Fewer Complications With IMRT for Prostate Cancer
(HealthDay News) – For patients with nonmetastatic prostate cancer, treatment with intensity-modulated radiation therapy (IMRT) is associated with fewer complications than proton therapy or conformal radiation therapy.
To investigate the morbidity and disease control of IMRT, proton therapy, and conformal radiation therapy, Nathan C. Sheets, MD, of the University of North Carolina at Chapel Hill, and colleagues analyzed Surveillance, Epidemiology, and End Results-Medicare-linked data for patients with nonmetastatic prostate cancer from 2000–2009.
The researchers found that, compared with conformal radiation therapy, use of IMRT increased from 0.15% in 2000 to 95.9% in 2008. Men who received IMRT were less likely to have gastrointestinal morbidities (absolute risk, 13.4 vs. 14.7 per 100 person-years; relative risk [RR], 0.91) and hip fractures (absolute risk, 0.8 vs. 1 per 100 person-years; RR, 0.78) compared with men receiving conformal radiation therapy. However, men receiving IMRT were more likely to be diagnosed with erectile dysfunction (absolute risk, 5.9 vs. 5.3 per 100 person-years; RR, 1.12). Patients treated with IMRT had a lower rate of gastrointestinal morbidity (absolute risk, 12.2 vs. 17.8 per 100 person-years; RR, 0.66) compared to patients receiving proton therapy. Rates of other morbidities were similar for IMRT and proton therapy.
"This population-based study suggests that IMRT may be associated with improved disease control without compromising morbidity compared with conformal radiation therapy, although proton therapy does not appear to provide additional benefit," the authors write.
Two authors disclosed financial ties to the pharmaceutical industry.