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Management of advanced prostate cancer in a middle‐income country: real‐world consideration of the Advanced Prostate Cancer Consensus Conference 2017

OBJECTIVE: To examine the results of the Malaysian Advanced Prostate Cancer Consensus Conference (MyAPCCC) 2018, held for assessing the generalizability of consensus reached at the Advanced Prostate Cancer Consensus Conference (APCCC 2017) to Malaysia, a middle‐income country. METHODS: Six key secti...

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Detalles Bibliográficos
Autores principales: Saad, Marniza, Alip, Adlinda, Lim, Jasmine, Abdullah, Matin Mellor, Chong, Flora Li Tze, Chua, Chong Beng, Ismail, Fuad, Khong, Rachael Kit‐Tsan, Lim, Chun Sen, Loh, Chit Sin, Malek, Rohan, Mohd Ghani, Khairul Asri, Md Noor, Ibtisam, Md Yusoff, Noor Ashani, Nasuha, Noor Azam, Razack, Azad, Soo Hoo, Hwoei Fen, Sundram, Murali, Tan, Hui Meng, Thiagarajan, Muthukkumaran, Teh, Guan Chou, Voon, Pei Jye, Ong, Teng Aik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851975/
https://www.ncbi.nlm.nih.gov/pubmed/31077523
http://dx.doi.org/10.1111/bju.14807
Descripción
Sumario:OBJECTIVE: To examine the results of the Malaysian Advanced Prostate Cancer Consensus Conference (MyAPCCC) 2018, held for assessing the generalizability of consensus reached at the Advanced Prostate Cancer Consensus Conference (APCCC 2017) to Malaysia, a middle‐income country. METHODS: Six key sections were chosen: (1) high‐risk localized and locally advanced prostate cancer, (2) oligometastatic prostate cancer, (3) castration‐naïve prostate cancer, (4) castrate resistant prostate cancer, (5) use of osteoclast‐targeted therapy and (6) global access to prostate cancer drugs. There were 101 consensus questions, consisting of 91 questions from APCCC 2017 and 10 new questions from MyAPCCC 2018, selected and modified by the steering committee; of which, 23 questions were assessed in both ideal world and real‐world settings. A panel of 22 experts, comprising of 11 urologists and 11 oncologists, voted on 101 predefined questions anonymously. Final voting results were compared with the APCCC 2017 outcomes. RESULTS: Most voting results from the MyAPCCC 2018 were consistent with the APCCC 2017 outcomes. No consensus was achieved for controversial topics with little level I evidence, such as management of oligometastatic disease. No consensus was reached on using high‐cost drugs in castration‐naïve or castration‐resistant metastatic prostate cancer in real‐world settings. All panellists recommended using generic drugs when available. CONCLUSIONS: The MyAPCCC 2018 voting results reflect the management of advanced prostate cancer in a middle‐income country in a real‐world setting. These results may serve as a guide for local clinical practices and highlight the financial challenges in modern healthcare.