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. 2023 Apr;25(4):1017-1023.
doi: 10.1007/s12094-022-03005-4. Epub 2022 Nov 27.

Management of high-risk and post-operative non-metastatic prostate cancer in Catalonia: an expert Delphi consensus

Marta Bonet  1 , David González  2 , José-Enrique Baquedano  2 , Elena García  2 , Manuel Altabas  3 , Francesc Casas  4 , Nicolás Feltes  5 , Ferran Ferrer  6 , Palmira Foro  7 , Rafael Fuentes  8 , Manuel Galdeano  9 , David Gomez  10 , Ivan Henriquez  10 , Josep Jové  11 , Joan Lozano  5 , Xavier Maldonado  3 , Joel Mases  4 , Ismael Membrive  7 , Saturio Paredes  9 , Àlvar Roselló  8 , Gemma Sancho  12 , Moisés Mira  2
Affiliations

Management of high-risk and post-operative non-metastatic prostate cancer in Catalonia: an expert Delphi consensus

Marta Bonet et al. Clin Transl Oncol. 2023 Apr.

Abstract

Background: To reach a consensus on recommendations for the management of high-risk and post-operative non-metastatic prostate cancer by a group of Radiation Oncologists in Catalonia dedicated to prostate cancer.

Methods: A modified Delphi approach was employed to reach consensus on controversial topics in Radiation Oncology on high-risk non-metastatic (eight questions) and post-operative (eight questions) prostate cancer. An agreement of at least 75% was considered as consensus. The survey was electronically sent 6 weeks before an expert meeting where topics were reviewed and discussed. A second-round survey for the controversial questions only was sent and answered by participants after the meeting.

Results: After the first round of the survey, 19 experienced Radiation Oncologists attended the meeting and 74% fulfilled the second-round online questionnaire. An agreement of 9 of the 16 questions was accounted for the first round. After the meeting, an additional agreement was reached in 3 questions leading to a final consensus on 12 of the 16 questions. There are still controversial topics like the use of PET for staging of high-risk and post-operative non-metastatic prostate cancer and the optimal dose to the prostate bed in the salvage setting.

Conclusion: This consensus contributes to establish recommendations and a framework to help in prostate cancer radiation therapy and pharmacological management in daily clinical practice of high-risk and post-operative non-metastatic prostate cancer.

Keywords: Delphi consensus; High-risk; Non-metastatic; Prostate cancer.

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References

    1. Las cifras del cáncer en España 2022. Available at: https://seom.org/images/LAS_CIFRAS_DEL_CANCER_EN_ESPANA_2022.pdf . Las consulted on 25th july 2022.
    1. Barrett D, Heale R. What are Delphi studies? Evid Based Nurs. 2020;23:68–9. - DOI - PubMed
    1. Redondo A, Oaknin A, Rubio MJ, Barretina-Ginesta M-P, de Juan A, Manso L, et al. Management of advanced ovarian cancer in Spain: an expert Delphi consensus. J Ovarian Res. 2021;14:72. - DOI - PubMed - PMC
    1. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines). Prostate Cancer. Version 1.23. 2022.
    1. Sanda MG, Cadeddu JA, Kirkby E, Chen RC, Crispino T, Fontanarosa J, et al. Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline. Part I: Risk Stratification, Shared Decision Making, and Care Options. J Urol. 2018;199:683–90.

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