Journal article
Appropriateness of Imaging for Low-Risk Prostate Cancer-Real World Data from the Pennsylvania Urologic Regional Collaboration (PURC)
Current oncology (Toronto), v 31(8), pp 4746-4752
01 Aug 2024
PMID: 39195337
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Imaging for prostate cancer defines the extent of disease. Guidelines recommend against imaging low-risk prostate cancer patients with a computed tomography (CT) scan or bone scan due to the low probability of metastasis. We reviewed imaging performed for men diagnosed with low-risk prostate cancer across the Pennsylvania Urologic Regional Collaborative (PURC), a physician-led data sharing and quality improvement collaborative. The data of 10 practices were queried regarding the imaging performed in men diagnosed with prostate cancer from 2015 to 2022. The cohort included 13,122 patients with 3502 (27%) low-risk, 2364 (18%) favorable intermediate-risk, 3585 (27%) unfavorable intermediate-risk, and 3671 (28%) high-risk prostate cancer, based on the AUA guidelines. Amongst the low-risk patients, imaging utilization included pelvic MRI (59.7%), bone scan (17.8%), CT (16.0%), and PET-based imaging (0.5%). Redundant imaging occurred in 1022 patients (29.2%). There was variability among the PURC sites for imaging used in the low-risk patients, and iterative education reduced the need for CT and bone scans. Approximately 15% of low-risk patients had staging imaging performed using either a CT or bone scan, and redundant imaging occurred in almost one-third of men. Such data underscore the need for continued guideline-based education to optimize the stewardship of resources and reduce unnecessary costs to the healthcare system.
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Details
- Title
- Appropriateness of Imaging for Low-Risk Prostate Cancer-Real World Data from the Pennsylvania Urologic Regional Collaboration (PURC)
- Creators
- Raidizon Mercedes - Penn State Milton S. Hershey Medical CenterDennis Head - Penn State Milton S. Hershey Medical CenterElizabeth Zook - Penn State Milton S. Hershey Medical CenterEric Eidelman - Penn State Milton S. Hershey Medical CenterJeffrey Tomaszewski - Cooper University Health CareSerge Ginzburg - Einstein Healthcare NetworkRobert Uzzo - Fox Chase Cancer CenterMarc Smaldone - Fox Chase Cancer CenterJohn Danella - Geisinger Health SystemThomas J Guzzo - University of Pennsylvania Health SystemDaniel Lee - University of Pennsylvania Health SystemLaurence Belkoff - MidLantic Urology, Bala Cynwyd, PA 19008, USAJeffrey Walker - MidLantic Urology, Bala Cynwyd, PA 19008, USAAdam Reese - Temple University HospitalMihir S Shah - Thomas Jefferson University HospitalBruce Jacobs - University of Pittsburgh Medical CenterJay D Raman - Penn State Milton S. Hershey Medical Center
- Publication Details
- Current oncology (Toronto), v 31(8), pp 4746-4752
- Publisher
- MDPI
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:001305297800001
- Scopus ID
- 2-s2.0-85202624599
- Other Identifier
- 991021916798404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Oncology