{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T03:01:25Z","timestamp":1789095685022,"version":"build-2803163510"},"reference-count":17,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["1NU58DP007156"],"award-info":[{"award-number":["1NU58DP007156"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","redjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Radiation Oncology*Biology*Physics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ijrobp.2026.02.204","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T15:51:40Z","timestamp":1771084300000},"page":"1317-1323","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Changes Over Time in Total Medicare Costs for Active Surveillance Versus Radiation Therapy in Prostate Cancer"],"prefix":"10.1016","volume":"125","author":[{"given":"Jiaye","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald C.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutlay","family":"Sayan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinglei","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8581-0728","authenticated-orcid":false,"given":"Aaron J.","family":"Katz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijrobp.2026.02.204_bib0001","first-page":"10","article-title":"Cancer statistics, 2025","volume":"75","author":"Siegel","year":"2025","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0002","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/JU.0000000000002757","article-title":"Clinically localized prostate cancer: AUA\/ASTRO guideline, part I: Introduction, risk assessment, staging, and risk-based management","volume":"208","author":"Eastham","year":"2022","journal-title":"J Urol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0003","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.annonc.2020.06.011","article-title":"Prostate cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up","volume":"31","author":"Parker","year":"2020","journal-title":"Ann Oncol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0004","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1001\/jamaoncol.2018.3701","article-title":"Total medicare costs associated with diagnosis and treatment of prostate cancer in elderly men","volume":"5","author":"Trogdon","year":"2019","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0005","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1038\/nrurol.2015.313","article-title":"Active surveillance for prostate cancer: A narrative review of clinical guidelines","volume":"13","author":"Bruinsma","year":"2016","journal-title":"Nat Rev Urol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0006","doi-asserted-by":"crossref","first-page":"171","DOI":"10.5489\/cuaj.2806","article-title":"Active surveillance for the management of localized prostate cancer: Guideline recommendations","volume":"9","author":"Morash","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0007","doi-asserted-by":"crossref","first-page":"2082","DOI":"10.1002\/mp.15442","article-title":"Ultra-high dose rate electron beams and the FLASH effect: From preclinical evidence to a new radiotherapy paradigm","volume":"49","author":"Schuler","year":"2022","journal-title":"Med Phys"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0008","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijrobp.2022.05.018","article-title":"Decreases in radiation oncology medicare reimbursement over time: Analysis by billing code","volume":"114","author":"Hogan","year":"2022","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0009","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.euros.2020.11.004","article-title":"Real-world evidence to estimate prostate cancer costs for first-line treatment or active surveillance","volume":"23","author":"Magnani","year":"2021","journal-title":"Eur Urol Open Sci"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0010","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.urolonc.2011.04.005","article-title":"Active surveillance vs. treatment for low-risk prostate cancer: A cost comparison","volume":"31","author":"Eldefrawy","year":"2013","journal-title":"Urol Oncol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0011","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.prro.2020.02.014","article-title":"Costs and complications after a diagnosis of prostate cancer treated with time-efficient modalities: An analysis of national medicare data","volume":"10","author":"Tang","year":"2020","journal-title":"Pract Radiat Oncol"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0012","unstructured":"National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: Prostate cancer. (version 2). 2025. Accessed August 8, 2025. https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/prostate.pdf"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0013","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.urology.2018.06.037","article-title":"National trends in active surveillance for prostate cancer: Validation of medicare claims-based algorithms","volume":"120","author":"Modi","year":"2018","journal-title":"Urology"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0014","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1007\/s00384-014-1972-1","article-title":"Evaluation of four comorbidity indices and Charlson comorbidity index adjustment for colorectal cancer patients","volume":"29","author":"Marventano","year":"2014","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0015","doi-asserted-by":"crossref","first-page":"ofw265","DOI":"10.1093\/ofid\/ofw265","article-title":"Infection-related hospital admissions after prostate biopsy in United States Men","volume":"4","author":"Evans","year":"2017","journal-title":"Open Forum Infect Dis"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0016","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.euros.2024.06.015","article-title":"Risk factors for infection after transrectal prostate biopsy: A population-based register study","volume":"67","author":"Ortegren","year":"2024","journal-title":"Eur Urol Open Sci"},{"key":"10.1016\/j.ijrobp.2026.02.204_bib0017","unstructured":"Agency for Healthcare Research and Qulaity. Using appropriate indices for analyses of health care expenditures or income across multiple years. Updated May 13, 2025. Accessed July 22, 2025. https:\/\/meps.ahrq.gov\/about_meps\/Price_Index.shtml"}],"container-title":["International Journal of Radiation Oncology*Biology*Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0360301626003871?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0360301626003871?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T08:26:38Z","timestamp":1784276798000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0360301626003871"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0360301626003871"],"URL":"https:\/\/doi.org\/10.1016\/j.ijrobp.2026.02.204","relation":{},"ISSN":["0360-3016"],"issn-type":[{"value":"0360-3016","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Changes Over Time in Total Medicare Costs for Active Surveillance Versus Radiation Therapy in Prostate Cancer","name":"articletitle","label":"Article Title"},{"value":"International Journal of Radiation Oncology*Biology*Physics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijrobp.2026.02.204","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}