Reduction in the Risk of Prostate Cancer: Future Directions After the Prostate Cancer Prevention Trial

被引:16
作者
Crawford, E. David
Andriole, Gerald L.
Marberger, Michael
Rittmaster, Roger S.
机构
[1] Univ Colorado, Hlth Sci Ctr, Dept Urol Oncol, Denver, CO USA
[2] Washington Univ, Sch Med, Div Urol Surg, Siteman Canc Ctr, St Louis, MO 63110 USA
[3] Med Univ Vienna, Dept Urol, Vienna, Austria
[4] GlaxoSmithKline, Biomed Data Sci, Res Triangle Pk, NC USA
关键词
5-ALPHA-REDUCTASE INHIBITOR DUTASTERIDE; HIGH-GRADE; COST-EFFECTIVENESS; VITAMIN-E; FINASTERIDE; MEN; BIOPSY; CHEMOPREVENTION; IMPACT; LIFE;
D O I
10.1016/j.urology.2009.05.099
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
100201 [内科学]; 100221 [泌尿外科学];
摘要
The landmark Prostate Cancer Prevention Trial (PCPT) generated interest in the potential health benefits and cost of reducing prostate cancer risk-specifically, the potential role of 5 alpha-reductase inhibitors. However, the PCPT raised several unanswered questions, including the cause and significance of the increased incidence of high-grade tumors associated with finasteride. In the present study, we review the PCPT findings and unanswered questions, next steps in this field, and ongoing prostate cancer prevention trials addressing these unanswered questions. Particular emphasis is placed on the design of the second large-scale trial of a 5 alpha-reductase inhibitor, the REduction by DUtasteride of prostate Cancer Events (REDUCE) trial. UROLOGY 75: 502-510, 2010. (C) 2010 Elsevier Inc.
引用
收藏
页码:502 / 509
页数:8
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