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. 2006 Oct 18;2006(4):CD006019. doi: 10.1002/14651858.CD006019.pub2

Aus 2002.

Methods Randomised study examining the use of hormone therapy neo‐adjuvant to prostatectomy in the treatment of prostate cancer (stage T1b‐3a, Nx, M0) 
 Quality Score (1/0/1)
Participants Patients entered: 126 
 Patients evaluable: 111 
 Age (Mean): 67 
 Range: 50 ‐ 77
Eligibility Criteria: 
 · Previously untreated prostate cancer 
 · Histologically confirmed stage T1b‐3a, Nx, M0, G1‐3 
 · Aged = 75 years 
 · Lifespan > 10 years 
 · Diagnosis by histologically confirmed biopsies or TURP specimens
Ineligibility Criteria: 
 · Not Stated
Exclusion Criteria: 
 · 12 were excluded because of positive lymph nodes in frozen sections (9 in the control and 3 in the neo‐adjuvant group) 
 · Another 3 patients not operated upon (1 moved abroad, 1 changed his mind in favour of radiotherapy, and 1 was disqualified from surgery owing to a newly detected aortic stenosis).
Interventions Radical Prostatectomy alone Vs. 3 mths hormone treatment followed by Prostatectomy 
 Evaluable: 55 Vs. 56
Hormone Therapy: 
 3 months of Triptorelin (Decapeptyl Depot) administered as intra‐muscular injections (3.75mg) every fourth week
N.B. To prevent tumour flare Cyproterone acetate (Androcur) was given 1 week before and 2 weeks after the first Triptorelin injection.
Outcomes i. Histological grading 
 ii. Positive surgical margin status 
 iii. Crude overall survival 
 iv. PSA progression free survival
Notes The main outcome of this study is surgical margins.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear