The role of predictive factors such as for example age, Gleason score, and PSA kinetics in selecting patients for intermittent therapy remains to be described. Enough time that it required for the PSA level to dual before study entry was not obtainable, but stratification was prepared based on the interval because the completion of radiotherapy as a surrogate for the doubling time. Males who had been treated with radiotherapy a lot more than three years before being enrolled in the analysis had better disease-particular survival , with no significant difference according to the treatment they received .The outcomes of a study of the American University of Surgeons National Medical Quality Improvement Program-Pediatric phase 1 pilot were published in the January issue of the Journal of the American College of Surgeons. A partnership of the American University of Surgeons and the American Pediatric Surgical Association, ACS NSQIP Peds originated based on the ACS NSQIP plan, which has been shown to help hospitals prevent between 250-500 problems and save 12-36 lives per hospital each year.1 Predicated on the successes of ACS NSQIP, there has been great interest in a quality improvement program centered on measuring outcomes for pediatric surgery patients. The study shows the concepts of ACS NSQIP can be translated to pediatric cases to greatly help hospitals measure children’s outcomes.