Developing reliable defenses against patch attacks on object detectors has attracted increasing interest. However, we identify that existing defense evaluations lack a unified and comprehensive framework, resulting in inconsistent and incomplete assessments of current methods. To address this issue, we revisit 11 representative defenses and present the first patch defense benchmark, involving 2 attack goals, 13 patch attacks, 11 object detectors, and 4 diverse metrics. This leads to the large-scale adversarial patch dataset with 94 types of patches and 94,000 images. Our comprehensive analyses reveal new insights: (1) The difficulty in defending against naturalistic patches lies in the data distribution, rather than the commonly believed high frequencies. Our new dataset with diverse patch distributions can be used to improve existing defenses by 15.09% AP@0.5. (2) The average precision of the attacked object, rather than the commonly pursued patch detection accuracy, shows high consistency with defense performance. (3) Adaptive attacks can substantially bypass existing defenses, and defenses with complex/stochastic models or universal patch properties are relatively robust. We hope that our analyses will serve as guidance on properly evaluating patch attacks/defenses and advancing their design. Code and dataset are available at https://github.com/Gandolfczjh/APDE, where we will keep integrating new attacks/defenses.