台灣攝護腺癌病人接受根除性攝護腺全切除手術的餘命估算-2018年趨勢
盧致誠1.2 范文宙1 鄭哲舟1
奇美醫療財團法人柳營奇美醫院 外科部 泌尿外科
TREND OF LIFE EXPECTANCY OF PATIENTS FOR RADICAL PROSTATECTOMY OF PROSTATE CANCER IN TAIWAN—2018 UPDATE
Chih-Cheng Lu1.2, Wen-Chou Fan1, Tse-Chou Cheng1
1Division of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan
2Department of Management Information System, National Chung Cheng University, Chiayi
Purpose:
This study is to review the trend of life expectancy of male population in Taiwan region for the reference in clinical practice.
Materials and Methods:
Up to October 2018, Life expectancy reports by the service of the Department of Statistics, Ministry of the Interior (MOI) of Taiwan were reviewed. The printed practice guidelines for prostate cancer by Taiwan Cooperation Oncology Group TCOG and National Comprehensive Cancer Network (NCCN) were reviewed. Investigate the trend of life expectancy of the male population in Taiwan region which includes Taipei city, Kaohsiung city but no Fukien special areas. Life expectancy of the patients receiving radical prostatectomy in localized prostate cancer is 10 years or more, based on TCOG and NCCN.
Results:
From 1991 to 2016 life table by Taiwanese MOI were available. Average 5-year survival rate of prostate cancer is around 77% mentioned by TCOG. Radical prostatectomy is considered when the patients with a life expectancy of 10 years or more and no serious co-morbid conditions that would contraindicate an elective surgery by NCCN in 2018. From 1991 to 2012, the male life expectancy at birth in Taiwan was from 71.8 up to 76.4 years. The report of life expectancy more than 10 years from MOI showed at the age of 71 years in 1991, 72 years from 1992 to 1995, 74 years in 1996, 75 years from 1997 to 1999, 76 years from 2001 to 2005, 77 years in 2006 to 2007. In 2012, the male life expectancy at the age of 77 and 78 years were 10.13 and 9.62 years, respectively. In 2013, the male life expectancy at the age of 77 and 78 years were 10.41 and 9.88 years, In 2016, the male life expectancy at the age of 76, 77 and 78 years were10.27, 9.72 and 9.18 years,
Conclusion:
In this timely updating study, 74 year of age from two decades before to recent around 77 years of age is the upper limit for the patients with localized prostate cancer considering to undergo radical prostatectomy in Taiwan region. Further research with longer follow-up is needed to clarify the relationship.