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Prostatectomy in oligometastatic prostate cancer: a call for high-quality evidence

Abstract

The systematic review by Saouli et al. investigates the role of radical prostatectomy (RP) in managing oligometastatic prostate cancer (omPCa) [1]. They analyzed the existing literature to assess the oncological and functional outcomes of RP for these patients. RP is feasible and has an acceptable risk of complications. However, the lack of consensus on the definitions of omPCa and the low-quality evidence of the available comparative and retrospective studies, RP in omPCa should not be recommended outside of clinical trials.

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TD, SRK, VM, RL, and CDN: conceptualization, writing, analysis, reviewing the final version, and approval of the final version.

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Correspondence to Cosimo De Nunzio.

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TD is consulting for AstraZeneca, Bayer, Janssen. CDN: Editor in Chief Prostate Cancer and Prostatic Diseases. SRK, VM, and RL: none.

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Dorff, T., Kashid, S.R., Murthy, V. et al. Prostatectomy in oligometastatic prostate cancer: a call for high-quality evidence. Prostate Cancer Prostatic Dis (2024). https://doi.org/10.1038/s41391-024-00838-8

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