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Year : 2022  |  Volume : 59  |  Issue : 5  |  Page : 19-45

Expert survey on management of prostate cancer in India: Real-world insights into practice patterns


1 Department of Uro-Oncology, P D Hinduja National Hospital, Mumbai, India
2 Director of Surgical Oncology and Uro-Oncology, Max Nanavati Hospital, Mumbai, India
3 Department of Uro-Oncology, Apollo Hospital, Hyderabad, India
4 Department of Uro-Onco Pathology, Tata Memorial Hospital & HBNI, Mumbai, India
5 Department of Uro-Oncology, BL Kapoor Hospital, Delhi, India
6 Department of Uro-Oncology, Narayana Health, Kolkata, India
7 Department of Urology, Bapat Urology Hospital, Mumbai, India
8 Department of Medical Oncology, Prince Aly Khan Hospital, Mumbai, India
9 Department of Medical Oncology, Tata Memorial Hospital, Mumbai, India
10 Department of Uro-Oncology, Cancer Institute (WIA), Adyar, Chennai, India
11 Department of Urology, Excel Urology Centre, Mumbai, India
12 Department of Medical Oncology, Apollo Hospital, Chennai, India
13 Department of Urology, Safdarjung Hospital, Delhi, India
14 Department of Nuclear Medicine, Tata Memorial Hospital & HBNI, Mumbai, India
15 Department of Pathology, Apollo Hospital, Mumbai, India
16 Department of Medical Oncology, Mumbai Oncocare Centre, Mumbai, India
17 Department of Medical Oncology, Christian Medical College, Vellore, India
18 Department of Urology, King George Medical University, Lucknow, India
19 Department of Medical Oncology, Tata Memorial Centre, Kolkata, India
20 Department of Surgical Oncology, Oncolife Hospital, Satara, India
21 Department of Uro-Oncology, Max Healthcare, Delhi, India
22 Department of Uro-Oncology, Tata Memorial Hospital & HBNI, Mumbai, India
23 Department of Uro-Oncology, King George Medical University, Lucknow, India
24 Department of Urology, RML Hospital, Delhi, India
25 Department of Uro-Oncology, Breach Candy Hospital, Mumbai, India
26 Department of Uro-Oncology, VSS Hospital, Bhubaneshwar, India
27 Department of Medical Oncology, Tristar Hospital, Surat, India
28 Department of Urology, Jaslok Hospital, Mumbai, India
29 Department of Medical Oncology, Artemis Hospital, Delhi, India
30 Department of Medical Oncology, HCG Hospital, Bangalore, India
31 Department of Uro-Oncology, HCG Hospital, Bangalore, India
32 Department of Radiation Oncology, Tata Memorial Hospital & HBNI, Mumbai, India
33 Department of Uro-Oncology, Ruby Hall Clinic, Pune, India
34 Department of Uro-Oncology, Indo-American Hospital, Hyderabad, India
35 Department of Medical Oncology, CHL Hospital, Indore, India
36 Department of Urology, Institute of Medical Science, Varanasi, India
37 Department of Urology, Nanavati Hospital, Mumbai, India
38 Department of Urology, SGPGI, Lucknow, India
39 Department of Surgical Oncology, Mohan's Medicity Hospital, Madurai, India
40 Department of Urology, Lilavati Hospital, Mumbai, India
41 Department of Uro-Oncology, Sri Shankara Hospital, Bangalore, India
42 Department of Medical Oncology, SL Raheja Hospital, Mumbai, India
43 Department of Uro-Oncology, AINU Hospital, Hyderabad, India
44 Department of Medical Oncology, Apollo Hospital, Hyderabad, India

Correspondence Address:
Ganesh Bakshi
Department of Uro-Oncology, P D Hinduja National Hospital, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijc.ijc_1145_21

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To gain insights on the diverse practice patterns and treatment pathways for prostate cancer (PC) in India, the Urological Cancer Foundation convened the first Indian survey to discuss all aspects of PC, with the objective of guiding clinicians on optimizing management in PC. A modified Delphi method was used, wherein a multidisciplinary panel of oncologists treating PC across India developed a questionnaire related to screening, diagnosis and management of early, locally advanced and metastatic PC and participated in a web–based survey (WBS) (n = 62). An expert committee meeting (CM) (n = 48, subset from WBS) reviewed the ambiguous questions for better comprehension and reanalyzed the evidence to establish a revote for specific questions. The threshold for strong agreement and agreement was ≥90% and ≥75% agreement, respectively. Sixty-two questions were answered in the WBS; in the CM 31 questions were revoted and 4 questions were added. The panelists selected answers based on their best opinion and closest to their practice strategy, not considering financial constraints and access challenges. Of the 66 questions, strong agreement was reached for 17 questions and agreement was achieved for 22 questions. There were heterogeneous responses for 27 questions indicative of variegated management approaches. This is one of the first Indian survey, documenting the diverse clinical practice patterns in the management of PC in India. It aims to provide guidance in the face of technological advances, resource constraints and sparse high-level evidence..






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