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首页> 外文期刊>BJU international >Differences and commonalities in the management of locally advanced prostate cancer: results from a survey of oncologists and urologists in the UK.
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Differences and commonalities in the management of locally advanced prostate cancer: results from a survey of oncologists and urologists in the UK.

机译：局部晚期前列腺癌治疗的差异和共性：来自英国肿瘤学家和泌尿科医师的一项调查结果。

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摘要

OBJECTIVE: To determine the management practices used by UK oncologists and urologists for patients with locally advanced (non-metastatic) prostate cancer. METHODS: Using a postal questionnaire, 155 practising specialist oncologists and urologists were surveyed in the UK. Their views were sought on a multidisciplinary approach to the management of locally advanced prostate cancer and their current management practices. RESULTS: Over half of respondents recognized the need for both oncologists and urologists to take the lead in management decisions, but almost as many still expected the sole responsibility to lie within their own speciality. Radical radiotherapy (RT) was considered the current optimum treatment by most respondents, but 22% of urologists thought that radical prostatectomy is optimal. Most responders would use luteinizing hormone-releasing hormone agonists as neoadjuvant and adjuvant to RT but there was significant variation in the favoured duration of treatment of these drugs, and in thedose of RT. CONCLUSION: This survey suggests that there are still wide variations in the management practices for locally advanced prostate cancer in the UK, and between urologists and oncologists. Improved consensus guidelines are required.
机译：目的：确定英国肿瘤学家和泌尿科医师对局部晚期（非转移性）前列腺癌患者使用的管理方法。方法：使用邮政调查表，在英国调查了155名执业肿瘤专科医生和泌尿科医师。他们寻求以多学科方法来治疗局部晚期前列腺癌及其目前的治疗方法。结果：超过一半的受访者认识到肿瘤学家和泌尿科医师都需要在管理决策方面起带头作用，但是几乎仍然有很多人期望唯一的责任在于自己的专长。大多数受访者认为，根治性放射治疗（RT）是目前的最佳治疗方法，但是22％的泌尿科医师认为根治性前列腺切除术是最佳选择。大多数反应者会使用促黄体激素释放激素激动剂作为RT的新辅助剂和佐剂，但这些药物的治疗时间和RT剂量存在显着差异。结论：这项调查表明，在英国，泌尿科医师和肿瘤医师之间，对于局部晚期前列腺癌的治疗方法仍然存在很大差异。需要改进共识指南。

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