National Trends in Active Surveillance for Prostate Cancer: Validation of Medicare Claims-based Algorithms.

ABSTRACT:

Objective

To better describe the real-world use of active surveillance. Active surveillance is a preferred management option for low-risk prostate cancer, yet its use outside of high-volume institutions is poorly understood. We created multiple claims-based algorithms, validated them using a robust clinical registry, and applied them to Medicare claims to describe national utilization.

Materials and methods

We identified men with prostate cancer from 2012-2014 in a 100% sample of Michigan Medicare data and linked them with the Michigan Urologic Surgery Improvement Collaborative (MUSIC) registry. Using MUSIC treatment assignment as the standard, we determined the performance of 8 claims-based algorithms to identify men on active surveillance. We selected 3 algorithms (the mos

SUBMITTER: Modi PK 

PROVIDER: S-EPMC6462187 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature