate Cancer: Cleveland Clinic Experience. Int J Radiat Oncol Bio Phys 2007;68(5):1424-1430. 69.Kwok Y, et al. Risk Group stratification in patients undergoing permanent I-125 prostate brachytherapy as monotherapy. Int J Radiat Oncol Bio Phys 2002;53(3):588-594. 70.Lederman G, et al. Retrospective Stratification of a Consecutive Cohort of Prostate Cancer Patients Treated with a Combined Regimen of External-beam Radiotherapy and Brachytherapy. Int J Radiat Oncol Bio Phys 2001;49(5):1297-1303. 71.Lee L, et al. Role of Hormonal therapy in the management of intermediate to high risk prostate cancer treated with permanent radioactive seed implantation. Int J Radiat Oncol Bio Phys 2002;52(2):444-452. 72.Liauw S, et al. Dose-escalated radiotherapy for hight-risk prostate cancer: outcomes in modern ear with short termandrogen deprivation therapy. Int J Radiat Oncol Bio Phys 2010;77(1):125-130. 73.Livsey J, et al. Hypofractionated Conformal Radiotherapy in Carcinoma of the Prostate: five-Year Outcome Analysis. Int J Radiat Oncol Bio Phys 2003;57(5):1254-1259. 74.Nobes J, et al. Biochemical Relapse-Free Survival in 400 Patients Treated with I-125 Prostate Brachytherapy: the Guildford Experience. Prostate Ca &amp; Prostatic Disease 2009;12:61-66. 75.Phan T, et al. High dose rate brachytherapy as a boost for the treatment of localized prostate cancer. J Urology 2007;177:123-127. Prada P, et al. High-dose-rate intensity modulated brachytherapy with external-beam radiotherapy improves local and biochemical control in patients with high risk prostate cancer. Clin Transl Oncol 2008;10:415-421. Sathya J, et al. Randomized Trial comparing Iridium implants plus external-beam radiation therapy with external-beam radiation therapy alone in node-negative locally advanced cancer of the prostate. J Clin Oncol 2005;23(5):1192-1199. Stock, R. et al. Combined Modality Treatment in the Management of High Risk Prostate Cancer. Int J Radiat Oncol Bio Phys 2004;59(5):1352-1359. Stone N, et al. Multicenter Analysis of Effect of High Biologic Effective dose on Biochemical Failure and Survival Outcomes in Patients with Gleason 7-10 Prostate cancer Treated with Permanent Prostate Bracyhhterapy. Int J Radiat Oncol Bio Phys 2009;73(2):341-346. Stone N, et al. Customized dose Prescription for Permanent Prostate Brachytherapy: Insights From a Multicenter Analysis of Dosimetry Outcomes. Int J Radiat Oncol Bio Phys 2007;69(5):1472-1477. Yamada Y, et al. Favorable Clinical Outcomes of 3-D Computer Optimized High Dose Rate Prostate Brachytherapy in the management of Localized Prostate cancer. Brachytherapy 2006;5:157-164. Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #1) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #2) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #3) Zwahlen D, et al. High Dose Rate Brachytherapy in Combination with Conformal External Beam Radiotherapy in the Treatment of Prostate Cancer. Brachytherapy 2010;9:27-35. D’Amico A, et al. Biochemical outcomes after Radical Prostatectomy or External Beam Radiation Therapy for patients with clinically localized prostate carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-286. (RP) D’Amico A, et al. Biochemical outcomes after Radical Prostatectomy or External Beam Radiation Therapy for patients with clinically localized prostate carcinoma in the Prostate Specific Antigen Era. Cancer 2002;95(2):281-286. (EBRT) Stokes S, et al. Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation. Int J Radiat Oncol Bio Phys 2000;47(1):129-136. (seeds) Yossepowitch O, et al. Radical Prostatectomy for Clinically Localized High Risk Prostate Cancer: Critical Analysis of Risk Assessment Methods. J Urology 2007;178:493-499. (Def. #4) Higgins G, et al. Outcome Analysis of 300 prostate cancer patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy. IJROBP;65(4):982-89. 91. Deutsch, I et al. Comparison of PSA relapse-free survival in patients treated with ultra-high-dose IMRT versus combination HDR brachytherapy and IMRT. Brachytherapy 2010;9:313-18. 92. Zapatero, A et al. Long-Term Results After High-Dose Radiotherapy and Adjuvant Hormones in Prostate Cancer: How Curable in High Risk Disease? Int J Radiat Oncol Bio Phys 2011;81(5):1279-85.