Diagnoses rendered on prostate needle biopsy in community hospitals

Michael H. Weinstein, David L. Greenspan, Jonathan Ira Epstein

Research output: Contribution to journalArticle

Abstract

BACKGROUND. Reported incidences of various diagnoses made on needle biopsy of the prostate vary significantly in the literature, most of which has originated from large, academic medical centers. METHODS. We recorded all the prostate needle biopsy results from three community hospitals for 1990-1993 to determine the rates of, and trends in, various diagnoses in these practices. RESULTS. Hospital H1 (1,192 case) halved the rate of atypical, nondefinitive diagnoses from 11.8% in 1990 to 5.7% in 1993 (P <0.001). The rate at H2 (2,792 cases) remained essentially unchanged at 5.95 ± 0.55%, and H3 (1,306 cases) went from 2.3% to 6.0% (0.1 <P <0.2). In the setting of an atypical, nondefinitive diagnosis, H1 and H2 recommended repeat biopsy less than 7% of the time. H3 made this recommendation in an average of 22.1% of atypical cases. Annual rates of high-grade prostatic intraepithelial neoplasia (PIN) showed no trend over time, and averaged 2.0% (1.2-3.25%) at H1 and 1.2% (0.3-2.0%) at H2. The diagnosis was never made at H3. The fraction of cancers diagnosed as low- grade (Gleason sum

Original languageEnglish (US)
Pages (from-to)50-55
Number of pages6
JournalProstate
Volume35
Issue number1
DOIs
StatePublished - Apr 1 1998

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Community Hospital
Needle Biopsy
Prostate
Prostatic Intraepithelial Neoplasia
Biopsy
Incidence
Neoplasms

Keywords

  • Atypical
  • Gleason grade
  • Prostate cancer
  • Prostatic intraepithelial neoplasia

ASJC Scopus subject areas

  • Urology

Cite this

Diagnoses rendered on prostate needle biopsy in community hospitals. / Weinstein, Michael H.; Greenspan, David L.; Epstein, Jonathan Ira.

In: Prostate, Vol. 35, No. 1, 01.04.1998, p. 50-55.

Research output: Contribution to journalArticle

Weinstein, Michael H. ; Greenspan, David L. ; Epstein, Jonathan Ira. / Diagnoses rendered on prostate needle biopsy in community hospitals. In: Prostate. 1998 ; Vol. 35, No. 1. pp. 50-55.
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