东南亚国家的前列腺癌管理:对临床实践模式的调查
Edmund Chiong1, Marniza Saad2, Agus Rizal A H Hamid3
1Department of Urology, National University Hospital, Department of Surgery, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 119074, Singapore.
Therapeutic advances in medical oncology
|January 22, 2024
概括
这项研究揭示了东南亚目前的前列腺癌 (PC) 管理,突出了前列腺特异抗原 (PSA) 等首选诊断工具和高级PC的治疗策略. 成本和可用性显著影响这些决定.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 临床实践研究 临床实践研究
背景情况:
- 前列腺癌 (PC) 发病率在全球范围内不断增加,特别是在老年人群中.
- 对于东南亚 (SEA) 的高级PC管理存在有限的共识.
- 本研究介绍了西亚地区PC临床实践模式的现实数据.
研究的目的:
- 确定东南亚高级前列腺癌护理的当前临床实践模式.
- 在专家之间建立关于诊断和治疗方法的共识.
- 了解影响该地区治疗决策的因素.
主要方法:
- 在南亚地区的医疗保健专业人员分发了一份基于纸质的调查.
- 该调查收集了有关小组成员人口统计,指南利用率和高级PC管理的数据.
- 寻求各个PC阶段的诊断测试和治疗选择的共识.
主要成果:
- 前列腺特异性抗原 (PSA) 是青PC诊断和风险分层 (81%).
- 阿比拉酸和多塞塔克塞尔是症状转移性割耐药PC (mCRPC) 的首选第一线疗法.
- 阿帕胺是非转移性割抗性PC (nmCRPC) 的首选治疗方法,而阿比拉酸不建议用于此阶段.
结论:
- 调查结果反映了SEA的现实世界先进PC管理.
- 结果可以为当地临床指导方针提供信息,并解决医疗保健成本挑战.
- 治疗的成本和可用性是治疗选择的关键因素.
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