Updates to Advanced Prostate Cancer: AUA/SUO Guideline (2023).

In 2022 the American Urological Association (AUA) requested an Updated Literature Review (ULR) to incorporate new evidence generated since the 2020 publication of this guideline. The resulting 2023 Guideline Amendment addresses updated recommendations for patients with advanced prostate cancer.

The ULR addressed 23 of the original 38 guideline statements and included an abstract-level review of eligible studies published since the 2020 systematic review. Sixteen studies were selected for full text review. The current report presents the updates made to the Guideline as a result of that new literature.

The Advanced Prostate Cancer Panel amended evidence- and consensus-based statements based on an updated review to aid clinicians in the management of patients with advanced prostate cancer. These statements are summarized in Figure and detailed herein.

This Guideline Amendment provides a framework designed to improve a clinician's ability to treat patients diagnosed with advanced prostate cancer with the most current evidence-based information. Further research and publication of high-quality clinical trials will be essential to continue to improve the quality of care for these patients.

The Journal of urology. 2023 Apr 25 [Epub ahead of print]

William Lowrance, Robert Dreicer, David F Jarrard, Kristen R Scarpato, Sennett K Kim, Erin Kirkby, David I Buckley, Jessica C Griffin, Michael S Cookson

Bon Secours Mercy Health, Greenville, South Carolina., University of Virginia Medical School, Charlottesville, Virginia., University of Wisconsin School of Medicine, Madison, Wisconsin., Vanderbilt University Medical Center, Nashville, Tennessee., American Urological Association, Linthicum, Maryland., Oregon Health & Science University, Pacific Northwest Evidence-based Practice Center, Portland, Oregon., University of Oklahoma College of Medicine, Oklahoma City, Oklahoma.