BACKGROUND: Different practices for the treatment of prostate cancer patients exist in Germany.
OBJECTIVES: The aim of this analysis was to investigate current practice for the treatment of patients with prostate cancer in urological IQUO partner practices (Interest Group for Quality Assurance in the Work of Office-based Uro-oncologists in Germany) dependent on tumor stage and risk factors. The analysis focused on T1/T2 and T3/T4 patients. In addition, applied therapies were analyzed based on risk group classification (CAPRIS, cancer of the prostate identification screening).
MATERIALS AND METHODS: This retrospective cross-sectional analysis includes 1000 patients with prostate cancer with at least 12 months of documentation from the OnkoDataMed (ODM) database between February 2008 and May 2012. The 122 IQUO medical practices included were randomly selected; maximally 50 patients per practice were included in the analysis. The database was analyzed in terms of localized T1/T2 tumors and advanced T3/T4 tumors. Risk groups were formed according to parameters of the initial diagnosis including PSA value, tumor stage, and Gleason score. Descriptive statistics were performed to analyze all parameters.
RESULTS AND CONCLUSIONS: As expected, PSA is the critical parameter for follow-up and therapy monitoring. Newer therapeutic options have only been initiated to a limited extent. Differentiated risk assessment has not been sufficiently used; however, it does provide a good opportunity for more individualized therapy in the future.
Written by:
Schulze M1, Stiegler H, Thielecke C, Colling C, Merseburger AS. Are you the author?
Praxis für Urologie, Andrologie, Medikamentöse Tumortherapie, Markkleeberg, Deutschland.
Reference: Urologe A. 2014 Jun;53(6):865-70.
doi: 10.1007/s00120-014-3530-4
PubMed Abstract
PMID: 24903838
Article in German.
UroToday.com Prostate Cancer Section