Use of expectant management based on prostate cancer risk and health status: How far are we from a risk-adapted approach?

ABSTRACT:

Objectives

While active surveillance, a form of expectant management (EM), is preferred for patients with low-risk prostate cancer (PCa), some favor a more risk-adapted approach that recognizes patient preferences and condition-specific factors. However, previous research has shown non-patient-related factors often drive PCa treatment. In this context, we characterized trends in AS with respect to disease risk and health status.

Methods and materials

Using SEER-Medicare data, we identified men 66 years and older diagnosed with localized low- and intermediate-risk PCa from 2008 to 2017 and examined receipt of EM, defined as the absence of treatment (i.e., surgery, cryotherapy, radiation, chemotherapy, and androgen deprivation therapies) within 1 year of diagnosis. We performe

SUBMITTER: Spratte BN 

PROVIDER: S-EPMC11228925 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature