Page 306 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
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Appendix Table C1.10. Diagnostic strategies—biopsy frequency

                                        Author             Database  Frequency               1980-      1985-       1990-      1995-      2000-      2005-      Statistical analysis     Notes
                                        Year                            groups               84         89          94         99         04         10
                                        PMID
                                                 52
                                        Schwartz           SEER-                                                                                                P<0.001                  Additional
                                        1999               Detroit                           (1982)                            (1995)                                                    information is
                                        10197854                                                                                                                (Cochran-Armitage        presented in Figure 4
                                                                                                                                                                test for trend in        of the paper.
                                                                                                                                                                proportion of
                                                                                                                                                                biopsies over time)
                                                54
                                        Gilliland          SEER-        Biopsy only          27.1%                  43.7%                                       NR                       Only histologically
                                        2001               New          TURP                 55.6%                  11.2%                                                                confirmed prostate
                                        11176484           Mexico       Prostatectomy        12.8%                  38.8%                                                                cancer samples were
                                                                        Other                4.5%                   6.3%                                                                 considered.
                                                                        Percentage of        (1983-                 (1992-
                                                                        patients             84)                    93)
                                                                        diagnosed
                                                                        through each
                                                                        procedure
                                                57
                                        Potosky            SEER-        Age-adjusted                    685         2600                                        NR                       Additional
                                        1995               Medicare     (1970 US                        (1986)      (1991)                                                               information is
                                        7530782                         standard) biopsy                                                                                                 presented in Figure 2
                                                                        procedure rates                                                                                                  of the paper.
                                                                        per 100,000 men
                                              89
                                        Welch              SEER-        Age- and race-                                                                          P>0.2                    The authors reported
                                        2007               Medicare     adjusted biopsy                             (1993)     (2001)                           (test for trend in the   that “although the
                                        17848671                        rates                                                                                   biopsy rate over         biopsy rate declined
                                                                                                                                                                time)                    over the first 3 years,
                                                                                                                                                                                         there was not a
                                                                                                                                                                                         statistically
                                                                                                                                                                                         significant trend over
                                                                                                                                                                                         the 9-year analysis
                                                                                                                                                                                         period.” Additional
                                                                                                                                                                                         information was
                                                                                                                                                                                         provided in Figure 2
                                                                                                                                                                                         of the paper.
                                        Ordering of the studies follows Appendix Table C1.1.
                                        NR = not reported; PMID = PubMed identification number; TURP = transurethral resection of the prostate.













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