Perceptions of active surveillance and treatment recommendations for low-risk prostate cancer: Results from a national survey of radiation oncologists and urologists

Simon P. Kim, Cary P. Gross, Paul L. Nguyen, Marc C. Smaldone, Nilay D. Shah, R. Jeffrey Karnes, R. Houston Thompson, Leona C. Han, James B. Yu, Quoc D. Trinh, Jeanette Y. Ziegenfuss, Maxine Sun, Jon C. Tilburt

Research output: Contribution to journalArticle

Abstract

BACKGROUND: With the growing concerns about overtreatment in prostate cancer, the extent to which radiation oncologists and urologists perceive active surveillance (AS) as effective and recommend it to patients are unknown. OBJECTIVE: To assess opinions of radiation oncologists and urologists about their perceptions of AS and treatment recommendations for low-risk prostate cancer. RESEARCH DESIGN: National survey of specialists. PARTICIPANTS: Radiation oncologists and urologists practicing in the United States. MEASURES: A total of 1366 respondents were asked whether AS was effective and whether it was underused nationally, whether their patients were interested in AS, and treatment recommendations for low-risk prostate cancer. Pearson's χ2 test and multivariate logistic regression were used to test for differences in physician perceptions on AS and treatment recommendations. RESULTS: Overall, 717 (52.5%) of physicians completed the survey with minimal differences between specialties (P=0.92). Although most physicians reported that AS is effective (71.9%) and underused in the United States (80.0%), 71.0% stated that their patients were not interested in AS. For low-risk prostate cancer, more physicians recommended radical prostatectomy (44.9%) or brachytherapy (35.4%); fewer endorsed AS (22.1%). On multivariable analysis, urologists were more likely to recommend surgery [odds ratio (OR): 4.19; P

Original languageEnglish (US)
Pages (from-to)579-585
Number of pages7
JournalMedical Care
Volume52
Issue number7
DOIs
StatePublished - 2014
Externally publishedYes

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Prostatic Neoplasms
Physicians
Brachytherapy
Therapeutics
Prostatectomy
Logistic Models
Odds Ratio
Radiation Oncologists
Urologists
Surveys and Questionnaires

Keywords

  • active surveillance
  • outcomes
  • prostate cancer
  • recommendations
  • survey

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Perceptions of active surveillance and treatment recommendations for low-risk prostate cancer : Results from a national survey of radiation oncologists and urologists. / Kim, Simon P.; Gross, Cary P.; Nguyen, Paul L.; Smaldone, Marc C.; Shah, Nilay D.; Karnes, R. Jeffrey; Thompson, R. Houston; Han, Leona C.; Yu, James B.; Trinh, Quoc D.; Ziegenfuss, Jeanette Y.; Sun, Maxine; Tilburt, Jon C.

In: Medical Care, Vol. 52, No. 7, 2014, p. 579-585.

Research output: Contribution to journalArticle

Kim, SP, Gross, CP, Nguyen, PL, Smaldone, MC, Shah, ND, Karnes, RJ, Thompson, RH, Han, LC, Yu, JB, Trinh, QD, Ziegenfuss, JY, Sun, M & Tilburt, JC 2014, 'Perceptions of active surveillance and treatment recommendations for low-risk prostate cancer: Results from a national survey of radiation oncologists and urologists', Medical Care, vol. 52, no. 7, pp. 579-585. https://doi.org/10.1097/MLR.0000000000000155
Kim, Simon P. ; Gross, Cary P. ; Nguyen, Paul L. ; Smaldone, Marc C. ; Shah, Nilay D. ; Karnes, R. Jeffrey ; Thompson, R. Houston ; Han, Leona C. ; Yu, James B. ; Trinh, Quoc D. ; Ziegenfuss, Jeanette Y. ; Sun, Maxine ; Tilburt, Jon C. / Perceptions of active surveillance and treatment recommendations for low-risk prostate cancer : Results from a national survey of radiation oncologists and urologists. In: Medical Care. 2014 ; Vol. 52, No. 7. pp. 579-585.
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