ArticleUrology practice2020
Urologist practice structure and quality of prostate cancer care.
Article in Urology practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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
7 citing papers in PubMed.
- Knowledge, attitudes, and practices regarding prostate cancer and early screening among middle-aged and elderly Chinese men: a cross-sectional study.Translational andrology and urology · 2025Article
- Challenges of data quality for the management of prostate cancer in Tanzania: A hurdle towards improving the quality of service.PLOS global public health · 2025Article
- Provision of prostate cancer services in Tanzania: perspectives from five tertiary hospitals.BMC health services research · 2024Article
- Patients' perception on quality of care for prostate cancer at tertiary hospitals in Tanzania: a qualitative study.Frontiers in oncology · 2024Article
- The immediate effects of private equity acquisition of urology practices on the management of newly diagnosed prostate cancer.Cancer medicine · 2023Article
- Article
- Urology Workforce Changes and Implications for Prostate Cancer Care Among Medicare Enrollees.Urology · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo examine three aspects of urologist practice structure that may affect quality of prostate cancer care: practice size, ownership of an intensity modulated radiation therapy (IMRT) device, participation within a multi-specialty group (MSG). Health care reforms focused on improving quality are particularly relevant for prostate cancer given its prevalence and concerns for overdiagnosis and overtreatment.
methodsUsing data from the Surveillance, Epidemiology and End-Results (SEER)-Medicare linked registry, we examined quality of prostate cancer treatment according to each treating urologist's practice size, type (single-specialty vs. MSG) and ownership of IMRT. Mixed models were used to adjust for patient differences.
resultsWe identified 22,412 men with newly diagnosed prostate cancer treated by 2,199 urologists during the study. We observed minimal differences for most quality metrics according to practice size, type, and ownership of IMRT. Adherence to all eligible quality metrics was better among MSGs compared to single specialty groups (20.0% adherence versus 18.2%, p=0.01) whereas there was no significant difference by ownership of IMRT (17.1% adherence in owners versus 18.9% non-owners, p=0.09).
conclusionDifferences in quality across practice size, type and ownership of IMRT were modest, with substantial room for improvement regardless of practice structure.
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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.