Integrated prostate cancer centers might cause an overutilization of radiotherapy for low-risk prostate cancer: A comparison of treatment trends in the United States and Germany from 2004 to 2011

In-Hospital Outcomes after Radical Cystectomy for Bladder Cancer: Comparing National Trends in the United States and Germany from 2006 to 2014

“…Therefore, an estimated 70-80% of eligible patients might have undergone RC in Germany in 2011 leaving a small percentage of patients for nonsurgical or missing curative treatment. Comparable differences in the utilization of radiotherapy in the United States and Germany were currently reported for treatment of prostate cancer [27]. Lower implementation rates of RC in the United States might imply enforced positive patient selection with younger and healthier patients for surgery.…”

Comparison of prostate cancer survival in Germany and the USA: can differences be attributed to differences in stage distributions?

“…Therefore, different treatment patterns between the USA and Germany (e.g. a much higher relative use of radiotherapy for low‐risk prostate cancer in the USA ) were not taken into account.…”

Active surveillance in Canadian men with low-grade prostate cancer

“…19 More contemporary cohorts from the US, Germany and Aus tralia had surveillance rates of 19.4% to 39.0% for low-risk patients. 20,21 Even in these studies, the true use of active surveillance may have been overestimated, as this specific management approach was not always differentiated from other forms of conservative management, such as watchful waiting. 19,21 Regardless, it appears that active surveillance was used more frequently in our Canadian regional diagnostic centre than in other countries.…”