Table 9. Number and percentages of men with the primary treatment type registered within six months following diagnosis by health care region and year, 2007-2014.
Stockholm-Gotland
Uppsala-Orebro ¨ South east South West North Total
Year of dx
2007 1383 (83) 1816 (99) 1098 (100) 1513 (93) 1801 (100) 867 (100) 8478 (95)
2008 1494 (93) 1821 (100) 1051 (100) 1715 (99) 1703 (100) 924 (99) 8708 (98)
2009 1962 (97) 2251 (100) 1398 (100) 1870 (100) 1945 (100) 1024 (100) 10450 (99)
2010 1855 (98) 1924 (100) 1230 (100) 1671 (99) 1951 (100) 1078 (100) 9709 (99)
2011 1715 (96) 1951 (100) 1181 (98) 1784 (99) 1853 (100) 971 (100) 9455 (99)
2012 1620 (86) 1726 (100) 1095 (98) 1630 (100) 1540 (100) 1019 (100) 8630 (97)
2013 1990 (86) 1834 (96) 1134 (99) 1635 (100) 1532 (100) 943 (96) 9068 (95)
2014 2512 (86) 1949 (95) 1132 (96) 1642 (96) 1516 (96) 945 (91) 9696 (93)
0 40 80 Percent Others/private − West
Västmanland Östergötland Others/private − Stockholm−Gotland Jönköping Blekinge Others/private − South Örebro Södermanland Kronoberg Värmland SWEDEN Stockholm Kalmar Halland West Götaland Jämtland Others/private − South east Norrbotten Dalarna Skåne Gävleborg Uppsala Västernorrland Others/private − Uppsala−Örebro Västerbotten Gotland
No. of cases
0 of 207 2 of 242 5 of 339 42 of 1125 13 of 292 6 of 110 12 of 188 10 of 144 12 of 168 14 of 190 23 of 275 869 of 8193 131 of 1183 26 of 231 30 of 241 109 of 862 17 of 131 15 of 112 25 of 182 27 of 187 120 of 808 37 of 248 44 of 216 58 of 217 17 of 62 66 of 208 8 of 25
0%
1%
1%
4%
4%
5%
6%
7%
7%
7%
8%
11%
11%
11%
12%
13%
13%
13%
14%
14%
15%
15%
20%
27%
27%
32%
32%
Figure 39. Proportion of men with prostate cancer of low risk, intermediate risk, high risk or with regional metastasis given second opinion by oncologist by county, 2014.
Information is missing for 0.0 % (2014) of the men.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 40 80
Percent Others/private − West
Others/private − South east Others/private − Stockholm−Gotland Östergötland Others/private − Uppsala−Örebro Norrbotten Others/private − South Stockholm Skåne Dalarna Gotland Uppsala Västerbotten SWEDEN Jönköping Halland Jämtland Västmanland West Götaland Kalmar Örebro Västernorrland Värmland Gävleborg Blekinge Södermanland Kronoberg
No. of cases1
1 of 28 1 of 26 12 of 90 12 of 57 2 of 9 9 of 38 6 of 22 54 of 188 44 of 151 20 of 62 2 of 6 18 of 53 18 of 45 638 of 1489 21 of 46 17 of 36 10 of 21 30 of 59 85 of 161 36 of 66 28 of 51 24 of 43 44 of 75 58 of 68 18 of 19 29 of 30 39 of 39
4%
4%
13%
21%
22%
24%
27%
29%
29%
32%
33%
34%
40%
43%
46%
47%
48%
51%
53%
55%
55%
56%
59%
85%
95%
97%
100%
2012 2013
12014
Figure 40. Proportion of men (80 years or younger) with localized high risk prostate cancer discussed at a multidisciplinary team con-ference ahead of treatment decision by county, 2014.
Information is missing for 6.6 % (2014) of the men.
2009 2010 2011 2012 2013 2014
1a. Very low risk
2007 2008 2009 2010 2011 2012 2013 2014
0
2007 2008 2009 2010 2011 2012 2013 2014
0
2. Intermediate risk
Active surveillance Watchful waiting Surgery Radiotherapy Hormonal therapy
2007 2008 2009 2010 2011 2012 2013 2014
0
3a. Localized high risk
2007 2008 2009 2010 2011 2012 2013 2014
0
3b. Locally advanced
2007 2008 2009 2010 2011 2012 2013 2014
0
4. Regionally metastatic
2007 2008 2009 2010 2011 2012 2013 2014
0
5. Distant metastases
Figure 41. Treatment strategy for men 75 years or younger by risk category and year of dia-gnosis, 2007-2014.
. .
2009 2010 2011 2012 2013 2014
0
1a. Very low risk
2007 2008 2009 2010 2011 2012 2013 2014
0
2007 2008 2009 2010 2011 2012 2013 2014
0
2. Intermediate risk
Active surveillance Watchful waiting Surgery Radiotherapy Hormonal therapy
2007 2008 2009 2010 2011 2012 2013 2014
0
3a. Localized high risk
2007 2008 2009 2010 2011 2012 2013 2014
0
3b. Locally advanced
2007 2008 2009 2010 2011 2012 2013 2014
0
4. Regionally metastatic
2007 2008 2009 2010 2011 2012 2013 2014
0
5. Distant metastases
Figure 42. Treatment strategy for men older than 75 years by risk category and year of diagno-sis, 2007-2014.
<60 60−64 65−69 70−74 75−79 80+
0
1a. Very low risk
<60 60−64 65−69 70−74 75−79 80+
0
<60 60−64 65−69 70−74 75−79 80+
0
2. Intermediate risk
Active surveillance Watchful waiting Surgery Radiotherapy Hormonal therapy
<60 60−64 65−69 70−74 75−79 80+
0
3a. Localized high risk
<60 60−64 65−69 70−74 75−79 80+
0
3b. Locally advanced
<60 60−64 65−69 70−74 75−79 80+
0
4. Regionally metastatic
<60 60−64 65−69 70−74 75−79 80+
0
5. Distant metastases
Figure 43. Treatment strategy by risk category and
age group, 2008-2014.
Table 10. Treatment strategy for men in the risk category ”very low risk” by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 41 (67) 1 (2) 15 (25) 4 (7) 0 (0) 0 (0) 0 (0) 61
Uppsala 10 (100) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 10
S¨ odermanland 8 (89) 0 (0) 0 (0) 1 (11) 0 (0) 0 (0) 0 (0) 9
Osterg¨ ¨ otland 12 (92) 0 (0) 1 (8) 0 (0) 0 (0) 0 (0) 0 (0) 13
J¨ onk¨ oping 27 (87) 2 (6) 0 (0) 2 (6) 0 (0) 0 (0) 0 (0) 31
Kronoberg 20 (87) 0 (0) 2 (9) 1 (4) 0 (0) 0 (0) 0 (0) 23
Kalmar 5 (100) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 5
Gotland 1 (50) 1 (50) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 2
Blekinge 6 (75) 0 (0) 2 (25) 0 (0) 0 (0) 0 (0) 0 (0) 8
Sk˚ ane 53 (87) 2 (3) 6 (10) 0 (0) 0 (0) 0 (0) 0 (0) 61
Halland 21 (91) 0 (0) 1 (4) 1 (4) 0 (0) 0 (0) 0 (0) 23
West G¨ otaland 70 (90) 4 (5) 3 (4) 0 (0) 0 (0) 1 (1) 0 (0) 78
V¨ armland 10 (59) 1 (6) 6 (35) 0 (0) 0 (0) 0 (0) 0 (0) 17
Orebro ¨ 6 (67) 3 (33) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 9
V¨ astmanland 20 (95) 0 (0) 1 (5) 0 (0) 0 (0) 0 (0) 0 (0) 21
Dalarna 10 (91) 0 (0) 1 (9) 0 (0) 0 (0) 0 (0) 0 (0) 11
G¨ avleborg 11 (85) 1 (8) 1 (8) 0 (0) 0 (0) 0 (0) 0 (0) 13
V¨ asternorrland 27 (87) 2 (6) 1 (3) 1 (3) 0 (0) 0 (0) 0 (0) 31
J¨ amtland 4 (57) 1 (14) 1 (14) 1 (14) 0 (0) 0 (0) 0 (0) 7
V¨ asterbotten 18 (100) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 18
Norrbotten 5 (62) 1 (12) 1 (12) 1 (12) 0 (0) 0 (0) 0 (0) 8
Others/private - South 26 (100) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 26
Others/private - South east 9 (100) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 9
Others/private - Stockholm-Gotland 489 (98) 3 (1) 8 (2) 0 (0) 1 (0) 0 (0) 0 (0) 501
Others/private - Uppsala- ¨ Orebro 8 (80) 0 (0) 2 (20) 0 (0) 0 (0) 0 (0) 0 (0) 10
Others/private - West 28 (93) 0 (0) 2 (7) 0 (0) 0 (0) 0 (0) 0 (0) 30
Total 945 (91) 22 (2) 54 (5) 12 (1) 1 (0) 1 (0) 0 (0) 1035
106 men are missing information on primary therapy and are therefore excluded from the table.
Table 11. Treatment strategy for men in the risk category ”low risk” by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 117 (42) 12 (4) 127 (46) 23 (8) 0 (0) 0 (0) 0 (0) 279
Uppsala 31 (60) 3 (6) 10 (19) 6 (12) 2 (4) 0 (0) 0 (0) 52
S¨ odermanland 20 (50) 6 (15) 9 (22) 3 (8) 0 (0) 1 (2) 1 (2) 40
Osterg¨ ¨ otland 50 (77) 5 (8) 8 (12) 0 (0) 2 (3) 0 (0) 0 (0) 65
J¨ onk¨ oping 84 (76) 4 (4) 16 (14) 6 (5) 1 (1) 0 (0) 0 (0) 111
Kronoberg 48 (77) 2 (3) 9 (15) 3 (5) 0 (0) 0 (0) 0 (0) 62
Kalmar 9 (69) 0 (0) 4 (31) 0 (0) 0 (0) 0 (0) 0 (0) 13
Gotland 2 (40) 1 (20) 1 (20) 1 (20) 0 (0) 0 (0) 0 (0) 5
Blekinge 18 (41) 5 (11) 19 (43) 1 (2) 0 (0) 0 (0) 1 (2) 44
Sk˚ ane 177 (65) 11 (4) 63 (23) 21 (8) 1 (0) 0 (0) 0 (0) 273
Halland 55 (80) 1 (1) 11 (16) 2 (3) 0 (0) 0 (0) 0 (0) 69
West G¨ otaland 171 (70) 27 (11) 41 (17) 1 (0) 1 (0) 3 (1) 0 (0) 244
V¨ armland 19 (40) 4 (8) 23 (48) 2 (4) 0 (0) 0 (0) 0 (0) 48
Orebro ¨ 23 (56) 9 (22) 1 (2) 6 (15) 1 (2) 1 (2) 0 (0) 41
V¨ astmanland 61 (77) 1 (1) 10 (13) 6 (8) 0 (0) 1 (1) 0 (0) 79
Dalarna 37 (69) 4 (7) 8 (15) 5 (9) 0 (0) 0 (0) 0 (0) 54
G¨ avleborg 33 (72) 5 (11) 4 (9) 4 (9) 0 (0) 0 (0) 0 (0) 46
V¨ asternorrland 51 (67) 12 (16) 6 (8) 7 (9) 0 (0) 0 (0) 0 (0) 76
J¨ amtland 36 (90) 1 (2) 2 (5) 1 (2) 0 (0) 0 (0) 0 (0) 40
V¨ asterbotten 43 (80) 2 (4) 5 (9) 4 (7) 0 (0) 0 (0) 0 (0) 54
Norrbotten 23 (64) 3 (8) 3 (8) 7 (19) 0 (0) 0 (0) 0 (0) 36
Others/private - South 84 (89) 2 (2) 6 (6) 1 (1) 0 (0) 1 (1) 0 (0) 94
Others/private - South east 21 (84) 0 (0) 1 (4) 1 (4) 0 (0) 1 (4) 1 (4) 25
Others/private - Stockholm-Gotland 673 (93) 7 (1) 36 (5) 5 (1) 2 (0) 1 (0) 0 (0) 724
Others/private - Uppsala- ¨ Orebro 18 (69) 1 (4) 3 (12) 3 (12) 1 (4) 0 (0) 0 (0) 26
Others/private - West 65 (82) 3 (4) 9 (11) 1 (1) 0 (0) 1 (1) 0 (0) 79
Total 1969 (73) 131 (5) 435 (16) 120 (4) 11 (0) 10 (0) 3 (0) 2679
287 men are missing information on primary therapy and are therefore excluded from the table.
Table 12. Treatment strategy for men in the risk category ”intermediate risk” by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 46 (7) 17 (3) 446 (71) 112 (18) 0 (0) 9 (1) 0 (0) 630
Uppsala 19 (23) 4 (5) 34 (41) 19 (23) 2 (2) 4 (5) 0 (0) 82
S¨ odermanland 9 (13) 4 (6) 30 (44) 16 (24) 0 (0) 8 (12) 1 (1) 68
Osterg¨ ¨ otland 32 (18) 8 (4) 113 (62) 17 (9) 2 (1) 9 (5) 0 (0) 181
J¨ onk¨ oping 21 (19) 8 (7) 43 (40) 30 (28) 2 (2) 4 (4) 0 (0) 108
Kronoberg 10 (15) 3 (4) 35 (52) 19 (28) 0 (0) 0 (0) 0 (0) 67
Kalmar 31 (25) 8 (6) 53 (43) 26 (21) 0 (0) 6 (5) 0 (0) 124
Gotland 2 (18) 2 (18) 4 (36) 2 (18) 0 (0) 1 (9) 0 (0) 11
Blekinge 7 (21) 3 (9) 19 (56) 4 (12) 0 (0) 1 (3) 0 (0) 34
Sk˚ ane 46 (17) 11 (4) 144 (53) 53 (20) 5 (2) 10 (4) 1 (0) 270
Halland 28 (25) 5 (5) 62 (56) 9 (8) 1 (1) 6 (5) 0 (0) 111
West G¨ otaland 54 (16) 37 (11) 178 (52) 42 (12) 8 (2) 23 (7) 0 (0) 342
V¨ armland 4 (4) 11 (10) 77 (73) 11 (10) 1 (1) 1 (1) 0 (0) 105
Orebro ¨ 10 (30) 7 (21) 6 (18) 8 (24) 0 (0) 2 (6) 0 (0) 33
V¨ astmanland 17 (27) 2 (3) 22 (35) 15 (24) 1 (2) 6 (10) 0 (0) 63
Dalarna 14 (30) 0 (0) 15 (33) 15 (33) 1 (2) 1 (2) 0 (0) 46
G¨ avleborg 12 (13) 7 (8) 38 (41) 27 (29) 1 (1) 6 (7) 1 (1) 92
V¨ asternorrland 10 (14) 5 (7) 12 (16) 34 (47) 0 (0) 11 (15) 1 (1) 73
J¨ amtland 8 (15) 0 (0) 35 (64) 9 (16) 1 (2) 2 (4) 0 (0) 55
V¨ asterbotten 13 (14) 4 (4) 42 (45) 31 (33) 1 (1) 3 (3) 0 (0) 94
Norrbotten 17 (22) 3 (4) 9 (11) 46 (58) 0 (0) 3 (4) 1 (1) 79
Others/private - South 23 (47) 8 (16) 5 (10) 5 (10) 0 (0) 8 (16) 0 (0) 49
Others/private - South east 8 (17) 10 (22) 11 (24) 8 (17) 0 (0) 9 (20) 0 (0) 46
Others/private - Stockholm-Gotland 126 (48) 23 (9) 67 (26) 20 (8) 1 (0) 22 (8) 1 (0) 260
Others/private - Uppsala- ¨ Orebro 5 (22) 2 (9) 5 (22) 10 (43) 0 (0) 0 (0) 1 (4) 23
Others/private - West 16 (22) 13 (18) 26 (36) 0 (0) 0 (0) 18 (25) 0 (0) 73
Total 588 (19) 205 (7) 1531 (49) 588 (19) 27 (1) 173 (6) 7 (0) 3119
305 men are missing information on primary therapy and are therefore excluded from the table.
Table 13. Treatment strategy for men in the risk category ”localized high risk” by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 6 (4) 8 (5) 88 (52) 47 (28) 1 (1) 18 (11) 0 (0) 168
Uppsala 2 (4) 5 (11) 12 (26) 17 (37) 0 (0) 10 (22) 0 (0) 46
S¨ odermanland 0 (0) 1 (4) 2 (8) 12 (46) 2 (8) 9 (35) 0 (0) 26
Osterg¨ ¨ otland 0 (0) 0 (0) 18 (41) 14 (32) 1 (2) 11 (25) 0 (0) 44
J¨ onk¨ oping 0 (0) 1 (2) 16 (37) 9 (21) 0 (0) 17 (40) 0 (0) 43
Kronoberg 3 (9) 0 (0) 8 (25) 17 (53) 0 (0) 3 (9) 1 (3) 32
Kalmar 1 (1) 2 (3) 15 (22) 32 (48) 0 (0) 17 (25) 0 (0) 67
Gotland 0 (0) 1 (20) 0 (0) 3 (60) 0 (0) 0 (0) 1 (20) 5
Blekinge 0 (0) 1 (6) 10 (56) 3 (17) 0 (0) 4 (22) 0 (0) 18
Sk˚ ane 6 (5) 2 (2) 52 (43) 36 (30) 1 (1) 24 (20) 0 (0) 121
Halland 1 (3) 2 (6) 13 (39) 8 (24) 0 (0) 9 (27) 0 (0) 33
West G¨ otaland 4 (3) 10 (6) 48 (31) 31 (20) 6 (4) 56 (36) 1 (1) 156
V¨ armland 0 (0) 2 (5) 12 (31) 11 (28) 1 (3) 13 (33) 0 (0) 39
Orebro ¨ 2 (7) 3 (11) 2 (7) 14 (50) 0 (0) 7 (25) 0 (0) 28
V¨ astmanland 3 (6) 1 (2) 18 (34) 13 (25) 0 (0) 18 (34) 0 (0) 53
Dalarna 2 (4) 4 (9) 7 (16) 25 (56) 0 (0) 7 (16) 0 (0) 45
G¨ avleborg 2 (3) 2 (3) 18 (27) 25 (38) 1 (2) 18 (27) 0 (0) 66
V¨ asternorrland 3 (10) 0 (0) 5 (17) 12 (40) 1 (3) 9 (30) 0 (0) 30
J¨ amtland 1 (6) 0 (0) 4 (24) 7 (41) 1 (6) 4 (24) 0 (0) 17
V¨ asterbotten 1 (3) 1 (3) 9 (23) 20 (51) 0 (0) 8 (21) 0 (0) 39
Norrbotten 2 (7) 1 (3) 2 (7) 17 (57) 0 (0) 8 (27) 0 (0) 30
Others/private - South 2 (8) 3 (12) 3 (12) 3 (12) 0 (0) 13 (54) 0 (0) 24
Others/private - South east 3 (15) 0 (0) 8 (40) 2 (10) 0 (0) 7 (35) 0 (0) 20
Others/private - Stockholm-Gotland 7 (9) 4 (5) 8 (10) 29 (38) 0 (0) 29 (38) 0 (0) 77
Others/private - Uppsala- ¨ Orebro 0 (0) 0 (0) 1 (14) 5 (71) 0 (0) 1 (14) 0 (0) 7
Others/private - West 4 (13) 1 (3) 9 (30) 0 (0) 0 (0) 16 (53) 0 (0) 30
Total 55 (4) 55 (4) 388 (31) 412 (33) 15 (1) 336 (27) 3 (0) 1264
121 men are missing information on primary therapy and are therefore excluded from the table.
Table 14. Treatment strategy for men in the risk category ”locally advanced” by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 2 (5) 0 (0) 15 (36) 12 (29) 1 (2) 12 (29) 0 (0) 42
Uppsala 0 (0) 2 (10) 1 (5) 11 (55) 0 (0) 6 (30) 0 (0) 20
S¨ odermanland 1 (5) 0 (0) 1 (5) 8 (42) 0 (0) 9 (47) 0 (0) 19
Osterg¨ ¨ otland 1 (4) 0 (0) 4 (16) 7 (28) 0 (0) 13 (52) 0 (0) 25
J¨ onk¨ oping 0 (0) 0 (0) 4 (22) 5 (28) 0 (0) 9 (50) 0 (0) 18
Kronoberg 1 (5) 1 (5) 0 (0) 10 (53) 0 (0) 6 (32) 1 (5) 19
Kalmar 0 (0) 1 (8) 2 (17) 6 (50) 0 (0) 3 (25) 0 (0) 12
Gotland 0 (0) 0 (0) 1 (50) 0 (0) 0 (0) 0 (0) 1 (50) 2
Blekinge 0 (0) 0 (0) 1 (11) 4 (44) 0 (0) 4 (44) 0 (0) 9
Sk˚ ane 2 (3) 0 (0) 16 (27) 14 (24) 0 (0) 25 (42) 2 (3) 59
Halland 0 (0) 1 (11) 2 (22) 3 (33) 0 (0) 3 (33) 0 (0) 9
West G¨ otaland 3 (5) 3 (5) 8 (14) 23 (40) 0 (0) 20 (35) 0 (0) 57
V¨ armland 1 (2) 3 (6) 22 (42) 12 (23) 0 (0) 15 (28) 0 (0) 53
Orebro ¨ 1 (3) 1 (3) 1 (3) 21 (62) 0 (0) 10 (29) 0 (0) 34
V¨ astmanland 1 (4) 0 (0) 1 (4) 11 (48) 1 (4) 9 (39) 0 (0) 23
Dalarna 1 (4) 0 (0) 2 (7) 17 (61) 1 (4) 7 (25) 0 (0) 28
G¨ avleborg 0 (0) 1 (5) 2 (11) 8 (42) 0 (0) 8 (42) 0 (0) 19
V¨ asternorrland 0 (0) 5 (21) 0 (0) 11 (46) 0 (0) 8 (33) 0 (0) 24
J¨ amtland 1 (9) 0 (0) 1 (9) 3 (27) 0 (0) 6 (55) 0 (0) 11
V¨ asterbotten 0 (0) 2 (13) 2 (13) 8 (53) 0 (0) 3 (20) 0 (0) 15
Norrbotten 0 (0) 0 (0) 0 (0) 12 (60) 1 (5) 7 (35) 0 (0) 20
Others/private - South 1 (6) 2 (12) 1 (6) 3 (18) 1 (6) 8 (47) 1 (6) 17
Others/private - South east 0 (0) 0 (0) 0 (0) 2 (12) 0 (0) 15 (88) 0 (0) 17
Others/private - Stockholm-Gotland 0 (0) 1 (2) 2 (4) 15 (33) 0 (0) 28 (61) 0 (0) 46
Others/private - Uppsala- ¨ Orebro 0 (0) 0 (0) 0 (0) 2 (33) 0 (0) 4 (67) 0 (0) 6
Others/private - West 0 (0) 1 (9) 0 (0) 2 (18) 0 (0) 8 (73) 0 (0) 11
Total 16 (3) 24 (4) 89 (14) 230 (37) 5 (1) 246 (40) 5 (1) 615
70 men are missing information on primary therapy and are therefore excluded from the table.
Table 15. Treatment strategy for men with regional metastases by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 0 (0) 1 (2) 19 (36) 18 (34) 1 (2) 14 (26) 0 (0) 53
Uppsala 0 (0) 0 (0) 1 (7) 6 (40) 0 (0) 8 (53) 0 (0) 15
S¨ odermanland 0 (0) 1 (8) 0 (0) 6 (46) 0 (0) 6 (46) 0 (0) 13
Osterg¨ ¨ otland 0 (0) 1 (5) 1 (5) 5 (25) 0 (0) 13 (65) 0 (0) 20
J¨ onk¨ oping 0 (0) 1 (8) 1 (8) 0 (0) 0 (0) 10 (83) 0 (0) 12
Kronoberg 0 (0) 1 (10) 0 (0) 3 (30) 0 (0) 6 (60) 0 (0) 10
Kalmar 2 (15) 0 (0) 3 (23) 1 (8) 0 (0) 7 (54) 0 (0) 13
Gotland 0 (0) 0 (0) 1 (100) 0 (0) 0 (0) 0 (0) 0 (0) 1
Blekinge 0 (0) 0 (0) 1 (20) 3 (60) 0 (0) 1 (20) 0 (0) 5
Sk˚ ane 1 (2) 2 (3) 12 (18) 6 (9) 0 (0) 45 (68) 0 (0) 66
Halland 0 (0) 2 (11) 0 (0) 2 (11) 0 (0) 15 (79) 0 (0) 19
West G¨ otaland 2 (3) 3 (5) 3 (5) 12 (20) 1 (2) 40 (66) 0 (0) 61
V¨ armland 0 (0) 0 (0) 3 (11) 4 (14) 1 (4) 20 (71) 0 (0) 28
Orebro ¨ 0 (0) 0 (0) 0 (0) 3 (50) 0 (0) 3 (50) 0 (0) 6
V¨ astmanland 3 (13) 0 (0) 0 (0) 5 (22) 0 (0) 15 (65) 0 (0) 23
Dalarna 0 (0) 0 (0) 0 (0) 5 (42) 0 (0) 7 (58) 0 (0) 12
G¨ avleborg 0 (0) 0 (0) 1 (5) 7 (33) 1 (5) 12 (57) 0 (0) 21
V¨ asternorrland 0 (0) 0 (0) 0 (0) 4 (31) 0 (0) 9 (69) 0 (0) 13
J¨ amtland 0 (0) 0 (0) 0 (0) 4 (50) 0 (0) 4 (50) 0 (0) 8
V¨ asterbotten 0 (0) 1 (14) 0 (0) 3 (43) 0 (0) 3 (43) 0 (0) 7
Norrbotten 0 (0) 0 (0) 0 (0) 6 (38) 0 (0) 10 (62) 0 (0) 16
Others/private - South 1 (12) 0 (0) 0 (0) 1 (12) 0 (0) 6 (75) 0 (0) 8
Others/private - South east 0 (0) 0 (0) 0 (0) 2 (100) 0 (0) 0 (0) 0 (0) 2
Others/private - Stockholm-Gotland 3 (12) 0 (0) 0 (0) 7 (28) 0 (0) 15 (60) 0 (0) 25
Others/private - Uppsala- ¨ Orebro 0 (0) 0 (0) 0 (0) 2 (67) 0 (0) 1 (33) 0 (0) 3
Others/private - West 0 (0) 1 (14) 0 (0) 0 (0) 0 (0) 6 (86) 0 (0) 7
Total 12 (3) 14 (3) 46 (10) 115 (25) 4 (1) 276 (59) 0 (0) 467
25 men are missing information on primary therapy and are therefore excluded from the table.
Table 16. Treatment strategy for men with distant metastases by county, 2014.
Active surveillande
Watchful
waiting Surgery
Radio-therapy
Other curative therapy
Hormonal therapy
Other non-curative therapy
Total
Landsting
Stockholm 3 (2) 3 (2) 13 (10) 7 (5) 1 (1) 103 (79) 1 (1) 131
Uppsala 1 (3) 0 (0) 1 (3) 1 (3) 0 (0) 31 (89) 1 (3) 35
S¨ odermanland 1 (3) 0 (0) 0 (0) 0 (0) 1 (3) 36 (95) 0 (0) 38
Osterg¨ ¨ otland 0 (0) 0 (0) 0 (0) 2 (3) 0 (0) 59 (95) 1 (2) 62
J¨ onk¨ oping 0 (0) 1 (2) 0 (0) 2 (5) 0 (0) 37 (92) 0 (0) 40
Kronoberg 1 (3) 2 (6) 0 (0) 1 (3) 0 (0) 28 (88) 0 (0) 32
Kalmar 0 (0) 0 (0) 0 (0) 1 (4) 0 (0) 23 (96) 0 (0) 24
Gotland 0 (0) 0 (0) 2 (20) 0 (0) 0 (0) 8 (80) 0 (0) 10
Blekinge 0 (0) 1 (5) 0 (0) 0 (0) 0 (0) 18 (95) 0 (0) 19
Sk˚ ane 2 (2) 1 (1) 2 (2) 6 (5) 1 (1) 102 (88) 2 (2) 116
Halland 3 (8) 2 (5) 1 (3) 1 (3) 0 (0) 32 (82) 0 (0) 39
West G¨ otaland 2 (1) 0 (0) 2 (1) 0 (0) 0 (0) 168 (97) 1 (1) 173
V¨ armland 0 (0) 1 (2) 2 (3) 0 (0) 0 (0) 56 (95) 0 (0) 59
Orebro ¨ 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 31 (100) 0 (0) 31
V¨ astmanland 0 (0) 0 (0) 0 (0) 2 (6) 0 (0) 30 (94) 0 (0) 32
Dalarna 0 (0) 0 (0) 0 (0) 3 (7) 0 (0) 43 (93) 0 (0) 46
G¨ avleborg 0 (0) 1 (2) 0 (0) 2 (4) 0 (0) 43 (93) 0 (0) 46
V¨ asternorrland 1 (2) 0 (0) 0 (0) 3 (7) 0 (0) 39 (91) 0 (0) 43
J¨ amtland 3 (10) 1 (3) 1 (3) 4 (13) 0 (0) 21 (70) 0 (0) 30
V¨ asterbotten 0 (0) 0 (0) 1 (2) 5 (12) 0 (0) 33 (82) 1 (2) 40
Norrbotten 1 (4) 0 (0) 0 (0) 4 (14) 0 (0) 23 (82) 0 (0) 28
Others/private - South 1 (7) 0 (0) 0 (0) 0 (0) 0 (0) 14 (93) 0 (0) 15
Others/private - South east 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 5 (100) 0 (0) 5
Others/private - Stockholm-Gotland 5 (12) 2 (5) 2 (5) 1 (2) 0 (0) 28 (68) 3 (7) 41
Others/private - Uppsala- ¨ Orebro 0 (0) 0 (0) 0 (0) 1 (14) 0 (0) 6 (86) 0 (0) 7
Others/private - West 1 (6) 0 (0) 0 (0) 0 (0) 0 (0) 17 (94) 0 (0) 18
Total 25 (2) 15 (1) 27 (2) 46 (4) 3 (0) 1034 (89) 10 (1) 1160
68 men are missing information on primary therapy and are therefore excluded from the table.
0 40 80 Others/private − Uppsala−Örebro Kronoberg SWEDEN Västernorrland Jönköping West Götaland Västmanland Halland Östergötland Gävleborg Västerbotten Others/private − West Others/private − South Jämtland Others/private − Stockholm−Gotland Others/private − South east
No. of cases1
1551 of 2072 34 of 45
Figure 44. Proportion of men younger than 70 years with low risk prostate cancer (T1-2, Gle-ason score 6 or less and PSA < 10 µg/L) with active surveillance as primary treat-ment by county, 2014.
. .
Capio S:t Görans sjukhus − UrologisektionenDanderyds sjukhus Karolinska universitetssjukhuset − Solna Centralsjukhuset i Karlstad Mora lasarett Karlskoga lasarett Blekingesjukhuset − Karlskrona Sjukhuset i Bollnäs Lasarettet Trelleborg Kullbergska sjukhuset/Mälarsjukhuset Södersjukhuset Karolinska universitetssjukhuset − Huddinge Skånes universitetssjukhus − Lund/Malmö Hallands sjukhus Halmstad Akademiska sjukhuset Länssjukhuset i Kalmar Nyköpings lasarett Universitetssjukhuset Örebro Länssjukhuset Ryhov Kiruna sjukhus Centralsjukhuset Kristianstad Värnamo sjukhus Helsingsborgs lasarett Sunderby sjukhus Länssjukhuset i Sundsvall Centrallasarettet Växjö Sahlgrenska Universitetssjukhuset Private practice − Uppsala−Örebro Kärnsjukhuset i Skövde Norrlands universitetssjukhus Umeå SWEDEN Ängelholms sjukhus Uddevalla sjukhus Falu lasarett/Ludvika lasarett Västmanlands sjukhus Västerås Others Universitetssjukhuset i Linköping/Vrinnevisjukhuset Lasarettet i Ystad Hallands sjukhus Kungsbacka Lycksele lasarett South Älvsborgs Sjukhus − Borås Private practice − West Sjukhuset i Hudiksvall Ljungby lasarett Örnsköldsviks sjukhus Varbergs sjukhus Lasarettet i Enköping Private practice − South Sjukhuset i Lidköping Östersunds sjukhus Private practice − Stockholm−Gotland Höglandssjukhuset Sjukhuset i Gävle Private practice − South east Skellefteå lasarett Norrtälje sjukhus
No. of cases
8 of 39 1551 of 2072 12 of 16
Figure 45. Proportion of men younger than 70 years with low risk prostate cancer (T1-2, Gle-ason score 6 or less and PSA < 10 µg/L) with active surveillance as primary treat-ment by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (S¨ odert¨ alje sjukhus, Visby lasarett, Lindesbergs lasarett, Oskarshamns sjukhus, V¨ asterviks sjukhus, Simrishamns sjukhus, Alings˚ as lasarett, South ¨ Alvsborgs Sjukhus - Skene, G¨ allivare sjukhus, Pite˚ a
¨ alvdals sjukhus, Sollefte˚ a sjukhus) have been assigned to ¨ Others”.
0 40 80 Others/private − South east West Götaland Others/private − West Skåne SWEDEN Others/private − Uppsala−Örebro Dalarna Others/private − South Halland Jämtland Kronoberg Others/private − Stockholm−Gotland Gotland
Figure 46. Proportion of men 70-80 years with low risk prostate cancer (T1-2, Gleason score 6 or less and PSA < 10 µg/L) with ac-tive surveillance as primary treatment by county, 2014.
. .
Karlskoga lasarettKarolinska universitetssjukhuset − Solna Akademiska sjukhuset Sjukhuset i Lidköping Simrishamns sjukhus Capio S:t Görans sjukhus − Urologisektionen Blekingesjukhuset − Karlskrona Centralsjukhuset i Karlstad Uddevalla sjukhus Helsingsborgs lasarett Sjukhuset i Gävle Danderyds sjukhus Alingsås lasarett South Älvsborgs Sjukhus − Skene Mora lasarett Kullbergska sjukhuset/Mälarsjukhuset Södersjukhuset Länssjukhuset i Sundsvall Örnsköldsviks sjukhus Universitetssjukhuset Örebro Sunderby sjukhus Private practice − South east Lasarettet i Ystad Värnamo sjukhus Sjukhuset i Hudiksvall Private practice − West Norrtälje sjukhus Centralsjukhuset Kristianstad SWEDEN Private practice − Uppsala−Örebro Skånes universitetssjukhus − Lund/Malmö Others Höglandssjukhuset Sahlgrenska Universitetssjukhuset Universitetssjukhuset i Linköping/Vrinnevisjukhuset Lycksele lasarett Lasarettet i Enköping Hallands sjukhus Halmstad Västmanlands sjukhus Västerås Private practice − South Norrlands universitetssjukhus Umeå Östersunds sjukhus Private practice − Stockholm−Gotland South Älvsborgs Sjukhus − Borås Centrallasarettet Växjö Ängelholms sjukhus Varbergs sjukhus Södertälje sjukhus Falu lasarett/Ludvika lasarett
No. of cases
1 of 7
Figure 47. Proportion of men 70-80 years with low risk prostate cancer (T1-2, Gleason score 6 or less and PSA < 10 µg/L) with ac-tive surveillance as primary treatment by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Karolinska universitetssjukhuset - Huddinge, Visby lasarett, Lindesbergs lasarett, Nyk¨ opings
lasarett, Sjukhuset i Bolln¨ as, L¨ anssjukhuset i Kalmar, L¨ anssjukhuset Ryhov, Oskarshamns sjukhus, V¨ asterviks sjukhus, Lasarettet Trelleborg, Ljungby lasarett, K¨ arnsjukhuset i Sk¨ ovde, G¨ allivare sjukhus, Kalix sjukhus, Kiruna sjukhus, Skellefte˚ a
lasarett) have been assigned to ¨ Others”.
0 40 80 Others/private − Uppsala−Örebro Blekinge Others/private − West Västmanland West Götaland Others/private − Stockholm−Gotland Västerbotten Uppsala Others/private − South east Others/private − South Kalmar
Figure 48. Proportion of men 70 years or younger with very low risk prostate cancer (T1c, Glea-son score 6 or less and PSA < 10 µg/L, no more than 4 cores with cancer, and total length of cancer in biopsies ≤ 8 mm, at least 8 cores examined and PSA-density <
0.15 µg/L/ml) with active surveillance as primary treatment by county, 2014.
. .
Capio S:t Görans sjukhus − UrologisektionenKarolinska universitetssjukhuset − Solna Centralsjukhuset i Karlstad Södersjukhuset Östersunds sjukhus Private practice − Uppsala−Örebro Blekingesjukhuset − Karlskrona Skånes universitetssjukhus − Lund/Malmö Others Centrallasarettet Växjö Värnamo sjukhus Kullbergska sjukhuset/Mälarsjukhuset Hallands sjukhus Kungsbacka Örnsköldsviks sjukhus Länssjukhuset Ryhov Uddevalla sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset SWEDEN Private practice − West Länssjukhuset i Sundsvall Västmanlands sjukhus Västerås Sahlgrenska Universitetssjukhuset Private practice − Stockholm−Gotland Ängelholms sjukhus Varbergs sjukhus South Älvsborgs Sjukhus − Borås Skellefteå lasarett Sjukhuset i Lidköping Private practice − South east Private practice − South Norrlands universitetssjukhus Umeå Lasarettet i Ystad Höglandssjukhuset Falu lasarett/Ludvika lasarett Akademiska sjukhuset
No. of cases
4 of 8
Figure 49. Proportion of men 70 years or younger with very low risk prostate cancer (T1c, Glea-son score 6 or less and PSA < 10 µg/L, no more than 4 cores with cancer, and total length of cancer in biopsies ≤ 8 mm, at least 8 cores examined and PSA-density <
0.15 µg/L/ml) with active surveillance as primary treatment by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Danderyds sjukhus, Karolinska universitetssjukhuset - Huddinge, Norrt¨ alje sjukhus, S¨ odert¨ alje sjukhus, Visby lasarett, Karlskoga lasarett, Lasarettet i Enk¨ oping, Lindesbergs lasarett, Mora lasarett, Nyk¨ opings lasarett, Sjukhuset i Bolln¨ as, Sjukhuset i G¨ avle, Sjukhuset i Hudiksvall, Universitetssjukhuset ¨ Orebro, L¨ anssjukhuset i Kalmar, Centralsjukhuset
Kristianstad, Hallands sjukhus Halmstad, Helsingsborgs lasarett, Ljungby lasarett, Alings˚ as lasarett, K¨ arnsjukhuset i Sk¨ ovde, G¨ allivare sjukhus, Kiruna sjukhus, Sunderby
sjukhus) have been assigned to ¨ Others”.
0 40 80
Percent Others/private − South
Others/private − Stockholm−Gotland Gotland Örebro Others/private − West Västernorrland Others/private − South east Kalmar Others/private − Uppsala−Örebro Dalarna West Götaland Jönköping 1560 of 1927 35 of 43
Figure 50. Proportion of men younger than 70 years with intermediate risk prostate cancer given curative therapy by county, 2014.
. .
Lasarettet i EnköpingPrivate practice − South Örnsköldsviks sjukhus Sjukhuset i Lidköping Norrtälje sjukhus Alingsås lasarett Sjukhuset i Bollnäs Private practice − Stockholm−Gotland Oskarshamns sjukhus Västerviks sjukhus Visby lasarett Varbergs sjukhus Universitetssjukhuset Örebro Others Private practice − West Uddevalla sjukhus Lasarettet i Ystad Värnamo sjukhus Private practice − South east Falu lasarett/Ludvika lasarett Sunderby sjukhus Private practice − Uppsala−Örebro Länssjukhuset i Sundsvall Höglandssjukhuset Västmanlands sjukhus Västerås Hallands sjukhus Kungsbacka Blekingesjukhuset − Karlskrona Mora lasarett Universitetssjukhuset i Linköping/Vrinnevisjukhuset SWEDEN Kullbergska sjukhuset/Mälarsjukhuset Sjukhuset i Gävle Gällivare sjukhus Kärnsjukhuset i Skövde Ängelholms sjukhus Skånes universitetssjukhus − Lund/Malmö Nyköpings lasarett Akademiska sjukhuset Östersunds sjukhus Lasarettet Trelleborg Sahlgrenska Universitetssjukhuset Helsingsborgs lasarett Södersjukhuset Hallands sjukhus Halmstad Länssjukhuset i Kalmar Länssjukhuset Ryhov Karolinska universitetssjukhuset − Huddinge Sjukhuset i Hudiksvall Centrallasarettet Växjö Centralsjukhuset i Karlstad Karolinska universitetssjukhuset − Solna Danderyds sjukhus Capio S:t Görans sjukhus − Urologisektionen Norrlands universitetssjukhus Umeå South Älvsborgs Sjukhus − Borås Kalix sjukhus
No. of cases
2 of 8 1560 of 1927 18 of 22
Figure 51. Proportion of men younger than 70 years with intermediate risk prostate cancer given curative therapy by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (S¨ odert¨ alje sjukhus, Karlskoga lasarett, Centralsjukhuset Kristianstad, Ljungby lasarett, Simrishamns sjukhus, South ¨ Alvsborgs Sjukhus - Skene, Kiruna sjukhus, Lycksele lasarett, Skellefte˚ a
lasarett) have been assigned to ¨ Others”.
0 40 80
Percent Others/private − West
Others/private − Stockholm−Gotland Others/private − South Örebro Others/private − South east Blekinge Uppsala Dalarna West Götaland Södermanland Others/private − Uppsala−Örebro Kronoberg 581 of 1074 16 of 28
Figure 52. Proportion of men 70-80 years with inter-mediate risk prostate cancer given curative therapy by county, 2014.
. .
Sjukhuset i LidköpingAlingsås lasarett Private practice − West Private practice − Stockholm−Gotland Lasarettet i Enköping Universitetssjukhuset Örebro Södertälje sjukhus Norrtälje sjukhus Private practice − South Private practice − South east Västerviks sjukhus Blekingesjukhuset − Karlskrona Hallands sjukhus Kungsbacka Värnamo sjukhus Sunderby sjukhus Nyköpings lasarett Lycksele lasarett Varbergs sjukhus Uddevalla sjukhus Mora lasarett Falu lasarett/Ludvika lasarett Skånes universitetssjukhus − Lund/Malmö Kärnsjukhuset i Skövde SWEDEN Lasarettet i Ystad Akademiska sjukhuset Västmanlands sjukhus Västerås Skellefteå lasarett Kullbergska sjukhuset/Mälarsjukhuset Centralsjukhuset Kristianstad South Älvsborgs Sjukhus − Borås Örnsköldsviks sjukhus Visby lasarett Gällivare sjukhus Länssjukhuset Ryhov Universitetssjukhuset i Linköping/Vrinnevisjukhuset Ängelholms sjukhus Helsingsborgs lasarett Others Centralsjukhuset i Karlstad Sjukhuset i Bollnäs Kiruna sjukhus Höglandssjukhuset Länssjukhuset i Kalmar Sjukhuset i Gävle Länssjukhuset i Sundsvall Sahlgrenska Universitetssjukhuset Centrallasarettet Växjö Sjukhuset i Hudiksvall Norrlands universitetssjukhus Umeå Private practice − Uppsala−Örebro Capio S:t Görans sjukhus − Urologisektionen Södersjukhuset Karolinska universitetssjukhuset − Huddinge Östersunds sjukhus Kalix sjukhus Karolinska universitetssjukhuset − Solna Danderyds sjukhus Hallands sjukhus Halmstad
No. of cases
0 of 8 581 of 1074 6 of 11
Figure 53. Proportion of men 70-80 years with inter-mediate risk prostate cancer given curative therapy by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Karlskoga lasarett, Lindesbergs lasarett, Sjukhuset i Arvika, Oskarshamns sjukhus, Lasarettet Trelleborg, Ljungby lasarett, Simrishamns sjukhus, South ¨ Alvsborgs Sjukhus - Skene, Pite˚ a ¨ alvdals
sjukhus) have been assigned to ¨ Others”.
0 40 80
Percent Others/private − South east
Others/private − West Others/private − South Others/private − Stockholm−Gotland Kronoberg West Götaland Södermanland Others/private − Uppsala−Örebro Jönköping
Figure 54. Proportion of men younger than 70 years with high risk prostate cancer given curati-ve therapy by county, 2014.
. .
Private practice − South eastPrivate practice − West Private practice − South Örnsköldsviks sjukhus Private practice − Stockholm−Gotland Länssjukhuset i Kalmar Lindesbergs lasarett Karolinska universitetssjukhuset − Huddinge Sunderby sjukhus Kärnsjukhuset i Skövde Kalix sjukhus Others Varbergs sjukhus Helsingsborgs lasarett Hallands sjukhus Halmstad Centrallasarettet Växjö Lasarettet Trelleborg Uddevalla sjukhus Västmanlands sjukhus Västerås Universitetssjukhuset Örebro Ängelholms sjukhus Södersjukhuset SWEDEN South Älvsborgs Sjukhus − Borås Sjukhuset i Gävle Mora lasarett Akademiska sjukhuset Norrlands universitetssjukhus Umeå Skånes universitetssjukhus − Lund/Malmö Capio S:t Görans sjukhus − Urologisektionen Karolinska universitetssjukhuset − Solna Sahlgrenska Universitetssjukhuset Centralsjukhuset i Karlstad Östersunds sjukhus Västerviks sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset Sjukhuset i Lidköping Länssjukhuset Ryhov Länssjukhuset i Sundsvall Lasarettet i Ystad Kullbergska sjukhuset/Mälarsjukhuset Falu lasarett/Ludvika lasarett Blekingesjukhuset − Karlskrona
No. of cases
3 of 6
Figure 55. Proportion of men younger than 70 years with high risk prostate cancer given curati-ve therapy by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Danderyds sjukhus, Norrt¨ alje sjukhus, Visby lasarett, Karlskoga lasarett, Nyk¨ opings lasarett, Sjukhuset i Bolln¨ as,
Sjukhuset i Hudiksvall, Private practice - Uppsala- ¨ Orebro, H¨ oglandssjukhuset, Oskarshamns sjukhus, V¨ arnamo sjukhus, Centralsjukhuset Kristianstad, Ljungby lasarett, Alings˚ as lasarett, Hallands sjukhus Kungsbacka, South ¨ Alvsborgs Sjukhus -Skene, Lycksele lasarett, Skellefte˚ a lasarett, Sollefte˚ a sjukhus) have been assigned to
Others”. ¨
0 40 80
Percent Others/private − West
Others/private − South Others/private − Stockholm−Gotland Jämtland Others/private − South east West Götaland Gotland Others/private − Uppsala−Örebro Kronoberg
Figure 56. Proportion of men 70-80 years with high risk prostate cancer given curative therapy by county, 2014.
. .
Uddevalla sjukhusPrivate practice − West Lasarettet i Ystad Varbergs sjukhus Private practice − South Danderyds sjukhus Piteå älvdals sjukhus Karlskoga lasarett Private practice − Stockholm−Gotland South Älvsborgs Sjukhus − Borås Östersunds sjukhus Kärnsjukhuset i Skövde Akademiska sjukhuset Private practice − South east Örnsköldsviks sjukhus Sjukhuset i Hudiksvall Universitetssjukhuset Örebro Helsingsborgs lasarett Mora lasarett Lasarettet Trelleborg Others Länssjukhuset i Sundsvall Centralsjukhuset i Karlstad Västmanlands sjukhus Västerås Karolinska universitetssjukhuset − Huddinge Hallands sjukhus Kungsbacka SWEDEN Länssjukhuset Ryhov Universitetssjukhuset i Linköping/Vrinnevisjukhuset Sahlgrenska Universitetssjukhuset Skellefteå lasarett Nyköpings lasarett Lindesbergs lasarett Capio S:t Görans sjukhus − Urologisektionen Kullbergska sjukhuset/Mälarsjukhuset Höglandssjukhuset Skånes universitetssjukhus − Lund/Malmö Sjukhuset i Bollnäs Hallands sjukhus Halmstad Länssjukhuset i Kalmar Falu lasarett/Ludvika lasarett Sjukhuset i Lidköping Södersjukhuset Västerviks sjukhus Norrlands universitetssjukhus Umeå Sjukhuset i Gävle Centrallasarettet Växjö Private practice − Uppsala−Örebro Sunderby sjukhus Blekingesjukhuset − Karlskrona Ljungby lasarett Karolinska universitetssjukhuset − Solna
No. of cases
3 of 16
Figure 57. Proportion of men 70-80 years with high risk prostate cancer given curative therapy by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Norrt¨ alje sjukhus, S¨ odert¨ alje sjukhus, Visby lasarett, Lasarettet i Enk¨ oping, Oskarshamns sjukhus, V¨ arnamo sjukhus, Centralsjukhuset Kristianstad, Simrishamns sjukhus, ¨ Angelholms sjukhus, Alings˚ as lasarett, South ¨ Alvsborgs Sjukhus - Skene, G¨ allivare sjukhus, Kalix sjukhus, Kiruna
sjukhus, Lycksele lasarett) have been assigned to ¨ Others”.
Table 17. Type of radical prostatectomy (primary treatment) by year of diagnosis, 1998-2014.
Retropubic RP Laparoscopic RP
Robot assisted
RP Type missing Laparoscopic/
robot assisted RP Total
Year of dx
1998 450 (100) 0 (0) 450
1999 655 (100) 0 (0) 655
2000 735 (98) 12 (2) 747
2001 869 (95) 49 (5) 918
2002 1021 (89) 126 (11) 1147
2003 1329 (84) 244 (16) 1573
2004 1789 (85) 328 (15) 2117
2005 1677 (78) 486 (22) 2163
2006 1419 (72) 558 (28) 1977
2008 1244 (55) 122 (5) 885 (39) 0 (0) 0 (0) 2251
2009 1339 (48) 123 (4) 1329 (48) 0 (0) 0 (0) 2791
2010 1217 (49) 112 (5) 1152 (46) 0 (0) 0 (0) 2481
2011 1073 (41) 134 (5) 1399 (54) 1 (0) 0 (0) 2607
2012 801 (36) 94 (4) 1340 (60) 1 (0) 0 (0) 2236
2013 684 (29) 61 (3) 1591 (68) 10 (0) 0 (0) 2346
2014 605 (24) 58 (2) 1566 (62) 315 (12) 0 (0) 2544
Information is not available for the Stockholm region for the year 2007, and this year is therefore excluded from the table.
Table 18. Type of radical prostatectomy (primary treatment) by year of treatment, 2009-2014.
Retropubic RP Laparoscopic RP
Robot assisted
RP Type missing Total
No. of RP in PaR 1 Year of tx
2009 1275 (50) 98 (4) 1189 (46) 0 (0) 2562 2583
2010 1258 (48) 124 (5) 1235 (47) 0 (0) 2617 2651
2011 1175 (44) 118 (4) 1348 (51) 0 (0) 2641 2877
2012 896 (37) 113 (5) 1397 (58) 0 (0) 2406 2635
2013 697 (30) 79 (3) 1533 (66) 0 (0) 2309 2718
2014 640 (26) 67 (3) 1789 (72) 6 (0) 2502 2996
1 Number of radical prostatectomies in the National Patient Register (PaR) (includes both primiary and secondary therapy), among men registered in NPCR.
Table 19. Type of radical prostatectomy (primary treatment) by hospital, year of treatment 2014.
Retropubic RP Laparoscopic RP
Robot assisted
RP Type missing Total
Stockholm-Gotland
Capio S:t G¨ orans sjukhus - UroClinic 0 (0) 0 (0) 63 (100) 0 (0) 63
Capio S:t G¨ orans sjukhus - Urologisektionen 0 (0) 2 (1) 182 (98) 1 (1) 185
Danderyds sjukhus 0 (0) 0 (0) 39 (100) 0 (0) 39
Karolinska universitetssjukhuset - Huddinge 36 (92) 0 (0) 3 (8) 0 (0) 39
Karolinska universitetssjukhuset - Solna 0 (0) 3 (1) 326 (99) 0 (0) 329
Sophiahemmet 0 (0) 4 (5) 75 (94) 1 (1) 80
S¨ odersjukhuset 24 (45) 1 (2) 28 (53) 0 (0) 53
Visby lasarett 9 (100) 0 (0) 0 (0) 0 (0) 9
Others 0 (0) 1 (50) 1 (50) 0 (0) 2
Uppsala- ¨ Orebro
Akademiska sjukhuset 5 (7) 3 (4) 65 (89) 0 (0) 73
Centralsjukhuset i Karlstad 0 (0) 2 (2) 115 (98) 0 (0) 117
Falu lasarett/Ludvika lasarett 23 (100) 0 (0) 0 (0) 0 (0) 23
Kullbergska sjukhuset/M¨ alarsjukhuset 0 (0) 30 (97) 1 (3) 0 (0) 31
Nyk¨ opings lasarett 12 (100) 0 (0) 0 (0) 0 (0) 12
Sjukhuset i G¨ avle 34 (97) 0 (0) 1 (3) 0 (0) 35
Sjukhuset i Hudiksvall 0 (0) 12 (100) 0 (0) 0 (0) 12
Universitetssjukhuset ¨ Orebro 8 (100) 0 (0) 0 (0) 0 (0) 8
V¨ astmanlands sjukhus V¨ aster˚ as 39 (100) 0 (0) 0 (0) 0 (0) 39
South east
L¨ anssjukhuset i Kalmar 53 (95) 0 (0) 3 (5) 0 (0) 56
L¨ anssjukhuset Ryhov 22 (28) 1 (1) 57 (71) 0 (0) 80
Universitetssjukhuset i Link¨ oping/Vrinnevisjukhuset 53 (33) 2 (1) 104 (65) 0 (0) 159
V¨ asterviks sjukhus 26 (100) 0 (0) 0 (0) 0 (0) 26
Others 2 (100) 0 (0) 0 (0) 0 (0) 2
South
Blekingesjukhuset - Karlskrona 15 (27) 0 (0) 41 (73) 0 (0) 56
Centrallasarettet V¨ axj¨ o 0 (0) 1 (2) 59 (98) 0 (0) 60
Hallands sjukhus Halmstad 0 (0) 0 (0) 64 (100) 0 (0) 64
Helsingsborgs lasarett 31 (91) 0 (0) 3 (9) 0 (0) 34
Sk˚ anes universitetssjukhus - Lund/Malm¨ o 2 (1) 2 (1) 266 (99) 0 (0) 270
Others 0 (0) 0 (0) 2 (100) 0 (0) 2
West
Carlanderska sjukhuset 31 (66) 0 (0) 15 (32) 1 (2) 47
K¨ arnsjukhuset i Sk¨ ovde 39 (100) 0 (0) 0 (0) 0 (0) 39
Sahlgrenska Universitetssjukhuset 0 (0) 0 (0) 191 (98) 3 (2) 194
South ¨ Alvsborgs Sjukhus - Bor˚ as 37 (100) 0 (0) 0 (0) 0 (0) 37
Uddevalla sjukhus 62 (98) 1 (2) 0 (0) 0 (0) 63
Varbergs sjukhus 0 (0) 0 (0) 30 (100) 0 (0) 30
Others 3 (27) 0 (0) 8 (73) 0 (0) 11
North
L¨ anssjukhuset i Sundsvall 20 (100) 0 (0) 0 (0) 0 (0) 20
Norrlands universitetssjukhus Ume˚ a 4 (8) 0 (0) 47 (92) 0 (0) 51
Sunderby sjukhus 8 (100) 0 (0) 0 (0) 0 (0) 8
Ostersunds sjukhus ¨ 42 (95) 2 (5) 0 (0) 0 (0) 44
SWEDEN
Total 640 (26) 67 (3) 1789 (72) 6 (0) 2502
Hospitals that contributed less than 5 cases to the table (Others, H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs L¨ anssjukhus) have
been assigned to ¨ Others”.
Övriga
No. of surgeries 0 100 200300 400 No. of surgeries per year 2011 / 2012 / 2013 / 2014
2014
Figure 58. Number of radical prostatectomies (primary treatment) by county and year of treat-ment, 2011-2014.
In total 2502 surgeries during 2014, of which 793 (31.7 %) were performed in the three hospitals with the largest colume of surgery.
Hospitals that contributed less than 5 cases to the figure for the year 2014 (Alings˚ as lasarett, Blekingesjukhuset - Karlshamn, Capio Lundby N¨ arsjukhus, Centralsjukhuset Kristianstad, H¨ oglandssjukhuset, Kung¨ alvs sjukhus, Lasarettet i Ystad, Lasarettet Trelleborg, North ¨ Alvsborgs L¨ anssjukhus, Oskarshamns sjukhus, Others, Simrishamns sjukhus, Sjukhuset i Lidk¨ oping, Sjukhuset i Mariestad, Specialistsjukv˚ arden Falkenberg,
Vasa sjukhus, V¨ arnamo sjukhus, ¨ Angelholms sjukhus) have been assigned to ¨ Others”.
. .
Sjukhuset i GävleLänssjukhuset i Kalmar Västerviks sjukhus Östersunds sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset Norrlands universitetssjukhus Umeå Nyköpings lasarett South Älvsborgs Sjukhus − Borås Akademiska sjukhuset Others Helsingsborgs lasarett Universitetssjukhuset Örebro Södersjukhuset Capio S:t Görans sjukhus − Urologisektionen Danderyds sjukhus Sjukhuset i Hudiksvall Centrallasarettet Växjö SWEDEN Hallands sjukhus Halmstad Karolinska universitetssjukhuset − Solna Sahlgrenska Universitetssjukhuset Västmanlands sjukhus Västerås Karolinska universitetssjukhuset − Huddinge Skånes universitetssjukhus − Lund/Malmö Uddevalla sjukhus Länssjukhuset Ryhov Centralsjukhuset i Karlstad Visby lasarett Sophiahemmet Varbergs sjukhus Sunderby sjukhus Kärnsjukhuset i Skövde Falu lasarett/Ludvika lasarett Capio S:t Görans sjukhus − UroClinic Carlanderska sjukhuset Blekingesjukhuset − Karlskrona Länssjukhuset i Sundsvall Kullbergska sjukhuset/Mälarsjukhuset
No. of cases
0 of 35 429 of 2502 11 of 64
1a. Very low risk 1b. Low risk (others) 1c. Lågrisk (missing)
Figure 59. Proportion of men with low risk prostate cancer among men treated with radical prostatectomy, year of treatment 2014.
Hospitals that contributed less than 5 cases to the figure (Others, H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs
L¨ anssjukhus) have been assigned to ¨ Others”.
Table 20. Preoperative nerve sparing intent by year of treatment, 2009-2014.
Yes, bilateral
Yes,
unilateral Yes, other No Missing Total
Year of tx
2009 761 (30) 741 (29) 36 (1) 741 (29) 283 (11) 2562
2010 761 (29) 760 (29) 58 (2) 710 (27) 328 (13) 2617
2011 723 (27) 746 (28) 186 (7) 644 (24) 342 (13) 2641
2012 650 (27) 664 (28) 144 (6) 609 (25) 339 (14) 2406
2013 599 (26) 719 (31) 116 (5) 615 (27) 260 (11) 2309
2014 604 (24) 765 (31) 112 (4) 696 (28) 325 (13) 2502
Table 21. Preoperative nerve sparing intent by risk category (low, intermediate and high risk), year of treatment 2014.
Yes, bilateral
Yes,
unilateral Yes, other No Missing Total
Riskkategori
1. L˚ agrisk 215 (50) 109 (25) 18 (4) 57 (13) 32 (7) 431
2. Intermedi¨ arrisk 301 (21) 492 (34) 66 (5) 384 (27) 192 (13) 1435
3. H¨ ogrisk 36 (8) 97 (22) 22 (5) 195 (45) 83 (19) 433
0 40 80 Percent Universitetssjukhuset Örebro
Sjukhuset i Gävle Sunderby sjukhus Kullbergska sjukhuset/Mälarsjukhuset Länssjukhuset i Sundsvall Västmanlands sjukhus Västerås Karolinska universitetssjukhuset − Huddinge South Älvsborgs Sjukhus − Borås Helsingsborgs lasarett Akademiska sjukhuset Sjukhuset i Hudiksvall Visby lasarett Sahlgrenska Universitetssjukhuset Länssjukhuset i Kalmar Skånes universitetssjukhus − Lund/Malmö Blekingesjukhuset − Karlskrona SWEDEN Östersunds sjukhus Länssjukhuset Ryhov Varbergs sjukhus Carlanderska sjukhuset Sophiahemmet Karolinska universitetssjukhuset − Solna Uddevalla sjukhus Centralsjukhuset i Karlstad Others Norrlands universitetssjukhus Umeå Södersjukhuset Danderyds sjukhus Hallands sjukhus Halmstad Universitetssjukhuset i Linköping/Vrinnevisjukhuset Falu lasarett/Ludvika lasarett Centrallasarettet Växjö Kärnsjukhuset i Skövde Capio S:t Görans sjukhus − UroClinic Västerviks sjukhus Nyköpings lasarett Capio S:t Görans sjukhus − Urologisektionen
No. of cases
8 of 8 325 of 2502 5 of 44
Figure 60. Proportion of men that are missing infor-mation on preoperative nerve sparing intent by hospital, year of treatment 2014.
Hospitals that contributed less than 5 cases to the figure (Others, H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs
L¨ anssjukhus) have been assigned to ¨ Others”.
. .
Västerviks sjukhusUddevalla sjukhus Västmanlands sjukhus Västerås Nyköpings lasarett Falu lasarett/Ludvika lasarett Sjukhuset i Hudiksvall Blekingesjukhuset − Karlskrona Helsingsborgs lasarett Visby lasarett Universitetssjukhuset i Linköping/Vrinnevisjukhuset Östersunds sjukhus Varbergs sjukhus Kärnsjukhuset i Skövde Centralsjukhuset i Karlstad South Älvsborgs Sjukhus − Borås Norrlands universitetssjukhus Umeå Sahlgrenska Universitetssjukhuset Others Karolinska universitetssjukhuset − Huddinge Centrallasarettet Växjö SWEDEN Hallands sjukhus Halmstad Länssjukhuset Ryhov Akademiska sjukhuset Södersjukhuset Skånes universitetssjukhus − Lund/Malmö Carlanderska sjukhuset Karolinska universitetssjukhuset − Solna Länssjukhuset i Sundsvall Capio S:t Görans sjukhus − Urologisektionen Länssjukhuset i Kalmar Capio S:t Görans sjukhus − UroClinic Kullbergska sjukhuset/Mälarsjukhuset Danderyds sjukhus Sophiahemmet
No. of cases
0 of 26 1481 of 2177 44 of 61
Yes, bilateral Yes, unilateral Yes, other
Figure 61. Nerve sparing intention by hospital, year of treatment 2014.
Among men not missing information on nerve sparing intent. Hospitals that contributed less than 5 cases to the figure (Others, Sjukhuset i G¨ avle, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs L¨ anssjukhus,
Sunderby sjukhus) have been assigned to ¨ Others”.
0 20 60 100 Percent Västerviks sjukhus
Västmanlands sjukhus Västerås Falu lasarett/Ludvika lasarett Nyköpings lasarett Uddevalla sjukhus Sjukhuset i Hudiksvall Helsingsborgs lasarett Blekingesjukhuset − Karlskrona Varbergs sjukhus Norrlands universitetssjukhus Umeå Östersunds sjukhus Centralsjukhuset i Karlstad Kärnsjukhuset i Skövde Universitetssjukhuset i Linköping/Vrinnevisjukhuset Others South Älvsborgs Sjukhus − Borås Sahlgrenska Universitetssjukhuset SWEDEN Karolinska universitetssjukhuset − Huddinge Akademiska sjukhuset Centrallasarettet Växjö Skånes universitetssjukhus − Lund/Malmö Södersjukhuset Länssjukhuset i Kalmar Hallands sjukhus Halmstad Karolinska universitetssjukhuset − Solna Danderyds sjukhus Capio S:t Görans sjukhus − UroClinic Länssjukhuset Ryhov Capio S:t Görans sjukhus − Urologisektionen Sophiahemmet Länssjukhuset i Sundsvall Kullbergska sjukhuset/Mälarsjukhuset Carlanderska sjukhuset
No. of cases
0 of 7
Yes, bilateral Yes, unilateral Yes, other
Figure 62. Nerve sparing intention for men with low-or intermediate risk prostate cancer with T1c, PSA < 10 ng/ml by hospital, 2014.
Among men not missing information on nerve sparing intent. Hospitals that contributed less than 5 cases to the figure (Visby lasarett, Others, Sjukhuset i G¨ avle,
Others, Blekingesjukhuset - Karlshamn, North ¨ Alvsborgs L¨ anssjukhus, Sunderby sjukhus) have been assigned to ¨ Others”.
. .
Table 22. Pathological T-stage (pT-stage) by year of treatment, 2009-2014.
pT0 pT2 pT3-4 Missing Total
Year of tx
Universitetssjukhuset ÖrebroVästerviks sjukhus Karolinska universitetssjukhuset − Huddinge Sjukhuset i Gävle Sjukhuset i Hudiksvall Västmanlands sjukhus Västerås Capio S:t Görans sjukhus − UroClinic Others Länssjukhuset i Sundsvall Falu lasarett/Ludvika lasarett Carlanderska sjukhuset Länssjukhuset i Kalmar Kullbergska sjukhuset/Mälarsjukhuset Akademiska sjukhuset South Älvsborgs Sjukhus − Borås Danderyds sjukhus SWEDEN Sophiahemmet Länssjukhuset Ryhov Karolinska universitetssjukhuset − Solna Skånes universitetssjukhus − Lund/Malmö Universitetssjukhuset i Linköping/Vrinnevisjukhuset Östersunds sjukhus Visby lasarett Varbergs sjukhus Uddevalla sjukhus Södersjukhuset Sunderby sjukhus Sahlgrenska Universitetssjukhuset Nyköpings lasarett Norrlands universitetssjukhus Umeå Kärnsjukhuset i Skövde Helsingsborgs lasarett Hallands sjukhus Halmstad Centralsjukhuset i Karlstad Centrallasarettet Växjö Capio S:t Görans sjukhus − Urologisektionen Blekingesjukhuset − Karlskrona
No. of cases
1 of 8
Figure 63. Proportion of men missing information on pathological T-stage by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Others, H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs
L¨ anssjukhus) have been assigned to ¨ Others”.
0 40 80 Percent Västerviks sjukhus
Länssjukhuset i Kalmar Skånes universitetssjukhus − Lund/Malmö Falu lasarett/Ludvika lasarett Länssjukhuset Ryhov Sahlgrenska Universitetssjukhuset Centralsjukhuset i Karlstad Kärnsjukhuset i Skövde Akademiska sjukhuset Helsingsborgs lasarett Blekingesjukhuset − Karlskrona Uddevalla sjukhus Sjukhuset i Gävle Karolinska universitetssjukhuset − Huddinge SWEDEN Norrlands universitetssjukhus Umeå South Älvsborgs Sjukhus − Borås Carlanderska sjukhuset Södersjukhuset Sunderby sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset Karolinska universitetssjukhuset − Solna Hallands sjukhus Halmstad Nyköpings lasarett Capio S:t Görans sjukhus − Urologisektionen Västmanlands sjukhus Västerås Sophiahemmet Varbergs sjukhus Universitetssjukhuset Örebro Others Centrallasarettet Växjö Länssjukhuset i Sundsvall Östersunds sjukhus Capio S:t Görans sjukhus − UroClinic Sjukhuset i Hudiksvall Danderyds sjukhus Visby lasarett Kullbergska sjukhuset/Mälarsjukhuset
No. of cases
6 of 23 1480 of 2463 31 of 51
Figure 64. Proportion of pT2 tumors by hospital, 2014.
Among men not missing information on pT-stage. Hospitals that contributed less than 5 cases to the figure (Others, Others, Blekingesjukhuset - Karlshamn, Lasarettet
Trelleborg, North ¨ Alvsborgs L¨ anssjukhus) have been assigned to ¨ Others”.
. .
Sunderby sjukhusAkademiska sjukhuset Södersjukhuset Länssjukhuset Ryhov Skånes universitetssjukhus − Lund/Malmö Sahlgrenska Universitetssjukhuset Centrallasarettet Växjö Blekingesjukhuset − Karlskrona Karolinska universitetssjukhuset − Solna Uddevalla sjukhus Kärnsjukhuset i Skövde Falu lasarett/Ludvika lasarett SWEDEN Länssjukhuset i Sundsvall Others Sophiahemmet Centralsjukhuset i Karlstad Carlanderska sjukhuset Hallands sjukhus Halmstad Capio S:t Görans sjukhus − Urologisektionen Västmanlands sjukhus Västerås Varbergs sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset Kullbergska sjukhuset/Mälarsjukhuset Danderyds sjukhus Capio S:t Görans sjukhus − UroClinic
No. of cases
2 of 5
Figure 65. Proportion of pT2 tumors among preopera-tive low risk cancers (T1c, Gleason score ≤ 6, PSA < 20 µg/L) by hospital, 2014.
Among men not missing information on pT-stage. Hospitals that contributed less than 5 cases to the figure (Karolinska universitetssjukhuset - Huddinge, Visby lasarett, Nyk¨ opings lasarett, Sjukhuset i G¨ avle, Sjukhuset i Hudiksvall, Blekingesjukhuset -Karlshamn, Helsingsborgs lasarett, South ¨ Alvsborgs Sjukhus - Bor˚ as, Others, Norrlands
universitetssjukhus Ume˚ a, ¨ Ostersunds sjukhus) have been assigned to ¨ Others”.
0 40 80 Percent Länssjukhuset i Kalmar
Falu lasarett/Ludvika lasarett Västerviks sjukhus Centralsjukhuset i Karlstad Sahlgrenska Universitetssjukhuset Skånes universitetssjukhus − Lund/Malmö Kärnsjukhuset i Skövde Karolinska universitetssjukhuset − Huddinge Länssjukhuset Ryhov Södersjukhuset Akademiska sjukhuset Varbergs sjukhus Blekingesjukhuset − Karlskrona Norrlands universitetssjukhus Umeå SWEDEN Västmanlands sjukhus Västerås Helsingsborgs lasarett Sunderby sjukhus Länssjukhuset i Sundsvall South Älvsborgs Sjukhus − Borås Sophiahemmet Others Uddevalla sjukhus Carlanderska sjukhuset Karolinska universitetssjukhuset − Solna Nyköpings lasarett Universitetssjukhuset i Linköping/Vrinnevisjukhuset Capio S:t Görans sjukhus − Urologisektionen Hallands sjukhus Halmstad Capio S:t Görans sjukhus − UroClinic Östersunds sjukhus Centrallasarettet Växjö Danderyds sjukhus Sjukhuset i Gävle Kullbergska sjukhuset/Mälarsjukhuset Visby lasarett Sjukhuset i Hudiksvall
No. of cases
13 of 36 893 of 1412 13 of 20
Figure 66. Proportion of pT2 tumors among preope-rative intermediate risk cancers by hospital, 2014.
Among men not missing information on pT-stage. Hospitals that contributed less than 5 cases to the figure (Others, Universitetssjukhuset ¨ Orebro, Others, Lasarettet
Trelleborg, North ¨ Alvsborgs L¨ anssjukhus) have been assigned to ¨ Others”.
. .
Västerviks sjukhusSahlgrenska Universitetssjukhuset Länssjukhuset i Kalmar Falu lasarett/Ludvika lasarett Sjukhuset i Gävle Kärnsjukhuset i Skövde Carlanderska sjukhuset Centralsjukhuset i Karlstad Centrallasarettet Växjö Skånes universitetssjukhus − Lund/Malmö Capio S:t Görans sjukhus − Urologisektionen Sophiahemmet SWEDEN Universitetssjukhuset i Linköping/Vrinnevisjukhuset Blekingesjukhuset − Karlskrona Länssjukhuset Ryhov Uddevalla sjukhus Karolinska universitetssjukhuset − Solna Västmanlands sjukhus Västerås Hallands sjukhus Halmstad Akademiska sjukhuset Others Capio S:t Görans sjukhus − UroClinic Norrlands universitetssjukhus Umeå
No. of cases
0 of 7
Figure 67. Proportion of pT2 tumors among preopera-tive localized high risk cancers by hospital, 2014.
Among men not missing information on pT-stage. Hospitals that contributed less than 5 cases to the figure (Karolinska universitetssjukhuset - Huddinge, S¨ odersjukhuset,
Visby lasarett, Kullbergska sjukhuset/M¨ alarsjukhuset, Sjukhuset i Hudiksvall, Universitetssjukhuset ¨ Orebro, Helsingsborgs lasarett, South ¨ Alvsborgs Sjukhus - Bor˚ as,
Varbergs sjukhus, Others, L¨ anssjukhuset i Sundsvall, ¨ Ostersunds sjukhus) have been
assigned to ¨ Others”.
Table 23. Positive surgical margin by year of treat-ment, 2009-2014.
Yes No Uncertain Missing Total
Year of tx
2009 549 (21) 1759 (69) 201 (8) 53 (2) 2562
2010 550 (21) 1836 (70) 205 (8) 26 (1) 2617
2011 586 (22) 1812 (69) 214 (8) 29 (1) 2641
2012 525 (22) 1681 (70) 180 (7) 20 (1) 2406
2013 599 (26) 1511 (65) 181 (8) 18 (1) 2309
2014 651 (26) 1656 (66) 164 (7) 31 (1) 2502
0 40 80
Percent Falu lasarett/Ludvika lasarett
Others Universitetssjukhuset Örebro Sjukhuset i Gävle South Älvsborgs Sjukhus − Borås Danderyds sjukhus Karolinska universitetssjukhuset − Huddinge Blekingesjukhuset − Karlskrona Östersunds sjukhus Centrallasarettet Växjö Uddevalla sjukhus Kärnsjukhuset i Skövde Varbergs sjukhus Länssjukhuset i Sundsvall Kullbergska sjukhuset/Mälarsjukhuset Capio S:t Görans sjukhus − UroClinic Södersjukhuset Hallands sjukhus Halmstad Helsingsborgs lasarett Universitetssjukhuset i Linköping/Vrinnevisjukhuset Länssjukhuset Ryhov Centralsjukhuset i Karlstad Carlanderska sjukhuset Sjukhuset i Hudiksvall SWEDEN Skånes universitetssjukhus − Lund/Malmö Akademiska sjukhuset Sophiahemmet Västmanlands sjukhus Västerås Karolinska universitetssjukhuset − Solna Norrlands universitetssjukhus Umeå Västerviks sjukhus Länssjukhuset i Kalmar Capio S:t Görans sjukhus − Urologisektionen Sahlgrenska Universitetssjukhuset Visby lasarett Sunderby sjukhus Nyköpings lasarett
No. of cases
7 of 23 5 of 17 2 of 8 7 of 35 7 of 37 7 of 39 6 of 39 8 of 56 6 of 44 8 of 60 7 of 63 4 of 39 3 of 30 2 of 20 3 of 31 6 of 63 5 of 53 6 of 64 3 of 34 14 of 159 7 of 80 10 of 117 4 of 47 1 of 12 195 of 2502 20 of 270 5 of 73 5 of 80 2 of 39 13 of 329 2 of 51 1 of 26 2 of 56 6 of 185 1 of 194 0 of 9 0 of 8 0 of 12
30%
29%
25%
20%
19%
18%
15%
14%
14%
13%
11%
10%
10%
10%
10%
10%
9%
9%
9%
9%
9%
9%
9%
8%
8%
7%
7%
6%
5%
4%
4%
4%
4%
3%
1%
0%
0%
0%
Figure 68. Proportion of men with uncertain or missing information on surgical margin status by hospital, 2014.
Hospitals that contributed less than 5 cases to the figure (Others, H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, Lasarettet Trelleborg, North ¨ Alvsborgs
L¨ anssjukhus) have been assigned to ¨ Others”.
0 40 80 Percent Universitetssjukhuset Örebro
Västerviks sjukhus Länssjukhuset i Kalmar Sunderby sjukhus Sjukhuset i Hudiksvall South Älvsborgs Sjukhus − Borås Skånes universitetssjukhus − Lund/Malmö Akademiska sjukhuset Centrallasarettet Växjö Centralsjukhuset i Karlstad Södersjukhuset Karolinska universitetssjukhuset − Huddinge Universitetssjukhuset i Linköping/Vrinnevisjukhuset Kärnsjukhuset i Skövde Karolinska universitetssjukhuset − Solna Sjukhuset i Gävle SWEDEN Länssjukhuset i Sundsvall Helsingsborgs lasarett Sahlgrenska Universitetssjukhuset Sophiahemmet Others Nyköpings lasarett Falu lasarett/Ludvika lasarett Norrlands universitetssjukhus Umeå Hallands sjukhus Halmstad Länssjukhuset Ryhov Västmanlands sjukhus Västerås Blekingesjukhuset − Karlskrona Uddevalla sjukhus Capio S:t Görans sjukhus − Urologisektionen Varbergs sjukhus Östersunds sjukhus Capio S:t Görans sjukhus − UroClinic Carlanderska sjukhuset Visby lasarett Kullbergska sjukhuset/Mälarsjukhuset Danderyds sjukhus
No. of cases
4 of 6 651 of 2307 5 of 18
Figure 69. Proportion of positive surgical margin by hospital, 2014.
0 20 60 100 140 180 220 260 300
No. of surgeries 0
Percent positive surgical margin
●●
●Retropubic RP Laparoscopic RP Robot assisted RP
Figure 70. Proportion of positive surgical margin (all radical prostatectomies) vs. number of pro-statectomies by type and hospital, 2014.
. .
Länssjukhuset i KalmarSjukhuset i Hudiksvall Centrallasarettet Växjö Karolinska universitetssjukhuset − Huddinge Akademiska sjukhuset Centralsjukhuset i Karlstad Others Länssjukhuset i Sundsvall Universitetssjukhuset i Linköping/Vrinnevisjukhuset Karolinska universitetssjukhuset − Solna Skånes universitetssjukhus − Lund/Malmö Sunderby sjukhus Sophiahemmet South Älvsborgs Sjukhus − Borås Västerviks sjukhus SWEDEN Västmanlands sjukhus Västerås Blekingesjukhuset − Karlskrona Södersjukhuset Hallands sjukhus Halmstad Nyköpings lasarett Sjukhuset i Gävle Sahlgrenska Universitetssjukhuset Falu lasarett/Ludvika lasarett Norrlands universitetssjukhus Umeå Östersunds sjukhus Capio S:t Görans sjukhus − Urologisektionen Kullbergska sjukhuset/Mälarsjukhuset Danderyds sjukhus Varbergs sjukhus Länssjukhuset Ryhov Kärnsjukhuset i Skövde Carlanderska sjukhuset Uddevalla sjukhus Capio S:t Görans sjukhus − UroClinic Visby lasarett Helsingsborgs lasarett
No. of cases
9 of 17 225 of 1390 4 of 25
Figure 71. Proportion of positive surgical margin among pT2-tumors by hospital, 2014.
Among men not missing information on surgical margin. Hospitals that contributed less than 5 cases to the figure (Universitetssjukhuset ¨ Orebro, Others, Blekingesjukhuset
- Karlshamn, North ¨ Alvsborgs L¨ anssjukhus) have been assigned to ¨ Others”.
0 20 40 60 80 100 120 140 160 180 200
No. of surgeries 0
Percent positive surgical margin
●
●Retropubic RP Laparoscopic RP Robot assisted RP
Figure 72. Proportion of positive surgical margin
among pT2-tumors vs. number of
pro-statectomies by type and hospital, 2014.
0 20 60 100 Percent Länssjukhuset i Kalmar
Karolinska universitetssjukhuset − Huddinge Länssjukhuset i Sundsvall Sunderby sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset South Älvsborgs Sjukhus − Borås Västerviks sjukhus Others Länssjukhuset Ryhov Västmanlands sjukhus Västerås Södersjukhuset SWEDEN Nyköpings lasarett Sjukhuset i Gävle Falu lasarett/Ludvika lasarett Östersunds sjukhus Kärnsjukhuset i Skövde Uddevalla sjukhus Visby lasarett Helsingsborgs lasarett Carlanderska sjukhuset Blekingesjukhuset − Karlskrona
No. of cases
8 of 15 5 of 19 3 of 13 1 of 5 6 of 31 3 of 17 1 of 6 2 of 12 2 of 12 4 of 25 2 of 14 46 of 330 1 of 8 2 of 17 1 of 9 3 of 30 1 of 19 1 of 34 0 of 8 0 of 14 0 of 17 0 of 5
53%
26%
23%
20%
19%
18%
17%
17%
17%
16%
14%
14%
12%
12%
11%
10%
5%
3%
0%
0%
0%
0%
Figure 73. Proportion of positive surgical margin after retropubic radical prostatectomy of pT2-tumors by hospital, 2014.
Among men not missing information on surgical margin. Hospitals that contributed less than 5 cases to the figure (Akademiska sjukhuset, Universitetssjukhuset ¨ Orebro, Others, Sk˚ anes universitetssjukhus - Lund/Malm¨ o, North ¨ Alvsborgs L¨ anssjukhus,
Others, Norrlands universitetssjukhus Ume˚ a) have been assigned to ¨ Others”.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 40 80
Percent Centrallasarettet Växjö
Universitetssjukhuset i Linköping/Vrinnevisjukhuset Akademiska sjukhuset Centralsjukhuset i Karlstad Karolinska universitetssjukhuset − Solna Skånes universitetssjukhus − Lund/Malmö Sophiahemmet SWEDEN Others Blekingesjukhuset − Karlskrona Södersjukhuset Hallands sjukhus Halmstad Carlanderska sjukhuset Norrlands universitetssjukhus Umeå Sahlgrenska Universitetssjukhuset Capio S:t Görans sjukhus − Urologisektionen Danderyds sjukhus Varbergs sjukhus Capio S:t Görans sjukhus − UroClinic Länssjukhuset Ryhov
No. of cases
12 of 38 16 of 63 8 of 32 12 of 50 46 of 203 25 of 113 10 of 50 170 of 1009 2 of 12 4 of 24 2 of 15 5 of 39 1 of 8 3 of 28 10 of 95 10 of 120 2 of 28 1 of 19 1 of 46 0 of 26
32%
25%
25%
24%
23%
22%
20%
17%
17%
17%
13%
13%
12%
11%
11%
8%
7%
5%
2%
0%
Figure 74. Proportion of positive surgical margin after robot assisted laparoscopic radical prosta-tectomy of pT2-tumors by hospital, 2014.
Among men not missing information on surgical margin. Hospitals that contributed less than 5 cases to the figure (Karolinska universitetssjukhuset - Huddinge, Kullbergska sjukhuset/M¨ alarsjukhuset, L¨ anssjukhuset i Kalmar, Blekingesjukhuset
-Karlshamn, Helsingsborgs lasarett) have been assigned to ¨ Others”.
0 40 80 Percent Länssjukhuset i Kalmar
Sunderby sjukhus Västerviks sjukhus Sjukhuset i Hudiksvall Södersjukhuset Skånes universitetssjukhus − Lund/Malmö Länssjukhuset i Sundsvall South Älvsborgs Sjukhus − Borås Kärnsjukhuset i Skövde Others Karolinska universitetssjukhuset − Huddinge Centrallasarettet Växjö Akademiska sjukhuset Falu lasarett/Ludvika lasarett Karolinska universitetssjukhuset − Solna SWEDEN Sahlgrenska Universitetssjukhuset Hallands sjukhus Halmstad Universitetssjukhuset i Linköping/Vrinnevisjukhuset Norrlands universitetssjukhus Umeå Blekingesjukhuset − Karlskrona Centralsjukhuset i Karlstad Sophiahemmet Nyköpings lasarett Länssjukhuset Ryhov Västmanlands sjukhus Västerås Capio S:t Görans sjukhus − Urologisektionen Capio S:t Görans sjukhus − UroClinic Sjukhuset i Gävle Helsingsborgs lasarett Varbergs sjukhus Kullbergska sjukhuset/Mälarsjukhuset Uddevalla sjukhus Östersunds sjukhus Carlanderska sjukhuset Danderyds sjukhus Visby lasarett
No. of cases
19 of 36 339 of 1323 32 of 125
Figure 75. Proportion of positive surgical margin among preoperative intermediate risk tu-mors by hospital, 2014.
Among men not missing information on surgical margin. Hospitals that contributed less than 5 cases to the figure (Others, Universitetssjukhuset ¨ Orebro, Others, North
Alvsborgs L¨ ¨ anssjukhus) have been assigned to ¨ Others”.
. .
Länssjukhuset i KalmarAkademiska sjukhuset Västerviks sjukhus Karolinska universitetssjukhuset − Huddinge Centrallasarettet Växjö Skånes universitetssjukhus − Lund/Malmö Kärnsjukhuset i Skövde Centralsjukhuset i Karlstad Karolinska universitetssjukhuset − Solna Falu lasarett/Ludvika lasarett South Älvsborgs Sjukhus − Borås Hallands sjukhus Halmstad Södersjukhuset Sophiahemmet Sahlgrenska Universitetssjukhuset SWEDEN Västmanlands sjukhus Västerås Others Sjukhuset i Hudiksvall Varbergs sjukhus Universitetssjukhuset i Linköping/Vrinnevisjukhuset Länssjukhuset i Sundsvall Blekingesjukhuset − Karlskrona Norrlands universitetssjukhus Umeå Capio S:t Görans sjukhus − Urologisektionen Länssjukhuset Ryhov Kullbergska sjukhuset/Mälarsjukhuset Capio S:t Görans sjukhus − UroClinic Carlanderska sjukhuset Östersunds sjukhus Uddevalla sjukhus Nyköpings lasarett Helsingsborgs lasarett Danderyds sjukhus
No. of cases
10 of 24
Figure 76. Proportion of positive surgical margin among preoperative low- or intermediate risk tumors by hospital, 2014.
Among men not missing information on surgical margin. Hospitals that contributed less than 5 cases to the figure (Visby lasarett, Others, Sjukhuset i G¨ avle, Universitetssjukhuset ¨ Orebro, Others, Blekingesjukhuset - Karlshamn, North ¨ Alvsborgs
L¨ anssjukhus, Others, Sunderby sjukhus) have been assigned to ¨ Others”.
0 40 80 Percent Helsingsborgs lasarett
Danderyds sjukhus Varbergs sjukhus Östersunds sjukhus South Älvsborgs Sjukhus − Borås Akademiska sjukhuset Falu lasarett/Ludvika lasarett Sjukhuset i Gävle Universitetssjukhuset Örebro Länssjukhuset i Kalmar Södersjukhuset Norrlands universitetssjukhus Umeå Sophiahemmet Universitetssjukhuset i Linköping/Vrinnevisjukhuset Karolinska universitetssjukhuset − Solna Visby lasarett Capio S:t Görans sjukhus − Urologisektionen Länssjukhuset Ryhov Kullbergska sjukhuset/Mälarsjukhuset SWEDEN Centralsjukhuset i Karlstad Uddevalla sjukhus Blekingesjukhuset − Karlskrona Skånes universitetssjukhus − Lund/Malmö Nyköpings lasarett Karolinska universitetssjukhuset − Huddinge Sahlgrenska Universitetssjukhuset Centrallasarettet Växjö Capio S:t Görans sjukhus − UroClinic Västmanlands sjukhus Västerås Länssjukhuset i Sundsvall Hallands sjukhus Halmstad Carlanderska sjukhuset Västerviks sjukhus Others Kärnsjukhuset i Skövde Sunderby sjukhus Sjukhuset i Hudiksvall
No. of cases
6 of 31 6 of 32 5 of 28 7 of 40 6 of 36 11 of 68 3 of 20 5 of 34 1 of 7 7 of 49 5 of 41 6 of 50 5 of 42 17 of 149 32 of 284 1 of 9 11 of 103 8 of 76 3 of 29 229 of 2215 11 of 107 6 of 60 5 of 52 24 of 252 1 of 12 3 of 36 15 of 185 4 of 55 4 of 62 2 of 37 1 of 20 3 of 60 2 of 43 1 of 23 1 of 29 1 of 35 0 of 7 0 of 12
19%
19%
18%
18%
17%
16%
15%
15%
14%
14%
12%
12%
12%
11%
11%
11%
11%
11%
10%
10%
10%
10%
10%
10%
8%
8%
8%
7%
6%
5%
5%
5%
5%
4%
3%
3%
0%
0%
Retropubic RP Laparoscopic/robot assisted RP RP, type missing
Figure 77. Proportion of men being re-admitted within 30 days following a radical prostatectomy by hospital, 2014 (January-November).
Hospitals that contributed less than 5 cases to the figure (H¨ oglandssjukhuset, Others, Blekingesjukhuset - Karlshamn, North ¨ Alvsborgs L¨ anssjukhus) have been assigned to
Others”. ¨
Table 24. Number and percentages of men with a registered radiotherapy form out of men with primary or adjuvant radiotherapy reported on the primary treatment form by health care region and year of referal to the onco-logy department, 2008-2014.
Stockholm-Gotland
Uppsala-Orebro ¨ South east South West North Total
Year
2009 321 (96) 508 (100) 242 (100) 312 (98) 144 (99) 293 (100) 1820 (99)
2010 346 (97) 494 (100) 233 (100) 259 (99) 123 (100) 320 (100) 1775 (99)
2011 352 (97) 441 (100) 180 (100) 243 (92) 159 (98) 275 (100) 1650 (98)
2012 270 (96) 410 (100) 185 (99) 250 (91) 110 (98) 291 (100) 1516 (97)
2013 299 (95) 434 (98) 175 (98) 227 (99) 114 (97) 278 (99) 1527 (98)
2014 161 (54) 366 (90) 158 (90) 223 (92) 119 (95) 236 (96) 1263 (84)
Table 25. Number of performed radiotherapy treatments per year of treatment, 2009-2014.
Primary therapy
Secondary therapy 1
Information on primary/secondary
therapy missing
Adjuvant/
salvage Total
Year of tx
2009 1475 (69) 114 (5) 76 (4) 466 (22) 2131
2010 1726 (71) 147 (6) 54 (2) 498 (21) 2425
2011 1671 (68) 206 (8) 49 (2) 529 (22) 2455
2012 1507 (67) 195 (9) 67 (3) 464 (21) 2233
2013 1410 (65) 195 (9) 108 (5) 472 (22) 2185
2014 1439 (64) 241 (11) 116 (5) 464 (21) 2260
Secondary therapy means those treated with radiotherapy after being on active surveillance.
Table 26. Number of registered performed radiotherapy treatments by hospital, year of treatment 2014.
Primary therapy
Secondary therapy 1
Information on primary/secondary
therapy missing
Adjuvant/
salvage Total
Stockholm-Gotland
Karolinska universitetssjukhuset - Solna/S¨ odersjukhuset 244 (69) 17 (5) 44 (12) 49 (14) 354 Uppsala- ¨ Orebro
Akademiska sjukhuset 101 (64) 28 (18) 6 (4) 24 (15) 159
Centralsjukhuset i Karlstad 54 (70) 5 (6) 0 (0) 18 (23) 77
Kullbergska sjukhuset/M¨ alarsjukhuset 36 (60) 6 (10) 3 (5) 15 (25) 60
Sjukhuset i G¨ avle 91 (68) 10 (8) 10 (8) 22 (17) 133
Universitetssjukhuset ¨ Orebro 77 (100) 0 (0) 0 (0) 0 (0) 77
V¨ astmanlands sjukhus V¨ aster˚ as 55 (96) 0 (0) 0 (0) 2 (4) 57
South east
L¨ anssjukhuset i Kalmar 53 (48) 8 (7) 1 (1) 49 (44) 111
L¨ anssjukhuset Ryhov 47 (59) 16 (20) 1 (1) 16 (20) 80
Universitetssjukhuset i Link¨ oping/Vrinnevisjukhuset 57 (58) 10 (10) 0 (0) 32 (32) 99
South
Centrallasarettet V¨ axj¨ o 45 (98) 0 (0) 1 (2) 0 (0) 46
Sk˚ anes universitetssjukhus - Lund/Malm¨ o 183 (48) 62 (16) 18 (5) 116 (31) 379
West
Sahlgrenska Universitetssjukhuset/South ¨ Alvsborgs Sjukhus - Bor˚ as 137 (57) 20 (8) 12 (5) 71 (30) 240 North
L¨ anssjukhuset i Sundsvall 78 (61) 16 (12) 13 (10) 21 (16) 128
Norrlands universitetssjukhus Ume˚ a 181 (70) 43 (17) 7 (3) 29 (11) 260
SWEDEN
Total 1439 (64) 241 (11) 116 (5) 464 (21) 2260
Table 27. Type of primary/secondary radiotherapy by hospital, year of treatment 2014.
External Seeds HDR
mo-notherapy
External +
brachy Total Stockholm-Gotland
Karolinska universitetssjukhuset - Solna/S¨ odersjukhuset 223 (73) 18 (6) 0 (0) 64 (21) 305 Uppsala- ¨ Orebro
Akademiska sjukhuset 41 (30) 0 (0) 0 (0) 94 (70) 135
Centralsjukhuset i Karlstad 58 (98) 0 (0) 1 (2) 0 (0) 59
Kullbergska sjukhuset/M¨ alarsjukhuset 44 (98) 0 (0) 1 (2) 0 (0) 45
Sjukhuset i G¨ avle 110 (99) 0 (0) 0 (0) 1 (1) 111
Universitetssjukhuset ¨ Orebro 17 (22) 0 (0) 28 (36) 32 (42) 77
V¨ astmanlands sjukhus V¨ aster˚ as 49 (89) 0 (0) 5 (9) 1 (2) 55
South east
L¨ anssjukhuset i Kalmar 62 (100) 0 (0) 0 (0) 0 (0) 62
L¨ anssjukhuset Ryhov 51 (80) 11 (17) 0 (0) 2 (3) 64
Universitetssjukhuset i Link¨ oping/Vrinnevisjukhuset 45 (67) 0 (0) 0 (0) 22 (33) 67
South
Centrallasarettet V¨ axj¨ o 46 (100) 0 (0) 0 (0) 0 (0) 46
Sk˚ anes universitetssjukhus - Lund/Malm¨ o 184 (70) 55 (21) 1 (0) 23 (9) 263
West
Sahlgrenska Universitetssjukhuset/South ¨ Alvsborgs Sjukhus - Bor˚ as 109 (64) 0 (0) 0 (0) 60 (36) 169 North
L¨ anssjukhuset i Sundsvall 107 (100) 0 (0) 0 (0) 0 (0) 107
Norrlands universitetssjukhus Ume˚ a 231 (100) 0 (0) 0 (0) 0 (0) 231
SWEDEN
Total 1377 (77) 84 (5) 36 (2) 299 (17) 1796
Table 28. Dose fraction/total dose used for primary external beam radiotherapy or given after a period of active surveillance to men with prostate cancer of low- or intermediate risk (at time of diagnosis) by hospital, year of treatment 2014. Reported total doses produce comparable biological treatment effect.
2.0 Gy / 78.0-80.0 Gy
2.5 Gy / 72.5 Gy
3.0 Gy / 66.0 Gy
6.1 Gy /
42.7 Gy Total Stockholm-Gotland
Karolinska universitetssjukhuset - Solna/S¨ odersjukhuset 6 (6) 89 (93) 1 (1) 0 (0) 96
Uppsala- ¨ Orebro
Akademiska sjukhuset 15 (100) 0 (0) 0 (0) 0 (0) 15
Centralsjukhuset i Karlstad 11 (85) 0 (0) 0 (0) 2 (15) 13
Kullbergska sjukhuset/M¨ alarsjukhuset 3 (75) 1 (25) 0 (0) 0 (0) 4
Sjukhuset i G¨ avle 46 (100) 0 (0) 0 (0) 0 (0) 46
Universitetssjukhuset ¨ Orebro 0 (0) 0 (0) 4 (100) 0 (0) 4
V¨ astmanlands sjukhus V¨ aster˚ as 20 (100) 0 (0) 0 (0) 0 (0) 20
South east
L¨ anssjukhuset i Kalmar 25 (86) 0 (0) 0 (0) 4 (14) 29
L¨ anssjukhuset Ryhov 30 (88) 0 (0) 0 (0) 4 (12) 34
Universitetssjukhuset i Link¨ oping/Vrinnevisjukhuset 18 (90) 0 (0) 0 (0) 2 (10) 20
South
Centrallasarettet V¨ axj¨ o 17 (89) 0 (0) 0 (0) 2 (11) 19
Sk˚ anes universitetssjukhus - Lund/Malm¨ o 80 (81) 0 (0) 0 (0) 19 (19) 99
West
Sahlgrenska Universitetssjukhuset/South ¨ Alvsborgs Sjukhus - Bor˚ as 15 (28) 0 (0) 38 (72) 0 (0) 53 North
L¨ anssjukhuset i Sundsvall 59 (91) 0 (0) 0 (0) 6 (9) 65
Norrlands universitetssjukhus Ume˚ a 115 (85) 0 (0) 0 (0) 21 (15) 136
SWEDEN
Total 460 (70) 90 (14) 43 (7) 60 (9) 653
26 men are excluded from the table due to other dose fraction or missing information on dose fraction..
Table 29. Dose fraction/total dose used for primary external beam radiotherapy or given after a period of active surveillance to men with prostate cancer of high risk (at time of diagnosis) by hospital, year of treatment 2014. Reported total doses produce comparable biological treatment effect.
2.0 Gy / 78.0-80.0 Gy
2.5 Gy / 72.5 Gy
3.0 Gy / 66.0 Gy
6.1 Gy /
42.7 Gy Total Stockholm-Gotland
Karolinska universitetssjukhuset - Solna/S¨ odersjukhuset 8 (11) 66 (88) 1 (1) 0 (0) 75
Uppsala- ¨ Orebro
Akademiska sjukhuset 14 (100) 0 (0) 0 (0) 0 (0) 14
Centralsjukhuset i Karlstad 37 (100) 0 (0) 0 (0) 0 (0) 37
Kullbergska sjukhuset/M¨ alarsjukhuset 1 (25) 2 (50) 1 (25) 0 (0) 4
Sjukhuset i G¨ avle 50 (100) 0 (0) 0 (0) 0 (0) 50
Universitetssjukhuset ¨ Orebro 1 (9) 0 (0) 10 (91) 0 (0) 11
V¨ astmanlands sjukhus V¨ aster˚ as 24 (100) 0 (0) 0 (0) 0 (0) 24
South east
L¨ anssjukhuset i Kalmar 30 (100) 0 (0) 0 (0) 0 (0) 30
L¨ anssjukhuset Ryhov 15 (100) 0 (0) 0 (0) 0 (0) 15
Universitetssjukhuset i Link¨ oping/Vrinnevisjukhuset 19 (100) 0 (0) 0 (0) 0 (0) 19
South
Centrallasarettet V¨ axj¨ o 19 (95) 0 (0) 1 (5) 0 (0) 20
Sk˚ anes universitetssjukhus - Lund/Malm¨ o 54 (96) 0 (0) 0 (0) 2 (4) 56
West
Sahlgrenska Universitetssjukhuset/South ¨ Alvsborgs Sjukhus - Bor˚ as 2 (5) 0 (0) 39 (95) 0 (0) 41 North
L¨ anssjukhuset i Sundsvall 32 (100) 0 (0) 0 (0) 0 (0) 32
Norrlands universitetssjukhus Ume˚ a 55 (96) 0 (0) 0 (0) 2 (4) 57
SWEDEN
Total 361 (74) 68 (14) 52 (11) 4 (1) 485
17 men are excluded from the table due to other dose fraction or missing information on dose fraction..
0 20 40 60 80 100 Percent
West Götaland Kalmar Jönköping Östergötland Södermanland Västernorrland Kronoberg SWEDEN Västerbotten Skåne Gävleborg Värmland Stockholm Uppsala Örebro Västmanland
No. of cases1
0 of 72 0 of 28 0 of 15 1 of 22 1 of 12 3 of 28 7 of 20 279 of 608 31 of 62 38 of 74 24 of 40 24 of 37 60 of 85 41 of 53 28 of 36 21 of 24
0%
0%
0%
5%
8%
11%
35%
46%
50%
51%
60%
65%
71%
77%
78%
88%
2012 2013
12014
Figure 78. Proportion of men with localized high risk or locally advanced tumors treated with radiotherapy that received treatment with radiation fields that included lymph nodes by county, 2014.
Among men not missing information on inclusion of lymph nodes.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 20 40 60 80 100
Percent Uppsala
Västmanland Södermanland West Götaland Stockholm SWEDEN Örebro Kronoberg Kalmar Värmland Västernorrland Gävleborg Västerbotten Skåne Östergötland Jönköping
No. of cases
1 of 32 43 of 49 31 of 35 74 of 80 165 of 178 1032 of 1102 16 of 17 43 of 45 52 of 53 53 of 54 77 of 78 89 of 90 179 of 181 131 of 132 39 of 39 39 of 39
3%
88%
89%
92%
93%
94%
94%
96%
98%
98%
99%
99%
99%
99%
100%
100%
Figure 79. Proportion of men treated with primary external radiotherapy where marking tech-nique has been used by county, 2014.
0 20 40 60 80 100
Percent Östergötland
Örebro Uppsala West Götaland Västernorrland Stockholm SWEDEN Västerbotten Skåne Västmanland Jönköping Södermanland Kalmar Gävleborg Kronoberg Värmland
No. of cases
0 of 57 2 of 76 11 of 101 22 of 137 36 of 78 113 of 244 806 of 1439 133 of 181 139 of 183 45 of 55 39 of 47 31 of 36 49 of 53 88 of 91 44 of 45 54 of 55
0%
3%
11%
16%
46%
46%
56%
73%
76%
82%
83%
86%
92%
97%
98%
98%
MRI PET−CT MRI and PET−CT
Figure 80. Proportion of men treated with primary
ra-diotherapy where MRI or PET-CT has been
used for definition of target by county,
2014.
0 20 40 60 80 100 Percent
Stockholm West Götaland Södermanland Kalmar Örebro Uppsala Skåne SWEDEN Västmanland Västernorrland Västerbotten Värmland Kronoberg Jönköping Gävleborg
No. of cases1
10 of 18 2 of 4 3 of 8 3 of 8 1 of 3 1 of 4 1 of 4 21 of 120 0 of 7 0 of 11 0 of 33 0 of 3 0 of 3 0 of 5 0 of 9
56%
50%
38%
38%
33%
25%
25%
18%
0%
0%
0%
0%
0%
0%
0%
2009
−20102011
−2012 12013
−2014Figure 81. Proportion of men with low risk prostate cancers treated with radiotherapy that re-ceived neoadjuvant hormonal therapy by county, 2013-2014.
Among men not missing information on neoadjuvant hormonal therapy.
0 20 40 60 80 100
Percent Västmanland
Västernorrland Jönköping Värmland Skåne Uppsala Västerbotten SWEDEN Kalmar Gävleborg Kronoberg Stockholm Örebro West Götaland Östergötland Södermanland
No. of cases1
16 of 23 22 of 28 12 of 15 32 of 37 64 of 74 46 of 53 55 of 62 548 of 605 24 of 26 37 of 40 19 of 20 82 of 85 35 of 36 70 of 72 22 of 22 12 of 12
70%
79%
80%
86%
86%
87%
89%
91%
92%
92%
95%
96%
97%
97%
100%
100%
2012 2013
12014
Figure 82. Proportion of men with localized high risk
or locally advanced tumors treated with
primary radiotherapy that received
neoad-juvant hormonal therapy by antiandrogens,
GnRH or TAB by county, 2014.
SWEDEN
No. of casesAntiandrogen GnRH TAB Missing
Figure 83. Type of neoadjuvant hormonal therapy among men with localized high risk or locally advanced tumors treated with pri-mary radiotherapy by county, 2014.
0 20 40 60 80 100 West Götaland Västmanland
Figure 84. Proportion of men with localized high risk or locally advanced tumors treated with primary radiotherapy that received adjuvant hormonal therapy by county, 2014.
Among men not missing information on adjuvant hormonal therapy.
. .
No. of casesAntiandrogen GnRH TAB Missing
Figure 85. Type of adjuvant hormonal therapy among men with localized high risk or locally ad-vanced tumors treated with primary radiot-herapy by county, 2014.
SWEDEN
No. of cases≤6 months
>6 months, ≤18 months
>18 months, ≤30 months
>30 months Missing
Figure 86. Duration of adjuvant hormonal therapy
treatment for men with localized high risk
or locally advanced tumors treated with
primary radiotherapy by county, 2014.
0 20 40 60 80 100 Percent
Örebro Västmanland Uppsala Södermanland Gävleborg Stockholm West Götaland Jönköping SWEDEN Östergötland Kronoberg Kalmar Västernorrland Skåne Västerbotten Värmland
No. of cases
0 of 76 0 of 55 0 of 101 0 of 36 0 of 91 3 of 244 3 of 137 3 of 47 122 of 1439 5 of 57 5 of 45 6 of 53 10 of 78 30 of 183 42 of 181 15 of 55
0%
0%
0%
0%
0%
1%
2%
6%
8%
9%
11%
11%
13%
16%
23%
27%
Figure 87. Proportion of men treated with primary ra-diotherapy participating in a clinical treat-ment study (according to the radiotherapy form) by county, 2014.
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
.
Others/private − West
No. of casesNeoadjuvant hormonal therapy + RT RT
RP
Antiandrogens monotherapy GnRH/orchiectomy Conservative therapy Other
Figure 88. Type of treatment for men 75 years or younger at time of diagnosis with locally advanced prostate cancer by county, 2013-2014.
Among men not missing information on primary treatment.
0 40 80
Percent Gotland
Blekinge Östergötland Others/private − West Kalmar Others/private − South east Others/private − Stockholm−Gotland Jönköping SWEDEN Others/private − South Västerbotten West Götaland Dalarna Others/private − Uppsala−Örebro
No. of cases1
2009
−20102011
−2012 12013
−2014Figure 89. Proportion of men 75 years or younger at time of diagnosis with locally advanced prostate cancer that received neoadju-vant hormonal therapy and radiotherapy by county, 2013-2014.
Among men not missing information on primary treatment.
. .
No. of casesNeoadjuvant hormonal therapy + RT RT
RP
Antiandrogens monotherapy GnRH/orchiectomy Conservative therapy Other
Figure 90. Type of treatment for men 76-80 years at time of diagnosis with locally advanced prostate cancer by county, 2013-2014.
Among men not missing information on primary treatment.
0 40 80
Percent Södermanland
Others/private − West Others/private − Uppsala−Örebro Jönköping Gotland Others/private − Stockholm−Gotland Västernorrland Others/private − South east Dalarna Others/private − South Jämtland West Götaland Östergötland
2009
−20102011
−2012 12013
−2014Figure 91. Proportion of men 76-80 years at time of diagnosis with locally advanced prostate cancer that received neoadjuvant hormo-nal therapy and radiotherapy by county, 2013-2014.
Among men not missing information on primary treatment.
Others/private − South
No. of casesNeoadjuvant hormonal therapy + RT RT
RP
Antiandrogens monotherapy GnRH/orchiectomy Conservative therapy Other
Figure 92. Type of treatment for men 75 years or younger at time of diagnosis with regional metastases (N1 and/or T4 and/or PSA 50-100 µg/L, not M1) by county, 2013-2014.
Among men not missing information on primary treatment.
0 40 80
Percent Others/private − Uppsala−Örebro
Kalmar Others/private − West Skåne Värmland Jönköping Östergötland Others/private − South Halland Västmanland West Götaland Stockholm SWEDEN Others/private − Stockholm−Gotland Uppsala Others/private − South east
No. of cases1
2009
−20102011
−2012 12013
−2014Figure 93. Proportion of men 75 years or younger at time of diagnosis with regional metastases (N1 and/or T4 and/or PSA 50-100 µg/L, not M1) that received neoadjuvant hormo-nal therapy and radiotherapy by county, 2013-2014.
Among men not missing information on primary treatment.
. .
High education ●● 93%(93−93%)
Middle education ●● 91%(91−91%)
Low education ●● 89%(89−89%)
CCI 1
High education ●● 86%(85−87%)
Middle education ●● 81%(80−82%)
Low education ●● 75%(74−76%)
CCI 2
High education ●● 83%(82−85%)
Middle education ●● 72%(70−74%)
Low education ●● 59%(56−62%)
CCI 3+
High education ●● 54%(50−59%)
Middle education ●● 46%(42−51%)
Low education ●● 41%(36−45%)
Age 65−69 yrs
CCI 0
High education ●● 89%(88−89%)
Middle education ●● 83%(83−83%)
Low education ●● 78%(78−79%)
CCI 1
High education ●● 69%(66−71%)
Middle education ●● 72%(71−73%)
Low education ●● 62%(60−63%)
CCI 2
High education ●● 65%(62−68%)
Middle education ●● 64%(62−66%)
Low education ●● 53%(51−56%)
CCI 3+
High education ●● 45%(40−50%)
Middle education ●● 39%(35−42%)
Low education ●● 31%(28−34%)
Age 70−74 yrs
CCI 0
High education ●● 76%(75−77%)
Middle education ●● 73%(72−73%)
Low education ●● 66%(66−66%)
CCI 1
High education ●● 61%(59−63%)
Middle education ●● 57%(55−58%)
Low education ●● 48%(46−49%)
CCI 2
High education ●● 55%(52−58%)
Middle education ●● 44%(42−46%)
Low education ●● 38%(36−40%)
CCI 3+
High education ●● 37%(32−41%)
Middle education ●● 24%(21−26%)
Low education ●● 21%(20−23%)
Age 75−79 yrs
CCI 0
High education ●● 61%(60−62%)
Middle education ●● 54%(54−55%)
Low education ●● 48%(47−48%)
CCI 1
High education ●● 33%(31−36%)
Middle education ●● 35%(33−36%)
Low education ●● 32%(31−33%)
CCI 2
High education ●● 38%(35−41%)
Middle education ●● 30%(28−32%)
Low education ●● 25%(24−27%)
CCI 3+
High education ●● 22%(19−26%)
Middle education ●● 17%(16−18%)
Low education ●● 13%(12−14%)
Figure 94. Observed 10-years survival among men in
the general population not diagnosed with
prostate cancer (matched for age and
pla-ce of residenpla-ce with men with high risk
prostate cancer) by age, comorbidity and
educational level.
0 50 100%
Age, comorbidity
<65 yrs, CCI 0 65−69 yrs, CCI 0
<65 yrs, CCI 1 70−74 yrs, CCI 0
<65 yrs, CCI 2 65−69 yrs, CCI 1 65−69 yrs, CCI 2 70−74 yrs, CCI 1 75−79 yrs, CCI 0
<65 yrs, CCI 3+
70−74 yrs, CCI 2 65−69 yrs, CCI 3+
75−79 yrs, CCI 1 75−79 yrs, CCI 2 70−74 yrs, CCI 3+
75−79 yrs, CCI 3+
10−year survival probability Treated with curative intent
Figure 95. Observed 10-years survival among men in the general population not diagnosed with prostate cancer (matched for age and pla-ce of residenpla-ce with men with high risk prostate cancer) and proportion curatively treated men among the prostate cancer cases by age group and comorbidity.
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1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Year
0 50 100 150 200 250
Median (IQR)