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Short Communication

Treatment Patterns among Canadian Men Diagnosed with Localized Low-Risk Prostate Cancer

by
C. Sandoval
1,*,
K. Tran
1,
R. Rahal
1,
G. Porter
2,
S. Fung
1,
C. Louzado
1,
J. Liu
1,
H. Bryant
1,3 and
in collaboration with the System Performance Steering Committee and Technical Working Group
1
Canadian Partnership against Cancer, Toronto, ON, Canada
2
Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
3
Departments of Community Health Sciences and of Oncology, University of Calgary, Calgary, AB, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2015, 22(6), 427-429; https://doi.org/10.3747/co.22.2895
Submission received: 9 September 2015 / Revised: 5 October 2015 / Accepted: 9 November 2015 / Published: 1 December 2015

Abstract

In general, guideline-recommended treatment options for men with low-risk prostate cancer (pca) include active surveillance, radical prostatectomy, and external-beam radiation therapy or brachytherapy. Because of the concern about overdiagnosis and consequent overtreatment of pca, patients with low-risk disease are increasingly being managed with active surveillance. Using data from six provincial cancer registries, we examined treatment patterns within a year of a diagnosis of localized low-risk pca, and we assessed differences by age. Of patients diagnosed in 2010 in four of the six reporting provinces, most received surgery or radiation therapy within 1 year of diagnosis. Depending on the province, either surgery or radiation therapy was the most commonly used primary treatment. In the other two provinces, most patients had no record of treatment within a year of diagnosis. Examining treatment patterns by age demonstrated a lesser likelihood of receiving surgery or radiation therapy within 1 year of diagnosis among men more than 75 years of age than among men 75 years of age or younger (no record of treatment in 69.1% and 46.3% respectively). In conclusion, we observed interprovincial and age-specific variations in the patterns of care for men with lowrisk pca. The findings presented in this report are intended to identify opportunities for improvement in clinical practice that could lead to improved care and experience.
Keywords: low-risk prostate cancer; treatment; older men; active surveillance; observation low-risk prostate cancer; treatment; older men; active surveillance; observation

Share and Cite

MDPI and ACS Style

Sandoval, C.; Tran, K.; Rahal, R.; Porter, G.; Fung, S.; Louzado, C.; Liu, J.; Bryant, H.; in collaboration with the System Performance Steering Committee and Technical Working Group. Treatment Patterns among Canadian Men Diagnosed with Localized Low-Risk Prostate Cancer. Curr. Oncol. 2015, 22, 427-429. https://doi.org/10.3747/co.22.2895

AMA Style

Sandoval C, Tran K, Rahal R, Porter G, Fung S, Louzado C, Liu J, Bryant H, in collaboration with the System Performance Steering Committee and Technical Working Group. Treatment Patterns among Canadian Men Diagnosed with Localized Low-Risk Prostate Cancer. Current Oncology. 2015; 22(6):427-429. https://doi.org/10.3747/co.22.2895

Chicago/Turabian Style

Sandoval, C., K. Tran, R. Rahal, G. Porter, S. Fung, C. Louzado, J. Liu, H. Bryant, and in collaboration with the System Performance Steering Committee and Technical Working Group. 2015. "Treatment Patterns among Canadian Men Diagnosed with Localized Low-Risk Prostate Cancer" Current Oncology 22, no. 6: 427-429. https://doi.org/10.3747/co.22.2895

APA Style

Sandoval, C., Tran, K., Rahal, R., Porter, G., Fung, S., Louzado, C., Liu, J., Bryant, H., & in collaboration with the System Performance Steering Committee and Technical Working Group. (2015). Treatment Patterns among Canadian Men Diagnosed with Localized Low-Risk Prostate Cancer. Current Oncology, 22(6), 427-429. https://doi.org/10.3747/co.22.2895

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