
Dr. Timothy J. Wilt
Dr. Wilt received the 2026 Chodak Award for leading PIVOT, a landmark VA randomized trial that compared surgery with observation for men with clinically localized prostate cancer. His work asked one of the most important questions in prostate cancer care: does immediate treatment truly help enough to justify the risks and quality-of-life costs for many men?
As a general internist and health services researcher at the Minneapolis VA, Dr. Wilt brought an outsider’s humility and a patient-first perspective to a field where many men were being treated quickly after a PSA-driven diagnosis. PIVOT challenged the assumption that surgery automatically offered a survival advantage worth the risks, especially for men with low-risk disease, and helped make the quality-of-life costs of treatment harder to ignore. The study was controversial, but Dr. Wilt stayed with the question because patients deserved better evidence before making life-changing decisions. His work, alongside other long-term research such as ProtecT, helped move prostate cancer care away from automatic intervention and toward more selective, evidence-based monitoring. The award also has a personal connection: when Dr. Wilt was shaping PIVOT, Dr. Gerald Chodak gave him early support, confidence, and help bringing respected urologic expertise into the study. Dr. Wilt credits the VA investigators and especially the Veterans who enrolled in PIVOT, but his legacy is clear: he helped give patients and doctors stronger evidence to choose a more thoughtful path.
“Dr. Wilt helped give scientific weight to what many patients hoped was true: that immediate treatment is not always the best answer.”
— Mark Lichty, ASPI Board Chair















