Page 180 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 180

Appendix Table C1.1. Descriptive characteristics of the epidemiologic studies considered relevant to KQ1 (continued)
                                        Author                  Database         Start  End year      Sample size              Eligibility criteria
                                        Year                                     year
                                        uid
                                              66
                                        Harlan                  CaPSURE          1989  2000           5365                     Patients with biopsy-confirmed prostate adenocarcinoma, localized stage
                                        2003                                                          (402 received WW)        (T3a or lower, N0 M0) who chose WW or active treatment within 9 mo of
                                        14532780                                                                               diagnosis. Patients who waited more than 9 mo after diagnosis before
                                                                                                                               initiating active treatment and those who received active treatment before or
                                                                                                                               within 6 mo after initiating WW were excluded from the analysis. Active
                                                                                                                               treatment was defined as RP, EBRT, interstitial RT, cryotherapy, or ADT.
                                                    67
                                        Cooperberg              CaPSURE          1989  2001           1990                     Excluded patients with unknown PSA at diagnosis, diagnostic biopsy Gleason
                                        2004                                                                                   score, and/or clinical T stage. Excluded patients with unknown primary
                                        15169800                                                                               treatment, and those receiving cryotherapy as primary therapy (this group
                                                                                                                               accounted for 2% of patients since 1996; 68% of cryotherapy treated patients
                                                                                                                               were treated at a single practice site in the early 1990s). Only low-risk
                                                                                                                               prostate cancer patients were analyzed for the temporal trends of clinical
                                                                                                                               characteristics or treatments received.
                                                     68
                                        Cooperberg              CaPSURE          1990  2006           10,385                   Excluded those diagnosed before 1990, those with metastatic or locally
                                        2007                                                                                   advanced disease (clinical stage T3b or higher) and those with missing data
                                        17644125                                                                               on PSA, T stage or biopsy Gleason score. Localized biopsy-proven prostate
                                                                                                                               adenocarcinoma. Information relevant to this review is only reported for “low-
                                                                                                                               risk” prostate cancer, defined as PSA≤10 ng/ml, Gleason score≤6 and
                                                                                                                               clinical stage T1/2a.
                                                    90
                                        Cooperberg              CaPSURE          1990  2007           10,808                   Localized prostate cancer, excluding metastatic or locally advanced
                                        2008                                                          [3372 were               (≥T3bN0M0) disease, missing PSA, clinical T stage, or Gleason score data.
                                        18369637                                                      considered high risk]   Results for trends over time were reported only among the high risk subset of
                                                                                                                               patients. High risk was defined as stage T2c/T3a, PSA >20ng/mL, or Gleason
                                                                                                                               score ≥8.
                                                    69
                                        Cooperberg              CaPSURE          1990  2008           11,892                   Biopsy-proven prostate cancer. Excluded advanced disease (stage higher
                                        2010                                                                                   than T3a N0 M0); diagnosed before 1990; those from sites contributing <30
                                        20124165                                                                               pts; and those receiving treatments other than RP, EBRT, BT, cryoablation,
                                                                                                                               WW/AS or ADT or with unknown primary treatment.
                                             70
                                        Shah                    CaPSURE          1995  2004           6450                     Unselected men with biopsy-proven prostate adenocarcinoma. Enrolled in
                                        2008                                                                                   CaPSURE within 6 mo of diagnosis with complete clinical information (PSA,
                                        17997437                                                                               Gleason score and clinical stage) and complete followup information.
                                                                                                                               Excluded patients with fewer than 6 biopsy cores or unavailable biopsy
                                                                                                                               details.
                                               71
                                        Greene                  CaPSURE          1997  2003           3003                     Patients with biopsy-proven prostate cancer; availability of pretreatment
                                        2005                                                                                   demographics and QoL data.
                                        16194711








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