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Japanese Journal of Clinical Oncology Advance Access published online on May 28, 2009
Japanese Journal of Clinical Oncology, doi:10.1093/jjco/hyp053
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© The Author (2009). Published by Oxford University Press. All rights reserved

Health-related Quality of Life using SF-8 and EPIC Questionnaires after Treatment with Radical Retropubic Prostatectomy and Permanent Prostate Brachytherapy

Katsuyoshi Hashine1, Yoshito Kusuhara1, Noriyoshi Miura1, Akitomi Shirato1, Yoshiteru Sumiyoshi1 and Masaaki Kataoka2

1 Department of Urology, National Hospital Organization Shikoku Cancer Center
2 Department of Radiation Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Japan

For reprints and all correspondence: Katsuyoshi Hashine, Department of Urology, National Hospital Organization Shikoku Cancer Center, 160 Minamiumemoto, Matsuyama 791-0280, Japan. E-mail: khashine{at}shikoku-cc.go.jp

Received February 8, 2009; accepted May 1, 2009

Objective: The health-related quality of life (HRQOL) after treatment of prostate cancer is examined using a new HRQOL tool. HRQOL, based on the expanded prostate cancer index composite (EPIC) and SF-8 questionnaires, was prospectively compared after either a radical retropubic prostatectomy (RRP) or a permanent prostate brachytherapy (PPB) at a single institute.

Methods: Between October 2005 and June 2007, 96 patients were treated by an RRP and 88 patients were treated by a PPB. A HRQOL survey was completed at baseline, and at 1, 3, 6 and 12 months after treatment, prospectively.

Results: The general HRQOL in the RRP and PPB groups was not different after 3 months. However, at baseline and 1 month after treatment, the mental component summary was significantly better in the PPB group than in the RRP group. Moreover, the disease-specific HRQOL was worse regarding urinary and sexual functions in the RRP group. Urinary irritative/obstructive was worse in the PPB group, but urinary incontinence was worse in the RRP group and had not recovered to baseline after 12 months. The bowel function and bother were worse in the PPB group than in the RRP group after 3 months. In the RRP group, the patients with nerve sparing demonstrated the same scores in sexual function as the PPB group.

Conclusions: This prospective study revealed the differences in the HRQOL after an RRP and PPB. Disease-specific HRQOL is clarified by using EPIC survey. These results will be helpful for making treatment decisions.

Key Words: quality of life • EPIC • SF-8 • radical retropubic prostatectomy • permanent prostate brachytherapy


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