Are Diabetic Patients at Increased Risk for Biochemical Recurrence After Radical Prostatectomy?

Autor:	Ben Hadj Alouane H; Department of Urology, Military Hospital of Tunis, Tunisia, TUN., Raboudi M; Department of Urology, Military Hospital of Tunis, Tunisia, TUN., Maatougui J; Department of Urology, Military Hospital of Tunis, Tunisia, TUN., Dridi M; Department of Urology, Military Hospital of Tunis, Tunisia, TUN., Ghozzi S; Department of Urology, Military Hospital of Tunis, Tunisia, TUN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 May 04; Vol. 14 (5), pp. e24717. Date of Electronic Publication: 2022 May 04 (Print Publication: 2022).
DOI:	10.7759/cureus.24717
Abstrakt:	Introduction Diabetic patients are at a lower risk for prostate cancer. However, the relationship between diabetes mellitus (DM) and biochemical recurrence (BCR) after radical prostatectomy (RP) is less clear. The goal of our study was to determine diabetes's value as a biochemical recurrence predictor. Materials and methods We conducted a retrospective analysis of 117 patients who had undergone open radical prostatectomy between 1999 and 2021 at our institution. Univariate and multivariate statistical analyses were used to identify factors associated with biochemical recurrence. Results On univariate analysis, factors associated with biochemical recurrence were diabetes (p=0.002), preoperative prostate-specific antigen (PSA) levels (p=0.022), positive digital rectal exam (p=0.035), number of positive biopsy cores (p<0.001), unfavorable intermediate risk group (p=0.014), peri-neural invasion (PNI) on RP specimen (p=0.043), tumor volume (p=0.011), and positive surgical margins (p<0.001). Multivariate analysis showed that factors independently associated with biochemical recurrence were diabetes (p=0.039; OR=2.788), number of positive cores (p=0.016; OR=4.124), and positive surgical margins (p=0.008; OR=3.876). Conclusion A history of diabetes mellitus should be taken into consideration when assessing patients' risk of biochemical recurrence after radical prostatectomy. More research on a larger scale is needed to determine diabetes' value as a biochemical predictor. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Ben Hadj Alouane et al.)
Databáze:	MEDLINE
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