Physicians who diagnosed low-risk prostate cancer had more influence over the decision to enter active surveillance than did the disease characteristics, a review of 12,000 cases showed.

Overall, about 20% of the men chose active surveillance as the initial approach to management. Rates of active surveillance among the diagnosing urologists varied from 4.5% to 64% of patients, according toKaren E. Hoffman, MD, MPH, of MD Anderson Cancer Center in Houston, and colleagues.

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