The trend of conservative treatment for low-risk prostate cancer is increasing
Among US veterans with low-risk prostate cancer, use of conservative management increased from 2005 to 2015.
The researchers found that of the 59,941 veterans (48%) who received conservative management, 37,717 and 22,224 (30 and 18%), respectively, received watchful waiting and active surveillance. From 2005 to 2015, there was an increase in utilization of conservative management among men aged younger than 65 years (27 to 72%) and among those aged 65 years or older (35 to 79%). The increase was mainly due to more use of active surveillance from 2005 to 2015 (4 to 39% in men aged <65 years and 3 to 41% in men aged ≥65 years).
The utilization of conservative management has increased significantly among US veterans with low-risk prostate cancer, suggesting a substantial reduction in overtreatment during the past decade.
Loeb S, Byrne N, Makarov DV et al. Use of Conservative Management for Low-Risk Prostate Cancer in the Veterans Affairs Integrated Health Care System From 2005-2015. JAMA. 2018;319(21):2231-2233. doi:10.1001/jama.2018.5616
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