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The dilemmas of prostate cancer screening

Jonas Hugosson and Sigrid V Carlsson
Med J Aust 2013; 199 (9) || doi: 10.5694/mja13.10905
Published online: 4 November 2013

In reply: We wish to make some comments in response to Haines’s point that the PIVOT (Prostate Cancer Intervention Versus Observation Trial) failed to show any benefit from radical prostatectomy (RP) over surveillance.

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  • 1 Department of Urology, University of Gothenburg, Gothenburg, Sweden.
  • 2 Department of Surgery, Urology Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.


Correspondence: jonas@urol.se

Competing interests:

No relevant disclosures.

  • 1. Wilt TJ, Brawer MK, Jones KM, et al. Radical prostatectomy versus observation for localized prostate cancer. N Engl J Med 2012; 367: 203-213.
  • 2. Bill-Axelson A, Holmberg L, Ruutu M, et al. Radical prostatectomy versus watchful waiting in early prostate cancer. N Engl J Med 2011; 364: 1708-1717.
  • 3. Hugosson J, Carlsson S, Aus G, et al. Mortality results from the Göteborg randomised population-based prostate-cancer screening trial. Lancet Oncol 2010; 11: 725-732.
  • 4. Carlsson S, Vickers AJ, Roobol M, et al. Prostate cancer screening: facts, statistics, and interpretation in response to the US Preventive Services Task Force Review. J Clin Oncol 2012; 30: 2581-2584.
  • 5. Wolters T, Roobol MJ, Steyerberg EW, et al. The effect of study arm on prostate cancer treatment in the large screening trial ERSPC. Int J Cancer 2010; 126: 2387-2393.
  • 6. Heijnsdijk EA, Wever EM, Auvinen A, et al. Quality-of-life effects of prostate-specific antigen screening. N Engl J Med 2012; 367: 595-605.

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