PROSTATE CANCER: COST IS A FACTOR, TOO
In the long term, it’s unclear whether watchful waiting will actually result in a decrease in health care dollars, as some studies have claimed. A 65-year-old man has a 50-percent likelihood of living fifteen years. The Swedish study mentioned above suggests that even under the best circumstances, about half of men with untreated localized disease will live to see their cancer spread beyond the prostate, requiring further treatment for advanced disease. If these men decide to have hormonal treatment, the cost of this over two years, at hundreds of dollars a month, may be more than the expense of a radical prostatectomy (which is about $12 thousand). Also, the symptoms from advanced cancer and the side effects of hormonal treatment and chemotherapy can be much worse than the side effects that can accompany treatment for early disease.
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