Overuse of imaging for staging low risk prostate cancer

Wesley W. Choi, Stephen Williams, Xiangmei Gu, Stuart R. Lipsitz, Paul L. Nguyen, Jim C. Hu

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Purpose: Routine imaging for staging low risk prostate cancer is not recommended according to current guidelines. We characterized patterns of care and factors associated with imaging overuse. Materials and Methods: We used SEER-Medicare linked data to identify men diagnosed with low risk prostate cancer from 2004 to 2005, and determined if imaging (computerized tomography, magnetic resonance imaging, bone scan, abdominal ultrasound) was obtained following prostate cancer diagnosis before treatment. Results: Of the 6,444 men identified with low risk disease 2,330 (36.2%) underwent imaging studies. Of these men 1,512 (23.5%), 1,710 (26.5%) and 118 (1.8%) underwent cross-sectional imaging (computerized tomography or magnetic resonance imaging), bone scan and abdominal ultrasound, respectively. Radiation therapy vs surgery was associated with greater odds of imaging (OR 1.99, 95% CI 1.682.35, p

Original languageEnglish (US)
Pages (from-to)1645-1649
Number of pages5
JournalJournal of Urology
Volume185
Issue number5
DOIs
StatePublished - May 2011
Externally publishedYes

Fingerprint

Prostatic Neoplasms
Tomography
Magnetic Resonance Imaging
Bone and Bones
Medicare
Radiotherapy
Guidelines
Therapeutics

Keywords

  • diagnostic imaging
  • health expenditures
  • health services misuse
  • prostatic neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Choi, W. W., Williams, S., Gu, X., Lipsitz, S. R., Nguyen, P. L., & Hu, J. C. (2011). Overuse of imaging for staging low risk prostate cancer. Journal of Urology, 185(5), 1645-1649. https://doi.org/10.1016/j.juro.2010.12.033

Overuse of imaging for staging low risk prostate cancer. / Choi, Wesley W.; Williams, Stephen; Gu, Xiangmei; Lipsitz, Stuart R.; Nguyen, Paul L.; Hu, Jim C.

In: Journal of Urology, Vol. 185, No. 5, 05.2011, p. 1645-1649.

Research output: Contribution to journalArticle

Choi, WW, Williams, S, Gu, X, Lipsitz, SR, Nguyen, PL & Hu, JC 2011, 'Overuse of imaging for staging low risk prostate cancer', Journal of Urology, vol. 185, no. 5, pp. 1645-1649. https://doi.org/10.1016/j.juro.2010.12.033
Choi, Wesley W. ; Williams, Stephen ; Gu, Xiangmei ; Lipsitz, Stuart R. ; Nguyen, Paul L. ; Hu, Jim C. / Overuse of imaging for staging low risk prostate cancer. In: Journal of Urology. 2011 ; Vol. 185, No. 5. pp. 1645-1649.
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