ArticleThe Journal of urology2015
Increasing use of observation among men at low risk for prostate cancer mortality.
Article in The Journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Comparing Active Surveillance and Watchful Waiting With Radical Treatment Using Machine Learning Models Among Patients With Prostate Cancer.JCO clinical cancer informatics · 2023Article
- Trends and practices for managing low-risk prostate cancer: a SEER-Medicare study.Prostate cancer and prostatic diseases · 2022Article
- Selecting Active Surveillance: Decision Making Factors for Men with a Low-Risk Prostate Cancer.Medical decision making : an international journal of the Society for Medical Decision Making · 2019Article
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study.PloS one · 2019Article
- National Trends in Active Surveillance for Prostate Cancer: Validation of Medicare Claims-based Algorithms.Urology · 2018Article
- MRI findings guiding selection of active surveillance for prostate cancer: a review of emerging evidence.Translational andrology and urology · 2018Review
- Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders.BMJ open · 2018Observational
- Article
- Decision Support and Shared Decision Making About Active Surveillance Versus Active Treatment Among Men Diagnosed with Low-Risk Prostate Cancer: a Pilot Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
- Article
- More Judicious Use of Expectant Management for Localized Prostate Cancer during the Last 2 Decades.The Journal of urology · 2017Article
- Prostate Cancer Imaging and Biomarkers Guiding Safe Selection of Active Surveillance.Frontiers in oncology · 2017Review
- Robots drive the German radical prostatectomy market: a total population analysis from 2006 to 2013.Prostate cancer and prostatic diseases · 2016Article
- Treatment Preferences for Active Surveillance versus Active Treatment among Men with Low-Risk Prostate Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016Article
- Referral Network Increases Physicians' Adoption of Active Surveillance for Localized Prostate Cancer: A Cross-Sectional Study Using SEER-Medicare.Inquiry : a journal of medical care organization, provision and financingArticle
- A hospital-based study of initial observation for low-risk prostate cancer and its predictors in the United States.Canadian Urological Association journal = Journal de l'Association des urologues du CanadaArticle
- Toward ethically responsible choice architecture in prostate cancer treatment decision-making.CA: a cancer journal for cliniciansArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposeThere are growing concerns regarding the overtreatment of localized prostate cancer. It is also relatively unknown whether there has been increased uptake of observational strategies for disease management. We assessed the temporal trend in observation of clinically localized prostate cancer, particularly in men with low risk disease, who were young and healthy enough to undergo treatment. MATERIALS AND
methodsWe performed a retrospective cohort study using the SEER-Medicare database in 66,499 men with localized prostate cancer between 2004 and 2009. The main study outcome was observation within 1 year after diagnosis. We performed multivariable analysis to develop a predictive model of observation adjusting for diagnosis year, age, risk and comorbidity.
resultsObservation was performed in 12,007 men (18%) with a slight increase with time from 17% to 20%. However, there was marked increase in observation from 18% in 2004 to 29% in 2009 in men with low risk disease. Men 66 to 69 years old with low risk disease and no comorbidities had twice the odds of undergoing observation in 2009 vs 2004 (OR 2.12, 95% CI 1.73-2.59). Age, risk group, comorbidity and race were independent predictors of observation (each p <0.001), in addition to diagnosis year.
conclusionsWe identified increasing use of observation for low risk prostate cancer between 2004 and 2009 even in men young and healthy enough for treatment. This suggests growing acceptance of surveillance in this group of patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.