Patterns of Care, Utilization, and Outcomes of Treatments for Localized Prostate Cancer

Abstract

The purpose of the research is to characterize patterns of care, utilization, outcomes and costs of treatments for localized prostate cancer such as surgery, intensity modulated radiation therapy (IMRT), and brachytherapy. In particular, the research characterizes the patterns of care, utilization and outcomes of robotic-assisted laparoscopic radical prostatectomy (RALP), minimally invasive radical prostatectomy (MIRP) versus open retropubic radical prostatectomy (RRP). MIRP has fewer peri-operative complications and shorter lengths of stay compared to RRP. Additionally, there are volume outcomes effects in which there are fewer complications and cost savings associated with higher RALP hospital volume. Factors associated with the rapid adoption of MIRP include higher RALP hospital volume, patient race and seeking a second opinion and younger surgeon age. Finally, certificate of need programs do not appear effective as a control measure in attenuating IMRT utilization and costs.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2012
Accession Number
ADA568207

Entities

People

  • Jim C. Hu

Organizations

  • Brigham and Women's Hospital

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Databases
  • Demography
  • General Surgery
  • Geographic Regions
  • Geography
  • Health Care
  • Health Services
  • Medical Personnel
  • Neoplasms
  • Prostate Cancer
  • Statistical Analysis
  • Surgery
  • Therapy
  • United States
  • Wound Infections

Fields of Study

  • Medicine

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