Radical Prostatectomy for Carcinoma: 30-year Experience and 15-year Survivals

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Abstract
Three strata of medical care are shown in this series of patients undergoing gradical prostatectomy for carcinoma. Medical School Hospital [University of Oregon, Portland, Oregon, USA] patients had an average age 4 yr greater than patients in the other 2 groups and the lowest 15 yr survival rate of 15%. The Portland Veterans Hospital patients had an average age 4 yr younger than patients in the Medical School Hospital group but there was little opportunity for preventive care by early diagnosis and they had a 15 yr survival rate of 26%. The Emanuel [Hospital, Portland] series of private patients had good preventive private medical care, allowing for earlier diagnosis in a patient population without other serious medical problems, and a 15 yr survival rate of 61%. The 15 yr survival figures for other modalities of therapy, including various types of radiation, chemotherapy and immunotherapy, are necessary for meaningful evaluation of efficacy.