Differences in Upgrading of Prostate Cancer in Prostatectomies between Community and Academic Practices
المؤلفون المشاركون
Lin, Daniel W.
Ellis, William J.
Gottsch, Henry P.
True, Lawrence D.
Wright, Jonathan L.
Lee, Franklin C.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-10-24
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objective.
To determine whether initial biopsy performed by community or academic urologists affected rates of Gleason upgrading at a tertiary referral center.
Gleason upgrading from biopsy to radical prostatectomy (RP) is an important event as treatment decisions are made based on the biopsy score.
Materials and Methods.
We identified men undergoing RP for Gleason 3+3 or 3+4 disease at a tertiary care academic center.
Biopsy performed in the community was centrally reviewed at the academic center.
Multivariate logistic regression was used to determine factors associated with Gleason upgrading.
Results.
We reviewed 1,348 men.
There was no difference in upgrading whether the biopsy was performed at academic or community sites (OR 0.9, 95% CI 0.7–1.2).
Increased risk of upgrading was seen in those with >1 positive core, older men, and those with higher PSAs.
Secondary pattern 4 and larger prostate size were associated with a reduction in risk of upgrading.
Compared to the smallest quartile of prostate size (<35 g), those in the highest quartile (>56 g) had a 49% reduction in risk of upgrading (OR 0.51, 95% CI 0.3–0.7).
Conclusion.
There was no difference in upgrading between where the biopsy was performed and community and academic urologists.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lee, Franklin C.& Gottsch, Henry P.& Ellis, William J.& True, Lawrence D.& Lin, Daniel W.& Wright, Jonathan L.. 2013. Differences in Upgrading of Prostate Cancer in Prostatectomies between Community and Academic Practices. Advances in Urology،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-474114
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lee, Franklin C.…[et al.]. Differences in Upgrading of Prostate Cancer in Prostatectomies between Community and Academic Practices. Advances in Urology No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-474114
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lee, Franklin C.& Gottsch, Henry P.& Ellis, William J.& True, Lawrence D.& Lin, Daniel W.& Wright, Jonathan L.. Differences in Upgrading of Prostate Cancer in Prostatectomies between Community and Academic Practices. Advances in Urology. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-474114
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-474114
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر