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May 3, 1995

Prostate Cancer: Making Survival Decisions

Author Affiliations

Murray Hill, NJ

JAMA. 1995;273(17):1394. doi:10.1001/jama.1995.03520410090038

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After reviewing Prostate Cancer: Making Survival Decisions, by Sylvan Meyer and Seymour Nash, I asked the question, who should read this book? Men over 50, all adult men, wives or significant others of both, medical students, urology residents, urologists, internists? Some sections would be informative for each group, but for most patients, there is too much technical material, which detracts from the book's real message to them: become knowledgeable about the treatment options prior to undergoing therapy and be actively involved in the choice of therapy. Of course, this statement can be made for most serious diseases, but it is more relevant to prostate cancer, in which there is often little difference in outcomes among the various treatment modalities and for which nontreatment or watchful waiting may afford a normal life expectancy.

The authors devote much time to defining the grades and stages of prostate cancer and the difficulty of

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