Newswire (Published: Tuesday, December 3, 2019, Received: Tuesday, December 3, 2019, 4:20:46 PM CST)
Word Count: 755
2019 DEC 03 (NewsRx) -- By a
The findings, published in Cancer, are based on the largest and longest analysis of a MultiD clinic database. The study evaluated treatment choice at MD Anderson’s
According to the
“Men who visit a MultiD prostate clinic have the opportunity to see a radiation oncologist and a urologist in the same visit, giving them the chance to discuss treatments options and potential side effects in order to make an informed treatment decision,” said
The study analyzed 4,451 men with prostate cancer treated at the MultiD clinic from 2004-2016. To compare nationwide trends, 392,710 men with prostate cancer diagnosed from 2004-2015 were selected from the SEER database.
Men with low-risk disease were more likely to choose active surveillance in the MultiD clinic than the SEER group. In 2015, the rate of active surveillance among men with low-risk disease in the MultiD clinic was 74% compared with 54% in the SEER group. The tendency toward active surveillance for patients with low-risk prostate cancer is supported by the current National Comprehensive Cancer Network (NCCN) guidelines and national trends.
At the high risk end of the spectrum, significantly more men were offered aggressive treatment in the MultiD clinic group as compared to SEER patients. Nearly 20% of men with high-risk disease chose non-definitive treatment in the SEER group whereas all men with high-risk disease received definitive treatment in the MultiD clinic group. NCCN guidelines recommend men with high-risk prostate cancer receive definitive treatment.
In the MultiD clinic,
Previous studies have shown increased use of definitive therapy among white patients compared with
“These results suggest that when offered treatment options by a multidisciplinary team,
MD Anderson has implemented multidisciplinary prostate cancer clinics across the MD Anderson Cancer Network®. MD Anderson Cancer Network collaborates with community hospitals and health care systems to provide higher quality and advanced care to patients in the communities in which they live.
The authors note several limitations to the study. Those included the current SEER database contains data through 2015, where the MultiD clinic database has information through 2016. The SEER database also lacks significant details regarding complete therapy and does not have data on whether patients were treated with active surveillance, watchful waiting, hormones alone or “benign neglect.” Finally, there is inherent patient referral preference to this single center MultiD clinic.
Follow-up studies will look at other aspects of treatment choice. A current study evaluates financial effects of patients who choose external beam radiotherapy, brachytherapy and prostatectomy and the availability of choice across the country using the SEER database.
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