新诊断的前列腺癌管理中的国家趋势
Avinash Maganty1, Samuel R Kaufman1, Mary K Oerline1
1Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.
Clinical genitourinary cancer
|July 19, 2023
概括
前列腺癌管理趋势显示,局部治疗率稳定. 低风险患者的观察增加,而高风险患者的治疗增加,反映了个性化护理的转变.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前列腺癌管理决策是复杂的,受到不断发展的指导方针和技术的影响.
- 新诊断的前列腺癌的管理趋势需要当代分析.
研究的目的:
- 分析前列腺癌管理中的当代趋势.
- 检查管理策略如何因非癌症死亡风险而有所不同.
主要方法:
- 利用2014-2019年国家医疗保险数据,用于新诊断的前列腺癌患者.
- 根据5年和10年非癌症死亡风险对患者进行分类.
- 评估局部治疗,激素治疗或使用后勤回归观察的趋势.
主要成果:
- 局部治疗仍然是最常见的管理方法 (68%),随着时间的推移使用稳定.
- 观察率增加了 (21%-23%),而激素治疗减少了 (11%-8%).
- 在低/中等风险组的观察增加;在高/非常高风险组的治疗增加.
结论:
- 在全国范围内,前列腺癌的当地治疗是稳定的.
- 基于非癌症死亡风险,管理趋势有所不同,较低风险患者的观察增加,较高风险患者的治疗增加.
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