An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer

Quality of life has become increasingly more important for men diagnosed with prostate cancer. In light of this and the recognized risks of androgen deprivation therapy (ADT), the guidelines and use of ADT have changed significantly over the last few years. This paper reviews the current recommendat...

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Main Authors: Kristene Myklak, Shandra Wilson
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2011/419174
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author Kristene Myklak
Shandra Wilson
author_facet Kristene Myklak
Shandra Wilson
author_sort Kristene Myklak
collection DOAJ
description Quality of life has become increasingly more important for men diagnosed with prostate cancer. In light of this and the recognized risks of androgen deprivation therapy (ADT), the guidelines and use of ADT have changed significantly over the last few years. This paper reviews the current recommendations and the future perspectives regarding ADT. The benefits of ADT are evident neoadjuvantly and adjuvantly in patients treated with external beam radiation therapy for intermediate- and high-risk disease, in patients who have undergone prostatectomy with lymph node involvement, in high-risk patients after definitive therapy, and in patients who have developed progression or metastasis. Finally, this paper reviews the risks and benefits of each of these scenarios and the risks of androgen deprivation in general, and it delineates the areas where ADT was previously recommended, but where evidence is lacking for its additional benefit.
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series Prostate Cancer
spelling doaj-art-44bb8bb99a3e442b9324effd6655af532025-02-03T01:00:54ZengWileyProstate Cancer2090-31112090-312X2011-01-01201110.1155/2011/419174419174An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate CancerKristene Myklak0Shandra Wilson1Division of Urology, Department of Surgery, University of Colorado Denver, Aurora, CO 80045, USADivision of Urology, Department of Surgery, University of Colorado Denver, Aurora, CO 80045, USAQuality of life has become increasingly more important for men diagnosed with prostate cancer. In light of this and the recognized risks of androgen deprivation therapy (ADT), the guidelines and use of ADT have changed significantly over the last few years. This paper reviews the current recommendations and the future perspectives regarding ADT. The benefits of ADT are evident neoadjuvantly and adjuvantly in patients treated with external beam radiation therapy for intermediate- and high-risk disease, in patients who have undergone prostatectomy with lymph node involvement, in high-risk patients after definitive therapy, and in patients who have developed progression or metastasis. Finally, this paper reviews the risks and benefits of each of these scenarios and the risks of androgen deprivation in general, and it delineates the areas where ADT was previously recommended, but where evidence is lacking for its additional benefit.http://dx.doi.org/10.1155/2011/419174
spellingShingle Kristene Myklak
Shandra Wilson
An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
Prostate Cancer
title An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
title_full An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
title_fullStr An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
title_full_unstemmed An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
title_short An Update on the Changing Indications for Androgen Deprivation Therapy for Prostate Cancer
title_sort update on the changing indications for androgen deprivation therapy for prostate cancer
url http://dx.doi.org/10.1155/2011/419174
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