Page 334 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 334

Appendix Table C1.14. Treatment characteristics—changes in treatment patterns over time (continued)
                                        Author                Database         Treatment          1980-     1985-89        1990-94        1995-     2000-04      2005-     Statistical          Notes
                                        Year                                                      84                                      99                     10        analysis
                                        PMID
                                                                               BT                                          3.1%           4.2%      2.4%                   NR                   PSA≥20.0
                                                                               EBRT                                        29.0%          19.6%  22.9%                                          ng/ml,
                                                                               RP                                          27.3%          23.3%  22.7%                                          Gleason score
                                                                               PADT                                        32.8%          49.7%  48.2%                                          8-10, or
                                                                               WW                                          7.6%           3.2%      4.8%                                        clinical stage
                                                                               [High risk]                                 (1989-92)      (1996-    (1999-                                      T3 or T4;
                                                                                                                                          98)       2001)                                       excluded
                                                                                                                                                                                                patients
                                                                                                                                                                                                undergoing
                                                                                                                                                                                                cryotherapy
                                              66
                                        Harlan                CaPSURE          AS/WW                        7.5%           9.5%           7.9%      5.5%                   P<0.001
                                        2003                  (overall)                                     (1989-91)      (1992-94)      (1995-    (1998-                 (Mantel-Haenszel
                                        14532780                                                                                          97)       2000)                  test for trend)
                                                              CaPSURE          AS/WW                        7%             16.9%          11.9%  7.2%                      P=0.003
                                                              (low risk)                                    (1989-91)      (1992-94)      (1995-    (1998-                 (Mantel-Haenszel
                                                                                                                                          97)       2000)                  test for trend)

                                                                                                                                                                           Controlling for
                                                                                                                                                                           risk group, age,
                                                                                                                                                                           comorbidity,
                                                                                                                                                                           insurance status
                                                                                                                                                                           and study site,
                                                                                                                                                                           OR for WW,
                                                                                                                                                                           compared to
                                                                                                                                                                           1998-2000:

                                                                                                                                                                           1995-97: OR=1.8
                                                                                                                                                                           (1.3, 2.5)
                                                                                                                                                                           1992-94: OR=1.8
                                                                                                                                                                           (1.3-2.6)
                                                                                                                                                                           1989-91:
                                                                                                                                                                           OR=1.09 (0.7,
                                                                                                                                                                           1.7)














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