uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Work-up and treatment of prostate cancer before and after publication of the first national guidelines on prostate cancer care in Sweden
Falun Cent Hosp, Dept Surg, Falun, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.ORCID iD: 0000-0003-1735-721x
Univ Gothenburg, Sahlgrenska Univ Hosp, Inst Clin Sci, Dept Urol,Sahlgrenska Acad, Gothenburg, Sweden.
Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden.
Show others and affiliations
2018 (English)In: Scandinavian journal of urology, ISSN 2168-1805, E-ISSN 2168-1813, Vol. 52, no 4, p. 277-284Article in journal (Refereed) Published
Abstract [en]

Background and Objectives: In 2007, the Swedish National Board of Health and Welfare published the first Swedish guidelines on prostate cancer (PCa) to improve care and decrease geographical and social inequalities. The aim of this analysis was to assess how these guidelines affected PCa care.

Materials and Methods: Work-up and treatment for men diagnosed with PCa between 1998 and 2014 were assessed by use of data in the Prostate Cancer data Base Sweden (PCBaSe) with information from the National Prostate Cancer Register (NPCR) and other healthcare registries and demographic databases.

Results: Overall, there were modest improvements in the performance for 14 selected quality indicators, with some notable exceptions. There was a strong increase in the use of active surveillance for very low-risk PCa, up from 56% in 2009 to 92% in 2014, and use of bone imaging for high-risk PCa up from 50% in 2008 to 77% in 2014. There were large differences in work-up and treatment of PCa between healthcare providers with modest decreases over time. The differences between counties were larger than differences according to socioeconomic status with one exception: use of curative treatment for high-risk PCa was more common in men with high income, highest versus lowest tertile, OR 2.74 (95% CI, 1.85-4.06).

Conclusion: The modest improvements in PCa care after the publications of national guidelines indicate that if these are to make an impact on care, feedback to each point of care on their performance as well as local quality improvement programs implementing the guidelines are needed.

Place, publisher, year, edition, pages
2018. Vol. 52, no 4, p. 277-284
Keywords [en]
Prostate cancer, cancer guidelines, quality indicators, socio-economical differences, cancer registries
National Category
Urology and Nephrology
Identifiers
URN: urn:nbn:se:uu:diva-373222DOI: 10.1080/21681805.2018.1512650ISI: 000453872000007PubMedID: 30362868OAI: oai:DiVA.org:uu-373222DiVA, id: diva2:1278011
Funder
Swedish Research Council, 2017-00847Swedish Cancer Society, 16-0700Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-01-11Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Folkvaljon, YasinStattin, Pär

Search in DiVA

By author/editor
Folkvaljon, YasinStattin, Pär
By organisation
UCR-Uppsala Clinical Research CenterUrology
In the same journal
Scandinavian journal of urology
Urology and Nephrology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 2 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf