More Judicious Use of Expectant Management for Localized Prostate Cancer during the Last 2 Decades.

ABSTRACT:

Purpose

Urologists have been criticized for overtreating men with low risk prostate cancer and for passively observing older men with higher risk disease. Proponents of active surveillance for low risk disease and critics of watchful waiting for higher risk disease have advocated for more judicious use of observation. Thus, we compared 2 population based cohorts to determine how expectant management has evolved during the last 2 decades.

Materials and methods

A total of 5,871 men with localized prostate cancer were enrolled in the PCOS (Prostate Cancer Outcomes Study) or the CEASAR (Comparative Effectiveness Analysis of Surgery and Radiation) study. We compared the use of definitive treatment vs expectant management (watchful waiting or active surveillance) across cohorts, f

SUBMITTER: Eifler JB 

PROVIDER: S-EPMC5315642 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature