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• W2079786582 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Dec 1998USE OF IMAGING TESTS FOR STAGING NEWLY DIAGNOSED PROSTATE CANCER: TRENDS FROM THE CAPSURE DATABASE AMY V. KINDRICK, GARY D. GROSSFELD, DAVID M. STIER, SCOTT C. FLANDERS, JAMES M. HENNING, and PETER R. CARROLL AMY V. KINDRICKAMY V. KINDRICK Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author , GARY D. GROSSFELDGARY D. GROSSFELD More articles by this author , DAVID M. STIERDAVID M. STIER Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author , SCOTT C. FLANDERSSCOTT C. FLANDERS Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author , JAMES M. HENNINGJAMES M. HENNING Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author , and PETER R. CARROLLPETER R. CARROLL More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62252-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe secular trends in the use of imaging tests to stage prostate cancer, evaluate the impact of selected clinical factors on test use and compare physician actual use with recommendations in recently published literature. Materials and Methods: This retrospective nonrandomized analysis of a longitudinal disease registry enrolled 3,557 men diagnosed with prostate cancer between 1989 and 1997 at 29 urology practices throughout the United States. Using logistic regression the odds of performing pelvic computerized tomography (CT), pelvic magnetic resonance imaging (MRI), bone scan and excretory urogram were determined annually from 1989 to 1997. The frequency of test use was compared with recommendations from a recent urology literature synopsis. Results: Use of MRI, CT, bone scan and excretory urogram was unchanged from 1989 to 1997. Compared to recent findings in the clinical literature bone scan, CT and MRI were used too frequently in patients at low risk for metastatic disease. Conclusions: Urologists may be overusing bone scan, CT and MRI to stage tumors in patients with a low risk of advanced prostate cancer. Further studies are needed to assess the relationship between individual staging strategies and clinical outcomes. References 1 : Cancer control following anatomical radical prostatectomy: an interim report. J. Urol.1991; 145: 1197. Link, Google Scholar 2 : Prostate-specific antigen after anatomic radical retropubic prostatectomy. Patterns of recurrence and cancer control. Urol. Clin. N. Amer.1997; 24: 395. Google Scholar 3 : Update on the appropriate staging evaluation for newly diagnosed prostate cancer. J. Urol.1997; 158: 687. Link, Google Scholar 4 : Predicting radionuclide bone scan findings in patients with newly diagnosed, untreated prostate cancer: prostate specific antigen is superior to all other clinical parameters. J. Urol.1991; 145: 313. Link, Google Scholar 5 : Are pelvic computed tomography, bone scan, and pelvic lymphadenectomy necessary in the staging of prostatic cancer? Brit. J. Urol.1995; 75: 778. Google Scholar 6 : The CaPSURE[trade mark sign] database: a methodology for clinical practice and research in prostate cancer. Urology1996; 48: 773. Google Scholar 7 : The role of increasing detection in the rising incidence of prostate cancer. J.A.M.A.1995; 273: 548. Google Scholar 8 : Incidence of prostate cancer diagnosis in the eras before and after serum prostate-specific antigen testing. J.A.M.A.1995; 274: 1445. Google Scholar 9 : Detection of organ-confined prostate cancer is increased through prostate-specific antigen-based screening. J.A.M.A.1993; 270: 948. Google Scholar 10 : Stage, age, comorbidity and direct costs of colon, prostate, and breast cancer care. J. Natl. Cancer Inst.1995; 87: 417. Google Scholar 11 : The use and accuracy of cross-sectional imaging and fine needle aspiration cytology for detection of pelvic lymph node metastases before radical prostatectomy J. Urol.1995; 153: 993. Abstract, Google Scholar 12 : Practice trends in the diagnosis and management of prostate cancer in the United States. J. Urol.1995; 154: 207. Link, Google Scholar 13 American College of Radiology, Expert Panel of Urologic Imaging: Pretreatment staging of clinically localized prostate cancer: appropriateness criteria. American College of Radiology, September 1995. Google Scholar 14 : A nationwide survey of practicing urologists: current management of benign prostatic hyperplasia and clinically localized prostate cancer. J. Urol.1997; 158: 488. Link, Google Scholar 15 : Current trends in prostate cancer diagnosis and staging among United States urologists. J. Urol.1997; 158: 1853. Link, Google Scholar From the Department of Urology, University of California and Lewin-TAG, Inc., San Francisco, California, and TAP Holdings, Inc., Deerfield, Illinois© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByRoss I, Womble P, Ye J, Linsell S, Montie J, Miller D and Cher M (2018) MUSIC: Patterns of Care in the Radiographic Staging of Men with Newly Diagnosed Low Risk Prostate CancerJournal of Urology, VOL. 193, NO. 4, (1159-1162), Online publication date: 1-Apr-2015.Hussein A, Welty C, Broering J, Cooperberg M and Carroll P (2018) National Prostate Cancer Registries: Contemporary Trends of Prostate Cancer in the United StatesUrology Practice, VOL. 1, NO. 4, (198-204), Online publication date: 1-Nov-2014.Makarov D, Desai R, Yu J, Sharma R, Abraham N, Albertsen P, Penson D and Gross C (2018) The Population Level Prevalence and Correlates of Appropriate and Inappropriate Imaging to Stage Incident Prostate Cancer in the Medicare PopulationJournal of Urology, VOL. 187, NO. 1, (97-102), Online publication date: 1-Jan-2012.Abraham N, Wan F, Montagnet C, Wong Y and Armstrong K (2018) Decrease in Racial Disparities in the Staging Evaluation for Prostate Cancer After Publication of Staging GuidelinesJournal of Urology, VOL. 178, NO. 1, (82-87), Online publication date: 1-Jul-2007.COOPERBERG M, BROERING J, LITWIN M, LUBECK D, MEHTA S, HENNING J and CARROLL P (2018) THE CONTEMPORARY MANAGEMENT OF PROSTATE CANCER IN THE UNITED STATES: LESSONS FROM THE CANCER OF THE PROSTATE STRATEGIC UROLOGIC RESEARCH ENDEAVOR (CAPSURE), A NATIONAL DISEASE REGISTRYJournal of Urology, VOL. 171, NO. 4, (1393-1401), Online publication date: 1-Apr-2004.ABUZALLOUF S, DAYES I and LUKKA H (2018) BASELINE STAGING OF NEWLY DIAGNOSED PROSTATE CANCER: A SUMMARY OF THE LITERATUREJournal of Urology, VOL. 171, NO. 6 Part 1, (2122-2127), Online publication date: 1-Jun-2004.THURMAN S, ROBINSON L, AHMAD N, POW-SANG J, LOCKHART J and SEIGNE J (2018) Investigation of the Safety and Accuracy of Intraoperative γ Probe Directed Biopsy of Bone Scan Detected Rib Abnormalities in Prostatic AdenocarcinomaJournal of Urology, VOL. 169, NO. 4, (1341-1344), Online publication date: 1-Apr-2003.Cooperberg M, Lubeck D, Grossfeld G, Mehta S and Carroll P (2018) Contemporary Trends in Imaging Test Utilization for Prostate Cancer Staging: Data from the Cancer of the Prostate Strategic Urologic Research EndeavorJournal of Urology, VOL. 168, NO. 2, (491-495), Online publication date: 1-Aug-2002.FLESHNER N, RAKOVITCH E and KLOTZ L (2018) DIFFERENCES BETWEEN UROLOGISTS IN THE UNITED STATES AND CANADA IN THE APPROACH TO PROSTATE CANCERJournal of Urology, VOL. 163, NO. 5, (1461-1466), Online publication date: 1-May-2000.ALBERTSEN P, HANLEY J, HARLAN L, GILLILAND F, HAMILTON A, LIFF J, STANFORD J and STEPHENSON R (2018) THE POSITIVE YIELD OF IMAGING STUDIES IN THE EVALUATION OF MEN WITH NEWLY DIAGNOSED PROSTATE CANCER: A POPULATION BASED ANALYSISJournal of Urology, VOL. 163, NO. 4, (1138-1143), Online publication date: 1-Apr-2000. Volume 160Issue 6 Part 1December 1998Page: 2102-2106 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information AMY V. KINDRICK Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author GARY D. GROSSFELD More articles by this author DAVID M. STIER Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author SCOTT C. FLANDERS Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author JAMES M. HENNING Financial interest and/or other relationship with TAP Holdings, Inc. More articles by this author PETER R. CARROLL More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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