Consensus on Prostate Cancer Treatment of Localized Disease With Very Low, Low, and Intermediate Risk: A Report From the First Prostate Cancer Consensus Conference for Developing Countries (PCCCDC)

被引：3

作者：

Luz, Murilo de Almeida ^{[1
]}

Guimaraes, Gustavo Cardoso ^{[2
]}

Nardi, Aguinaldo Cesar ^{[3
]}

Feres Lima Pompeo, Alexandre Saad ^{[4
]}

Sarkis, Alvaro Sadek ^{[2
,5
]}

Nowier, Amr ^{[6
]}

Lima Pompeo, Antonio Carlos ^{[4
]}

Nardozza Jr, Archimedes ^{[7
]}

Adamy Jr, Ari ^{[8
]}

Carneiro, Arie ^{[9
]}

Salvajoli, Bernardo Peres ^{[5
]}

Benigno, Bruno Santos ^{[10
]}

de Freitas Jr, Celso Heitor ^{[2
]}

Daher Cezar Chade, Clarissa Angotti ^{[5
]}

Freitas Palhares, Daniel Moore ^{[11
]}

Citarella Otero, Danilo Armando ^{[12
]}

Vieira da Silva Neto, Deusdedit Cortez ^{[13
]}

Carvalhal, Eduardo Franco ^{[14
]}

Gil, Erlon ^{[2
]}

de Arruda, Fernando Freire ^{[15
]}

Korkes, Fernando ^{[4
]}

Lemos, Gustavo Caserta ^{[9
]}

Carvalhal, Gustavo Franco ^{[16
]}

de Carvalho, Icaro Thiago ^{[9
]}

Pinto Gimpel, Ivan Federico ^{[17
]}

Chambo, Jose Luis ^{[2
]}

Pontes Jr, Jose ^{[5
]}

Ribeiro Filho, Leopoldo Alves ^{[5
]}

Nogueira, Lucas Mendes ^{[18
]}

Wroclawski, Marcelo Langer ^{[2
,9
]}

Pereira Freitas, Marcelo Roberto ^{[19
]}

Arap, Marco Antonio ^{[15
]}

Sadi, Marcus Vinicius ^{[2
,7
]}

Bulbul, Muhammad ^{[20
]}

Coelho, Rafael Ferreira ^{[5
]}

Gadia, Rafael ^{[11
]}

Khauli, Raja B. ^{[20
]}

Dos Reis, Rodolfo Borges ^{[21
]}

Ledezma Rojas, Rodrigo Antonio ^{[22
]}

Guimaraes, Roger Guilherme ^{[2
]}

Aldousari, Saad ^{[23
]}

Ferrigno, Robson ^{[2
]}

机构：

[1] Hosp Erasto Gaertner, Curitiba, Parana, Brazil

[2] Beneficiencia Portuguesa Sao Paulo, Sao Paulo, Brazil

[3] Integra Urol, Bauru, SP, Brazil

[4] ABC, Fac Med, Santo Andre, SP, Brazil

[5] Inst Canc Estado Sao Paulo, Sao Paulo, Brazil

[6] Heliopolis, Cairo, Egypt

[7] Univ Fed Sao Paulo, Sao Paulo, Brazil

[8] Hosp Santa Cruz, Curitiba, Parana, Brazil

[9] Hosp Israelita Albert Einstein, Sao Paulo, Brazil

[10] Hosp Alemao Oswaldo Cruz, Sao Paulo, Brazil

[11] Hosp Sirio Libanes, Brasilia, DF, Brazil

[12] Fdn Clin Shaio, Bogota, Colombia

[13] Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, Brazil

[14] Hosp Moinhos de Vento, Porto Alegre, RS, Brazil

[15] Hosp Sirio Libanes, Sao Paulo, Brazil

[16] Pontificia Univ Catolica Rio Grande do Sul, Porto Alegre, RS, Brazil

[17] Clin Santa Maria, Providencia, Chile

[18] Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil

[19] Ctr Especializado Oncol Florianopolis, Florianopolis, SC, Brazil

[20] Amer Univ Beirut, Beirut, Lebanon

[21] Univ Sao Paulo, Ribeirao Preto, Brazil

[22] Univ Chile, Santiago, Chile

[23] Kuwait Univ, Kuwait, Kuwait

来源：

JCO GLOBAL ONCOLOGY | 2021年 / 7卷

关键词：

D O I：

10.1200/GO.20.00515

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

PURPOSE A group of international urology and medical oncology experts developed and completed a survey on prostate cancer (PCa) in developing countries. The results are reviewed and summarized, and recommendations on consensus statements for very low-, low-, and intermediate-risk PCa focused on developing countries were developed. METHODS A panel of experts developed more than 300 survey questions of which 66 questions concern the principal areas of interest of this paper: very low, low, and intermediate risk of PCa in developing countries. A larger panel of 99 international multidisciplinary cancer experts voted on these questions to create the recommendations for treatment and follow-up for very low-, low-, and intermediate-risk PCa in areas of limited resources discussed in this manuscript. RESULTS The panel voted publicly but anonymously on the predefined questions. Each question was deemed consensus if 75% or more of the full panel had selected a particular answer. These answers are based on panelist opinion not a literature review or meta-analysis. For questions that refer to an area of limited resources, the recommendations consider cost-effectiveness and the possible therapies with easier and greater access. Each question had five to seven relevant answers including two nonanswers. The results were tabulated in real time. CONCLUSION The voting results and recommendations presented in this document can be used by physicians to support management for very low, low, and intermediate risk of PCa in areas of limited resources. Individual clinical decision making should be supported by available data; however, as guidelines for treatment for very low, low, and intermediate risk of PCa in developing countries have not been developed, this document will serve as a point of reference when confronted with this disease.

引用

页码：523 / 529

页数：7

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