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Comparison Between a Multidisciplinary and a Monodisciplinary Approach to Prostate Cancer: Our 1-Year Experience

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Multidisciplinary Management of Prostate Cancer

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Abstract

We analysed the characteristics of patients included in our Prostate Unit (Group A), some results obtained from the early diagnosis programme and the distribution of prostate cancer (PC) cases in the different treatment options. These data were compared with those obtained in a monodisciplinary urological service (Group B). 292 cases were considered suitable and were included by our multidisciplinary team (MDT) in the Unit (Group A). 145 cases in which the diagnosis was unestablished started an early diagnosis programme for PC. Mean time for concluding all the initial programme till the histological diagnosis at prostate biopsy was 22.3 ± 5.4 days in Group A (32.7 ± 8.6 days in Group B). The rate of biopsy indications and that of PC positive biopsies were 64 % and 45 %, respectively, for cases included in Group A and 52 % and 41 % for cases included in Group B. A high percentage of cases (47.6 %) referred to our MDT were in the low-risk group. In the Prostate cancer Unit (Group A), the indications for primary therapies were more equally distributed between surgery (51.5 %) and radiotherapy (45.4 %).

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Authors and Affiliations

  1. Department of Urology, University Sapienza, Viale Policlinico 155, 00161, Rome, Italy

    Alessandro Sciarra, Vincenzo Gentile & Alessandro Gentilucci

  2. Prostate Cancer Unit, Department Urology U Bracci, Policlinico Umberto I, University Sapienza of Rome, Viale Policlinico 155, 00161, Rome, Italy

    Alessandro Sciarra

Authors
  1. Alessandro Sciarra
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  2. Vincenzo Gentile
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  3. Alessandro Gentilucci
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Corresponding author

Correspondence to Alessandro Sciarra .

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Editors and Affiliations

  1. Dept. of Urology, Sapienza University, Rome, Italy

    Vincenzo Gentile

  2. Department of Radiological Sciences, Oncology & Pathology, Sapienza University, Policlinico Umberto I, Latina, Italy

    Valeria Panebianco

  3. Dept. of Urology, Sapienza University, Rome, Italy

    Alessandro Sciarra

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Sciarra, A., Gentile, V., Gentilucci, A. (2014). Comparison Between a Multidisciplinary and a Monodisciplinary Approach to Prostate Cancer: Our 1-Year Experience. In: Gentile, V., Panebianco, V., Sciarra, A. (eds) Multidisciplinary Management of Prostate Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-04385-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-04385-2_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04384-5

  • Online ISBN: 978-3-319-04385-2

  • eBook Packages: MedicineMedicine (R0)

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