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VNA of Care New England

High-Tech Therapies Up in Men With Low-Risk Prostate Cancer

Use of advanced treatment technologies is up in men at low risk of dying from the disease
TUESDAY, June 25 (HealthDay News) -- The use of advanced treatment technologies increased in men diagnosed with prostate cancer between 2004 and 2009 who were at low risk of dying from the disease, according to research published in the June 26 issue of the Journal of the American Medical Association.
Bruce L. Jacobs, M.D., M.P.H., of the University of Michigan in Ann Arbor, and colleagues used Surveillance, Epidemiology, and End Results (SEER)-Medicare data to identify men diagnosed with prostate cancer between 2004 and 2009. Data were analyzed for a retrospective cohort of men at low risk of dying from the disease, and men at high risk of dying from a non-cancer cause in the next 10 years, who underwent treatment with advanced or standard treatment technologies such as intensity-modulated radiotherapy (IMRT) versus traditional external beam radiation treatment (EBRT) and robotic prostatectomy versus open radical prostatectomy.
The researchers found significant increases in the use of advanced treatment technologies for 2009 compared with 2004 among men in the cohort with low-risk prostate cancer (32 to 44 percent), high risk of non-cancer mortality within the next 10 years (36 to 57 percent), or both (25 to 34 percent). Among all patients diagnosed with prostate cancer in SEER, the use of advanced treatment technologies among men at low risk for dying from prostate cancer increased significantly, from 13 percent (129.2 per 1,000 patients) in 2004 to 24 percent (244.2 per 1,000 patients) in 2009.
"The increasing use of both IMRT and robotic prostatectomy in populations unlikely to benefit from treatment was largely explained by their substitution for the treatments they aim to replace, namely EBRT and open radical prostatectomy," the authors write.
Several authors disclosed financial ties to the medical device industry.
Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1700496#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1700496 )
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