Patricia Spuma

Papers

Total Citations

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About

Patricia Spuma’s research centers on prostate cancer treatment outcomes, with a particular focus on refining patient selection for active surveillance and brachytherapy. Her most cited work, “What Is the ‘True’ Incidence of Active Surveillance and Brachytherapy Candidates in Men Undergoing Robot-Assisted Radical Prostatectomy?” (2010, 4 citations), critically examines the correlation between clinical low-risk classifications and actual pathological findings after radical prostatectomy. By analyzing data from 76 consecutive patients, Spuma demonstrated that a significant proportion of men deemed suitable for less invasive approaches harbored more aggressive disease than anticipated, challenging prevailing assumptions in urologic oncology. This contribution has informed more cautious risk stratification in clinical practice, helping to prevent undertreatment. While her citation count remains modest, the study’s practical implications for surgical decision-making underscore its value in a field where overtreatment and undertreatment are persistent concerns. Spuma’s work exemplifies the importance of evidence-based validation in treatment planning, offering a sobering counterpoint to optimistic clinical estimates. Her research continues to influence discussions on balancing quality of life with oncologic safety in prostate cancer management.