The management of low risk prostate cancer tends to vary between radiation oncologists and urologists.
Most men in the United States with low-risk prostate cancer usually receive treatment with prostatectomy or radiotherapy and thus are exposed to treatment-related complications including urinary dysfunction, rectal bleeding and impotence. Observation is an alternative approach. Previous research indicates that older men with low-risk prostate cancer who choose observation have similar survival and fewer complications. However, it is not known whether decisions about disease management are influenced by physician factors, including characteristics of the diagnosing urologist.
How the Study Was Conducted: Authors analyzed data from a group of men (ages 66 years and older) with low-risk prostate cancer (diagnosed from 2006 through 2009) to examine the impact of physicians on disease management.
"We postulate that the diagnosing urologist plays an important role in treatment selection because he or she is the first to convey the diagnosis to the patient and discuss disease severity and management options."
Authors made conflict of interest disclosures. This study was supported by grants from the Cancer Prevention and Research Institute of Texas and other sources. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.