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Prostate Cancer Treatment Evolves

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More men with low-risk prostate cancer are choosing active surveillance—a trend that suggests that skepticism about delaying immediate treatment is diminishing. Prior to 2010, relatively few men treated in community-based urology practices chose active surveillance, but by 2013 their numbers had sharply increased, with up to 40 percent of men choosing that option.

The finding is based on a review of data from 1990 to 2013 from a national registry known as Cancer of the Prostate Strategic Urologic Research Endeavor (CaPSURE). The data are from men diagnosed and treated at 45 large and small urology practices in the United States.

Other interesting trends: Doctors are treating more men who have localized prostate cancer at high risk for metastasis with radiation, which has the potential to cure the disease, instead of relying solely on androgen deprivation therapy (ADT), which does not.

From 2010 to 2013, there was no increase in the use of surgery for men aged 75 and older who had high-risk disease; however, the number of men in this age group with low- and intermediate-risk cancer who underwent a prostatectomy increased.

CaPSURE data also show that there is great variation in treatment approaches from one urology practice to the next—a finding that reinforces the value of getting more than one opinion when considering your prostate cancer treatment options. The study was published in JAMA.



Posted in Prostate Disorders on April 26, 2016

Medical Disclaimer: This information is not intended to substitute for the advice of a physician. Click here for additional information: Health After 50 Disclaimer

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Prostate Disorders White Papers

H. Ballentine Carter, M.D.
Professor, Department of Urology and Oncology
Director, Adult Urology
Johns Hopkins University School of Medicine    

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