The addition of hormonal therapy to radiation therapy improves survival in men with unfavorable risk prostate cancer. Yet, men with prostate cancer have higher rates of non-cancer death than the general population and most will die from causes other than their index malignancy. Co-morbid cardiovascular disease is strongly associated with cause of death and this raises the possibility that prostate cancer or its treatment increases cardiovascular disease risk and possibly mortality.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Keating, N. L., O'Malley, A. J. & Smith, M. R. Diabetes and cardiovascular disease during androgen deprivation therapy for prostate cancer. J. Clin. Oncol. 24, 4448–4456 (2006).
Efstathiou, J. A. et al. Cardiovascular mortality after androgen deprivation therapy for locally advanced prostate cancer: RTOG 85–31. J. Clin. Oncol. 27, 92–99 (2009).
Efstathiou, J. A. et al. Cardiovascular mortality and duration of androgen deprivation for locally advanced prostate cancer: analysis of RTOG 92–02. Eur. Urol. 54, 816–823 (2008).
Roach, M. 3rd et al. Short-term neoadjuvant androgen deprivation therapy and external-beam radiotherapy for locally advanced prostate cancer: long-term results of RTOG 8610. J. Clin. Oncol. 26, 585–91 (2008).
D'Amico, A. V. et al. The influence of androgen suppression therapy for prostate cancer on the timing of a fatal myocardial infarction. J. Clin. Oncol. 25, 2420–2425 (2007).
Alibhai, S. M. et al. Impact of androgen deprivation therapy on cardiovascular disease and diabetes. J. Clin. Oncol. 27, 3452–3458 (2009).
Beyer, D. C., McKeough, T. & Thomas, T. Impact of short course hormonal therapy on overall and cancer specific survival after permanent prostate brachytherapy. Int. J. Radiat. Oncol. Biol. Phys. 61, 1299–1305 (2005).
Nanda, A., Chen, M. H., Braccioforte, M. H., Moran, B. J. & D'Amico, A. V. Hormonal therapy use for prostate cancer and mortality in men with coronary artery disease-induced congestive heart failure or myocardial infarction. JAMA 3 02, 866–873 (2009).
Barry, M. J., Delorenzo, M. A., Walker-Corkery, E. S., Lucas, F. L. & Wennberg, D. C. The rising prevalence of androgen deprivation among older American men since the advent of prostate-specific antigen testing: a population-based cohort study. BJU Int. 98, 973–978 (2006).
McKoy, J. M. et al. Caveat medicus: consequences of federal investigations of marketing activities of pharmaceutical suppliers of prostate cancer drugs. J. Clin. Oncol. 23, 8894–8905 (2005).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Efstathiou, J., Shipley, W., Zietman, A. et al. ADT for prostate cancer: true love or heartbreak?. Nat Rev Clin Oncol 7, 130–132 (2010). https://doi.org/10.1038/nrclinonc.2010.12
Issue Date:
DOI: https://doi.org/10.1038/nrclinonc.2010.12