Additional treatments and reimbursement rates associated with prostate cancer treatment for patients undergoing radical prostatectomy, interstitial brachytherapy, and external beam radiotherapy

Objectives. To define patterns of treatment among contemporary patients undergoing radical prostatectomy, interstitial radiation, and external beam radiation for prostate cancer. Methods. We analyzed 291 consecutive patients (Stage T1-T3NXM0) who underwent definitive local treatment for prostate can...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2000-10, Vol.56 (4), p.622-626
Main Authors: Goharderakhshan, Reza Z, Grossfeld, Gary D, Kassis, Adrienne, Shinohara, Katsuto, Roach, Mack, Carroll, Peter R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Brachytherapy - economics
Brachytherapy - statistics & numerical data
Combined Modality Therapy - economics
Fee-for-Service Plans
Genital system. Mammary gland
Health Care Rationing
Health Maintenance Organizations
Hospitals, University - economics
Humans
Insurance, Health, Reimbursement
Male
Medical sciences
Medicare
Neoplasm Staging
Prostatectomy - economics
Prostatectomy - statistics & numerical data
Prostatic Neoplasms - classification
Prostatic Neoplasms - radiotherapy
Prostatic Neoplasms - surgery
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Risk Assessment
San Francisco
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Summary:Objectives. To define patterns of treatment among contemporary patients undergoing radical prostatectomy, interstitial radiation, and external beam radiation for prostate cancer. Methods. We analyzed 291 consecutive patients (Stage T1-T3NXM0) who underwent definitive local treatment for prostate cancer with radical prostatectomy, interstitial seed implantation, or external beam radiation. Patients were stratified into three risk groups based on clinical T stage, serum prostate-specific antigen level at diagnosis, and biopsy Gleason score. The frequency of additional treatments, including androgen deprivation and external beam radiation, given within 3 months of initial local therapy was assessed. Patterns of care were compared and adjusted for risk. Results. Of the 291 patients, 107 (36.8%) underwent radical prostatectomy, 94 (32.3%) underwent interstitial seed implantation, and 90 (30.9%) underwent external beam radiation. Use of combination therapy differed significantly according to the type of initial local treatment and risk category. No patient in the low-risk group received combination therapy. For patients in the intermediate and high-risk groups, the frequency of combination therapy was significantly lower in the radical prostatectomy group when compared with either the interstitial seed implantation ( P
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(00)00669-5