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ORIGINAL INVESTIGATION LESS IS MORE Risk Profiles and Treatment Patterns Among Men Diagnosed as Having Prostate Cancer and a Prostate-Specific Antigen Level Below 4.0 ng/mL Yu-Hsuan Shao, PhD; Peter C. Albertsen, MD; Calpurnyia B. Roberts, PhD; Yong Lin, PhD; Amit R. Mehta, MD; Mark N. Stein, MD; Robert S. DiPaola, MD; Grace L. Lu-Yao, PhD Background: Despite controversy over the benefit of PSA levels lower than 4.0 ng/mL harbor low-risk dis- prostate-specific antigen (PSA) screening, little is known ease (stage, T2a, PSA level, 10 ng/mL, and Gleason about risk profiles and treatment patterns in men diag- score,6), but over 75% of them received RP or RT. Men nosed as having prostate cancer who have a PSA value with screen-detected prostate cancer and PSA values lower less than or equal to 4.0 ng/mL. than 4 ng/mL were 1.49 (95% confidence interval [CI], 1.38-1.62) and 1.39 (95% CI, 1.30-1.49) times more likely Methods: We used data from the Surveillance, Epide- to receive RP and RT, respectively, and were less miology, and End Results system to describe patient char- likely to have high-grade disease than men who had acteristics and treatment patterns in the cases of 123 934 non–screen-detected prostate cancer (OR,
JAMA Internal Medicine – American Medical Association
Published: Jul 26, 2010
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