{"id":23434,"date":"2025-05-01T19:47:06","date_gmt":"2025-05-01T19:47:06","guid":{"rendered":"https:\/\/www.tun.com\/home\/?p=23434"},"modified":"2025-05-01T19:47:08","modified_gmt":"2025-05-01T19:47:08","slug":"new-study-marks-declines-in-unnecessary-surgery-for-prostate-cancer","status":"publish","type":"post","link":"https:\/\/www.tun.com\/home\/new-study-marks-declines-in-unnecessary-surgery-for-prostate-cancer\/","title":{"rendered":"New Study Marks Declines in Unnecessary Surgery for Prostate Cancer"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-uagb-blockquote uagb-block-e7eb3fc3 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content\">A new study from the University of Michigan shows a dramatic decline in unnecessary prostate surgeries for low-risk cancer patients, thanks to active surveillance and better diagnostic techniques.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<div class=\"wp-block-group is-content-justification-space-between is-nowrap is-layout-flex wp-container-core-group-is-layout-b0ffac9c wp-block-group-is-layout-flex\"><div style=\"font-size:16px\" class=\"has-text-align-left wp-block-post-author\"><div class=\"wp-block-post-author__content\"><p class=\"wp-block-post-author__name\">The University Network<\/p><\/div><\/div>\n\n\n<div class=\"wp-block-uagb-social-share uagb-social-share__outer-wrap uagb-social-share__layout-horizontal uagb-block-ee584a31\">\n<div class=\"wp-block-uagb-social-share-child uagb-ss-repeater uagb-ss__wrapper uagb-block-ec619ce7\"><span class=\"uagb-ss__link\" data-href=\"https:\/\/www.facebook.com\/sharer.php?u=\" tabindex=\"0\" role=\"button\" aria-label=\"facebook\"><span class=\"uagb-ss__source-wrap\"><span class=\"uagb-ss__source-icon\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.8 90.69 226.4 209.3 245V327.7h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.3 482.4 504 379.8 504 256z\"><\/path><\/svg><\/span><\/span><\/span><\/div>\n\n\n\n<div class=\"wp-block-uagb-social-share-child uagb-ss-repeater uagb-ss__wrapper uagb-block-32d99934\"><span class=\"uagb-ss__link\" data-href=\"https:\/\/twitter.com\/share?url=\" tabindex=\"0\" role=\"button\" aria-label=\"twitter\"><span class=\"uagb-ss__source-wrap\"><span class=\"uagb-ss__source-icon\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M389.2 48h70.6L305.6 224.2 487 464H345L233.7 318.6 106.5 464H35.8L200.7 275.5 26.8 48H172.4L272.9 180.9 389.2 48zM364.4 421.8h39.1L151.1 88h-42L364.4 421.8z\"><\/path><\/svg><\/span><\/span><\/span><\/div>\n\n\n\n<div class=\"wp-block-uagb-social-share-child uagb-ss-repeater uagb-ss__wrapper uagb-block-1d136f14\"><span class=\"uagb-ss__link\" data-href=\"https:\/\/www.linkedin.com\/shareArticle?url=\" tabindex=\"0\" role=\"button\" aria-label=\"linkedin\"><span class=\"uagb-ss__source-wrap\"><span class=\"uagb-ss__source-icon\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><\/span><\/span><\/span><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Prostate cancer ranks as a major cause of cancer-related deaths among men in the United States. But a promising new study from the University of Michigan, <a href=\"https:\/\/jamanetwork.com\/journals\/jamaoncology\/fullarticle\/2833303\" target=\"_blank\" rel=\"noopener\" title=\"\">published<\/a> in JAMA Oncology, reveals a significant shift that could substantially impact patient care and outcomes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The research shows that the rate of unnecessary prostatectomies for men diagnosed with the lowest-risk type of prostate cancer has dropped over fivefold between 2010 and 2024. This dramatic decline underscores the effectiveness of active surveillance and improved diagnostic methods in managing the disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prostate cancer screening has been a contentious topic due to concerns over the potential for overtreatment. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many primary care physicians worry that screening could lead to unneeded surgeries for men with low-risk prostate cancer, thus the guidelines emphasized caution, recommending screening only after health care providers thoroughly discussed the risks and benefits with patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe discrepancy between how common prostate cancer is and the hesitance in adopting screening exists because, historically, prostate cancer has been considered overtreated,\u201d first author Steven Monda,  a urologic oncology researcher at the University of Michigan, said in a news release. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He explained that many men diagnosed with prostate cancer \u2014 particularly those with slow-growing types \u2014 did not require immediate surgery or radiation, leading to the initial hesitance to widely adopt screening practices.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This cautious approach was reflected in the 2012 guidelines by the U.S. Preventive Services Task Force, which recommended against routine prostate-specific antigen (PSA) screening to avoid the dangers of overtreatment. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Although these guidelines were relaxed in 2018 to permit PSA screening after patient-doctor discussions, lingering hesitancy remained among primary care professionals.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cEven though the 2012 USPTF guidelines were revised, many primary care doctors never went back to screening,\u201d added senior author Tudor Borza, an assistant professor of urology at the University of Michigan. \u201cAs a result, even people at a higher risk, such as African American men or those with a family history of prostate cancer, aren\u2019t being offered screening.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The study analyzed data from more than 180,000 men who underwent prostate cancer surgery between 2010 and 2024, focusing on those with Grade Group 1 prostate cancer. This category represents the lowest-risk prostate cancers, making its patients ideal candidates for active surveillance \u2014 a strategy where doctors monitor cancer closely and only intervene if it progresses.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Employing data from both national and Michigan-based prostate cancer registries, the researchers discovered that the national proportion of patients with low-risk prostate cancer undergoing surgery dropped from one in three in 2010 to less than one in 10 by 2020. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Michigan, where a quality improvement program named MUSIC has been active, the numbers fell from one in five in 2012 to less than one in 35 by 2024.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe results show that this is a system-wide improvement,\u201d Monda added. \u201cWe\u2019re seeing progress at the local practice, statewide and national levels.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The findings align well with other studies indicating an increased use of active surveillance for low-risk prostate cancer since 2010. This strategy involves routine PSA checks, MRIs and biopsies to ensure the cancer doesn\u2019t advance to a stage requiring treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe decrease in the number of surgeries for low-grade prostate cancer shows that active surveillance helps,\u201d added Monda. \u201cRoutine PSA checks, MRIs and biopsies can ensure that prostate cancer doesn&#8217;t progress to a condition that requires treatment.\u201d<\/p>\n\n\n\n<div style=\"height:14px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Source: <\/strong><a href=\"https:\/\/www.michiganmedicine.org\/health-lab\/more-men-prostate-cancer-are-avoiding-unnecessary-surgery\" target=\"_blank\" rel=\"noopener\" title=\"\">Michigan Medicine &#8211; University of Michigan<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prostate cancer ranks as a major cause of cancer-related deaths among men in the United States. But a promising new study from the University of Michigan, published in JAMA Oncology, reveals a significant shift that could substantially impact patient care and outcomes. The research shows that the rate of unnecessary prostatectomies for men diagnosed with [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"single-no-separators","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[12],"tags":[76],"class_list":["post-23434","post","type-post","status-publish","format-standard","hentry","category-health","tag-university-of-michigan"],"acf":[],"aioseo_notices":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"The University Network","author_link":"https:\/\/www.tun.com\/home\/author\/funky_junkie\/"},"uagb_comment_info":0,"uagb_excerpt":"Prostate cancer ranks as a major cause of cancer-related deaths among men in the United States. But a promising new study from the University of Michigan, published in JAMA Oncology, reveals a significant shift that could substantially impact patient care and outcomes. The research shows that the rate of unnecessary prostatectomies for men diagnosed with&hellip;","_links":{"self":[{"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/posts\/23434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/comments?post=23434"}],"version-history":[{"count":8,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/posts\/23434\/revisions"}],"predecessor-version":[{"id":23458,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/posts\/23434\/revisions\/23458"}],"wp:attachment":[{"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/media?parent=23434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/categories?post=23434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tun.com\/home\/wp-json\/wp\/v2\/tags?post=23434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}