BACKGROUND: For certain @entity1 with @entity263 , aggressive treatment results in marginal survival benefits while exposing them to urinary and sexual side effects. Nevertheless, expectant management has been underused. In the current study, the authors evaluated the association between various factors and expectant management use among veterans diagnosed with @entity263 . METHODS: The authors identified @entity1 diagnosed with @entity263 in 2008. The outcome of interest was use of expectant management, based on documentation captured through an in-depth chart review. Multivariable regression models were fit to examine associations between use of expectant management and @entity1 demographics, @entity5 severity, and facility characteristics. The authors assessed variation across 21 tertiary care regions and 52 facilities by generating predicted probabilities for receipt of expectant management. RESULTS: Expectant management was more common among @entity1 aged >= 75 years (40% vs 27% for those aged   <   55 years; odds ratio, 2.57) and those with @entity5 (49% vs 20% for @entity1 with high-risk @entity5 ; odds ratio, 5.35). There was no association noted between @entity1 comorbidity and receipt of expectant management (P   =   .90). There were also no associations found between facility factors and use of expectant management (all P>.05). Among ideal candidates for expectant management, receipt of expectant management varied considerably across individual facilities (0%-85%; P<.001). CONCLUSIONS: @entity1 age and @entity5 risk were found to be more strongly associated with use of expectant management than @entity1 comorbidity. Although use of expectant management appears broadly appropriate, there was variation in expectant management noted between hospitals that was apparently not attributable to facility factors. Research determining the basis of this variation, with a focus on providers, will be critical to help optimize @entity263 treatment for veterans. @entity5 2016;122:626-633.    2015 American @entity5 Society.

Expectant management of veterans with XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient', 'men'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate cancer', 'low-risk prostate cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'low-risk tumors', 'cancer', 'Cancer', 'tumors']
@entity5 :: (MESH:D009369,Disease) :: ['early-stage prostate cancer']
