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Prostate Cancer Radiation Therapy and Risk of Thromboembolic Events.

Authors :
Bosco, Cecilia
Garmo, Hans
Adolfsson, Jan
Stattin, Pär
Holmberg, Lars
Nilsson, Per
Gunnlaugsson, Adalsteinn
Widmark, Anders
Van Hemelrijck, Mieke
Source :
International Journal of Radiation Oncology, Biology, Physics. Apr2017, Vol. 97 Issue 5, p1026-1031. 6p.
Publication Year :
2017

Abstract

<bold>Purpose: </bold>To investigate the risk of thromboembolic disease (TED) after radiation therapy (RT) with curative intent for prostate cancer (PCa).<bold>Patients and Methods: </bold>We identified all men who received RT as curative treatment (n=9410) and grouped according to external beam RT (EBRT) or brachytherapy (BT). By comparing with an age- and county-matched comparison cohort of PCa-free men (n=46,826), we investigated risk of TED after RT using Cox proportional hazard regression models. The model was adjusted for tumor characteristics, demographics, comorbidities, PCa treatments, and known risk factors of TED, such as recent surgery and disease progression.<bold>Results: </bold>Between 2006 and 2013, 6232 men with PCa received EBRT, and 3178 underwent BT. A statistically significant association was found between EBRT and BT and risk of pulmonary embolism in the crude analysis. However, upon adjusting for known TED risk factors these associations disappeared. No significant associations were found between BT or EBRT and deep venous thrombosis.<bold>Conclusion: </bold>Curative RT for prostate cancer using contemporary methodologies was not associated with an increased risk of TED. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03603016
Volume :
97
Issue :
5
Database :
Academic Search Index
Journal :
International Journal of Radiation Oncology, Biology, Physics
Publication Type :
Academic Journal
Accession number :
121781320
Full Text :
https://doi.org/10.1016/j.ijrobp.2017.01.218