UNASSIGNED: 131 Background: Factors associated with pursuit of active surveillance in @entity1 with @entity263 are not well-delineated. METHODS: 701 @entity1 with @entity263 (clinical stage < T2b, Gleason score < 7, and PSA < 10 ng/mL), treated in 2009 at three tertiary care centers affiliated with the same medical school and within the same health care system were identified. All @entity1 were evaluated by one or more urological, radiation, and/or medical oncologists specializing in genitourinary @entity5 , either sequentially at independent appointments with differing dates/locations, or concurrently at a multidisciplinary genitourinary oncology clinic in which all three specialists evaluated the @entity1 jointly during a single visit. Pre-treatment and treatment-related variables were recorded. Logistic regression was performed to identify demographic and clinical factors associated with the employment of active surveillance. RESULTS: Forty three percent of @entity1 referred to a multidisciplinary clinic underwent active surveillance, as opposed to 22% of @entity1 seen by individual practitioners (p<.001). On multivariate logistic regression, older age (OR 1.09 (per year), p <.001), increased comorbidities (OR 1.41 (per unit increase in Charlson score), p=.01), unmarried social status ( @entity68826 , p=.04), a smaller percentage of positive cores (OR 0.92 (per percent core increase), p<.001), and referral to a multidisciplinary clinic (OR 2.22, p<.01) were all significantly associated with pursuit of active surveillance. The number of physicians or specialities seen in consultation was not significantly associated with pursuit of active surveillance. CONCLUSIONS: Older age, increased comorbidities, unmarried social status, and a smaller percentage of positive cores are associated with pursuit of active surveillance. Notably, referral to a multidisciplinary genitourinary oncology clinic significantly increases rates of active surveillance in @entity1 with @entity263 , implying that the multidisciplinary clinic itself, and not merely the number or type of physicians seen, is important to the shared decision making process for a @entity1 to elect active surveillance.

Multidisciplinary care and pursuit of active surveillance in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity68826 :: ('26189', 'Gene') :: ['OR 1.76'] @entity263 :: ('MESH:D011471', 'Disease') :: ['low-risk prostate cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancies']
@entity263 :: (MESH:D011471,Disease) :: ['low-risk prostate cancer']
