# OnCo record paper-bill-axelson-spcg-4-29-year-nejm-2018 (paper). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)". Whole corpus: https://onco.cc/api/v1/onco.nt
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<https://onco.cc/key-papers/paper-bill-axelson-spcg-4-29-year-nejm-2018/>
  a schema:ScholarlyArticle ;
  onco:kind "paper" ;
  schema:identifier "paper-bill-axelson-spcg-4-29-year-nejm-2018" ;
  schema:name "SPCG-4: radical prostatectomy or watchful waiting in prostate cancer, 29-year follow-up"@en ;
  schema:alternateName "SPCG-4"@en, "Bill-Axelson 2018"@en, "Scandinavian Prostate Cancer Group Study Number 4"@en ;
  schema:description "Men with prostate cancer found because it caused a lump or symptoms, randomised in the years before PSA testing, were followed for nearly thirty years. Surgery roughly halved the chance of dying of prostate cancer and added an average of 2.9 years of life."@en ;
  schema:url <https://onco.cc/key-papers/paper-bill-axelson-spcg-4-29-year-nejm-2018/> ;
  schema:dateModified "2026-09-25"^^xsd:date ;
  schema:citation <https://doi.org/10.1056/nejmoa1807801>, <https://pubmed.ncbi.nlm.nih.gov/30575473/> ;
  onco:tag "prostate-evidence" ;
  schema:sameAs <https://doi.org/10.1056/nejmoa1807801> ;
  schema:datePublished "2018"^^xsd:gYear ;
  schema:author "Bill-Axelson A, Holmberg L, Garmo H, et al." ;
  onco:related <https://onco.cc/key-papers/paper-wilt-pivot-prostatectomy-observation-nejm-2017/>, <https://onco.cc/key-papers/paper-protect-nejm-2016/>, <https://onco.cc/key-papers/paper-protect-15-year-nejm-2023/>, <https://onco.cc/roadmaps/surgery-roadmap/>, <https://onco.cc/roadmaps/prostate-roadmap/> ;
  onco:cancers <https://onco.cc/cancers/prostate/>, <https://onco.cc/cancers/prostate-intermediate-risk/>, <https://onco.cc/cancers/prostate-high-risk/> ;
  onco:sections <https://onco.cc/fronts/surgery/> ;
  onco:terms <https://onco.cc/terms/prostatectomy/>, <https://onco.cc/terms/gleason-grade-group/>, <https://onco.cc/terms/overdiagnosis/>, <https://onco.cc/terms/other-cause-mortality/>, <https://onco.cc/terms/overtreatment/> ;
  onco:bottlenecks <https://onco.cc/bottlenecks/b-overdiagnosis/>, <https://onco.cc/bottlenecks/b-surgery-radiation-innovation/>, <https://onco.cc/bottlenecks/b-toxicity-qol/> ;
  onco:journals <https://onco.cc/journals/nejm/> .