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689

Adjuvant and Salvage Radiotherapy after Radical Prostatectomy in Prostate Cancer Patients

G. Gandaglia, A. Briganti, N. Clarke, R.J. Karnes, M. Graefen, P. Ost, A.L. Zietman, M. Roach III

Adjuvant radiotherapy reduces the risk of recurrence after radical prostatectomy in

patients with aggressive disease characteristics. However, it may be associated with

a higher risk of Grade 2 and 3 genitourinary effects at long-term follow-up.

Observation followed by salvage radiotherapy administered at the first sign of

recurrence might be associated with durable cancer control in selected patients but

may compromise cure in others.

710

Post-prostatectomy Radiotherapy: Does “Salvage” Really Equal “Adjuvant”?

A. Bossi, C. Cozzarini

712

Cost of New Technologies in Prostate Cancer Treatment: Systematic Review of Costs and Cost Effectiveness of Robotic-assisted Laparoscopic Prostatectomy, Intensity-modulated Radiotherapy, and Proton Beam Therapy

F.R. Schroeck, B.L. Jacobs, S.B. Bhayani, P.L. Nguyen, D. Penson, J. Hu

Robot-assisted radical prostatectomy, intensity-modulated radiotherapy, and

proton beam therapy for prostate cancer cost more than their traditional

counterparts. Uncertainty surrounding improvements in outcomes limits our ability

to estimate cost effectiveness. If the new technologies can consistently achieve

better outcomes, then they may be cost effective.

736

Value of Prostate Cancer Care: New Information on New Therapies Suggest Less is More

T.J. Wilt, P. Dahm

738

Brachytherapy Boost Utilization and Survival in Unfavorable-risk Prostate Cancer

S.B. Johnson, N.H. Lester-Coll, J.R. Kelly, B.H. Kann, J.B. Yu, S.K. Nath

Low-dose rate brachytherapy boost, despite a decline in utilization between 2004

and 2012, was independently associated with better overall survival when

compared to dose-escalated radiation therapy alone for men with unfavorable-risk

prostate cancer.

745

Optimal Radiotherapy for Unfavorable-risk Prostate Cancer

J. Crook

747

Genetic Variants Related to Longer Telomere Length are Associated with Increased Risk of Renal Cell Carcinoma

M.J. Machiela, J.N. Hofmann, R. Carreras-Torres, K.M. Brown, M. Johansson, Z. Wang, M. Foll, P. Li,

N. Rothman, S.A. Savage, V. Gaborieau, J.D. McKay, Y. Ye, M. Henrion, F. Bruinsma, S. Jordan, G. Severi,

K. Hveem, L.J. Vatten, T. Fletcher, K. Koppova, S.C. Larsson, A. Wolk, R.E. Banks, P.J. Selby, D.F. Easton,

P. Pharoah, G. Andreotti, L.E.B. Freeman, S. Koutros, D. Albanes, S. Mannisto, S. Weinstein, P.E. Clark,

T.E. Edwards, L. Lipworth, S.M. Gapstur, V.L. Stevens, H. Carol, M.L. Freedman, M.M. Pomerantz,

E. Cho, P. Kraft, M.A. Preston, K.M. Wilson, J.M. Gaziano, H.S. Sesso, A. Black, N.D. Freedman,

W.-Y. Huang, J.G. Anema, R.J. Kahnoski, B.R. Lane, S.L. Noyes, D. Petillo, L.M. Colli, J.N. Sampson,

C. Besse, H. Blanche, A. Boland, L. Burdette, E. Prokhortchouk, K.G. Skryabin, M. Yeager, M. Mijuskovic,

M. Ognjanovic, L. Foretova, I. Holcatova, V. Janout, D. Mates, A. Mukeriya, S. Rascu, D. Zaridze,

V. Bencko, C. Cybulski, E. Fabianova, V. Jinga, J. Lissowska, J. Lubinski, M. Navratilova, P. Rudnai,

N. Szeszenia-Dabrowska, S. Benhamou, G. Cancel-Tassin, O. Cussenot, H.B. Bueno-de-Mesquita,

F. Canzian, E.J. Duell, B. Ljungberg, R.T. Sitaram, U. Peters, E. White, G.L. Anderson, L. Johnson, J. Luo,

J. Buring, I-M. Lee, W.-H. Chow, L.E. Moore, C. Wood, T. Eisen, J. Larkin, T.K. Choueiri, G.M. Lathrop,

B.T. Teh, J.-F. Deleuze, X. Wu, R.S. Houlston, P. Brennan, S.J. Chanock, G. Scelo, M.P. Purdue

This large Mendelian randomization study utilizes a risk score of telomere length

associated genetic variants to demonstrate a strong association between longer

predicted leukocyte telomere length and increased risk of developing common

subtypes of renal cell carcinoma.

755

Longer Telomere Length and Renal Cell Carcinoma

J. Casuscelli, A.A. Hakimi

e u r o p e a n u r o l o g y , vo l . 7 2 , n o . 5 , No v emb e r 2 0 1 7

Kidney Cancer