Overtreatment of prostate cancer is increasing in the United States among men with limited life expectancy, a new study reports.
patients with life expectancies of less than five or 10 years were being subjected to treatments that can take up to a decade to significantly improve their chances of surviving “Use of active surveillance has increased over the last 15 years for men with low-risk prostate cancer
For this study, researchers analyzed medical data on nearly 244,000 men diagnosed in VA hospitals with prostate cancer between 2000 and 2019. And in men with average life expectancies of less than five years, treatment for high-risk prostate cancer increased from 17% to 47%.The use of radiation therapy increased from 16% to 39% among men with a life expectancy of less than five years, the study showed.To prevent overtreatment, Daskivich and his team have proposed a “trifecta” method for discussing a prostate cancer prognosis with patients.
“Our goal is to encourage clinicians to make longevity part of the discussion about the best treatment options so that prostate cancer patients with limited life expectancies can make educated choices,” Daskivich said.
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