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Alternative- and focal therapy trends for prostate cancer: a total population analysis of in-patient treatments in Germany from 2006 to 2019 by Luka Flegar; Aristeidis Zacharis; Cem Aksoy; Hendrik Heers; Marcus Derigs; Nicole Eisenmenger; Angelika Borkowetz; Christer Groeben; Johannes Huber is a Medicine article available to read on EtoBox.

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## Purpose Focal therapy (FT) offers an alternative approach for prostate cancer (PCa) treatment in selected patients. However, little is known on its actual establishment in health care reality. ## Patients and methods We defined FT as high-intensity focused ultrasound (HIFU), hyperthermia ablation, cryotherapy, transurethral ultrasound ablation (TULSA) or vascular-targeted photodynamic therapy (VTP) TOOKAD^®^. We analyzed the nationwide German hospital billing database for a PCa diagnosis in combination with FT. For analyses on the hospital level, we used the reimbursement.INFO tool based on hospitals’ quality reports. The study period was 2006 to 2019. ## Results We identified 23,677 cases of FT from 2006 to 2019. Considering all PCa cases with surgery, radiotherapy or FT, the share of FT was stable at 4%. The annual caseload of FT increased to a maximum of 2653 cases in 2008 (__p__ < 0.001) and then decreased to 1182 cases in 2014 (__p__ 20 FT procedures. In 2019, 16% (58/368) of urological departments performed FT and 7 departments reached > 20 FT. In 2019, 25 urological departments offered FT other than HIFU: 5 centers hyperthermia ablation, 11 centers VTP TOOKAD^®^, 3 cent

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Author

Luka Flegar; Aristeidis Zacharis; Cem Aksoy; Hendrik Heers; Marcus Derigs; Nicole Eisenmenger; Angelika Borkowetz; Christer Groeben; Johannes Huber

Publisher

Springer Science and Business Media LLC

Published

2022

Language

EN

Field

Medicine (Health Sciences)