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More judicious use of expectant management for localized prostate cancer over the past two decades.


AUTHORS

Eifler JB , Alvarez J , Koyama T , Conwill RM , Ritch CR , Hoffman KE , Resnick MJ , Penson DF , Barocas DA , . The Journal of urology. 2016 10 27; ().

ABSTRACT

Urologists have been criticized for over-treating men with low-risk prostate cancer, and for passively observing older men with higher-risk disease. Proponents of active surveillance (AS) for low-risk disease and critics of watchful waiting (WW) for higher-risk disease have advocated for more judicious use of observation. Thus, we compared two population-based cohorts to determine how expectant management has evolved over the past two decades.


Urologists have been criticized for over-treating men with low-risk prostate cancer, and for passively observing older men with higher-risk disease. Proponents of active surveillance (AS) for low-risk disease and critics of watchful waiting (WW) for higher-risk disease have advocated for more judicious use of observation. Thus, we compared two population-based cohorts to determine how expectant management has evolved over the past two decades.


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