Changes in patterns of prostate Cancer care in the United States : Results of American College of Surgeons Commission on Cancer studies, 1974-1993.
Advances in medical and public health practice have led to many changes in patterns of prostate cancer care.
Data from several studies of prostate cancer by the Commission on Cancer of the American College of Surgeons provide information on the directions, magnitudes, and consequences of these changes.
The Commission on Cancer conducts patient care evaluation (PCE) studies based on the voluntary participation of hospital cancer programs and their tumor registries.
PCE studies have been conducted repeatedly for prostate cancer covering patients diagnosed as early as 1974 and as recently as 1990.
In addition, the National Cancer Data Base of the Commission on Cancer collects data for all forms of cancer from throughout the country.
The Commission on Cancer, the American Cancer Society, and the American Urologic Association also has conducted a focused survey of radical prostatectomy outcomes.
In aggregate, these multiple studies have accrued 179,366 reports on treatment of prostate cancer patients.
Predominant among practice changes are new techniques of prostate cancer detection and initial evaluation which have led to shifts in disease stage at the time of initial therapy.
The proportion of prostate cancer that is localized at the time of detection has increased.
Use of radiation therapy and radical prostatectomy has increased as the selection of hormone treatment and no cancer-directed treatment have decreased. (...)
Mots-clés Pascal : Adénocarcinome, Prostate, Evolution, Incidence, Grade histologique, Diagnostic, Stratégie, Traitement, Epidémiologie, Homme, Tumeur maligne, Appareil urinaire pathologie, Appareil génital mâle pathologie, Prostate pathologie
Mots-clés Pascal anglais : Adenocarcinoma, Prostate, Evolution, Incidence, Histological grading, Diagnosis, Strategy, Treatment, Epidemiology, Human, Malignant tumor, Urinary system disease, Male genital diseases, Prostate disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0437677
Code Inist : 002B30A01A2. Création : 19/12/1997.