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From Cancer Patient to Cancer Survivor: Lost in Transition (2005)
National Cancer Policy Board (NCPB)

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. "4 Delivering Cancer Survivorship Care." From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: The National Academies Press, 2005.

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From Cancer Patient to Cancer Survivor: Lost in Transition

Prostate Cancer

Reference/Study Question

Methods

Breast cancer evaluation and follow-up: A survey of the Ohio Chapter of the American College of Surgeons (Stark and Crowe, 1996)

_________

What are the practice philosophies of Ohio general surgeon fellows regarding evaluation and follow-up?

Method: 1994 survey of 764 general surgeons, fellows in the Ohio chapter of the American College of Surgeons.

Sample: 261 responses to the survey were evaluable (RR = 34%).

Statistical method: Descriptive statistics.

Explanatory variables: None.

Geographic variation in patient surveillance after radical prostatectomy (Powell et al., 2000)

Method: 1997 physician survey. Examined three frequently used modalities:

  1. Digital rectal exam

  2. Urinalysis

  3. Serum PSA

How tumor stage affects American urologists’ surveillance strategies after prostate cancer surgery (Johnson et al., 2000)

And eight infrequently used modalities:

  1. Chest X ray

  2. Computed tomography of abdomen and pelvis

  3. Magnetic resonance imaging (MRI)

  4. Radionuclide bone scan

  5. Multichannel blood chemistry

  6. Complete blood count (CBC)

  7. Serum prostatic acid phosphatase

  8. Monoclonal antibody scan

Attitudes toward follow-up were also assessed.

Current follow-up strategies after radical prostatectomy: A survey of American Urological Association urologists (Oh et al., 1999)

The age of the urologist affects the postoperative care of prostate carcinoma patients (Tsai et al., 1999)

_________

How does tumor stage and urologist geographic location and age influence variability of surveillance after radical prostatectomy (Stage TNM I-II, III)?

Sample: 4,467 members of the American Urological Association (randomly selected from total of 12,500 members) mailed survey in 1997. RR = 32% (1,416/4,467); 1,050/1,416 responses were usable; 28% of usable responses (290/1,050) were from urologists practicing outside of United States.

Statistical methods: Repeated measures analysis of variance.

Explanatory variables: Location in 24 MSAs, U.S. census region, HMO penetration.

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