MDMs on prostate cancer in USA
The experience of the MD Prostate Cancer Clinics at
Harvard Medical School (MGH, BWH, BIDMC), Boston
Analysis:
Jan - Dec 2009: 701 pts
Aim:
to determine whether MDC consultation is associated
with the selection of Active Surveillance for low risk patients
•
Selection of Active Surveillance in patients seen at a MDM
was double than patients seen by individual practitioners:
43% vs 22%
•
Patients treated with RP or RT decreased by ~ 30%
•
Consultation at MDC vs monodisciplinary was significantly
associated with pursuit of Active Surveillance: p=0.02
theoric score: 7.75