کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2157347 1090775 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Estimation of the optimal utilisation rates of radical prostatectomy, external beam radiotherapy and brachytherapy in the treatment of prostate cancer by a review of clinical practice guidelines
ترجمه فارسی عنوان
برآورد میزان استفاده بهینه از پروستاتکتومی رادیکال، رادیوتراپی پرتوهای خارجی و براکی تراپی در درمان سرطان پروستات با مرور دستورالعمل های عمل بالینی
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی تحقیقات سرطان
چکیده انگلیسی

Background and purposeWe aimed to construct an evidence-based model of optimal treatment utilisation for prostate cancer, incorporating all local treatment modalities: radical prostatectomy (RP), external beam radiotherapy (EBRT), and brachytherapy (BT); and then to compare this optimal model with actual practice.Materials and methodsEvidence-based guidelines were used to construct a prostate cancer treatment decision-tree. The proportion of patients who fulfilled treatment criteria was drawn from the epidemiological literature. These data were combined to calculate the overall proportion of patients that should optimally have RP, EBRT and/or BT at least once during the course of their disease. The model was peer reviewed and tested by sensitivity analyses and compared with actual practice.ResultsOptimal utilisation rates, at some point during the disease course, were: RP, 24% (range 15–30%); EBRT, 58% (range 54–64%); BT, 9.6% (range 6.0–17.9%); and any RT, 60% (range 56–66%). Many patients had indications for more than one of these treatments, and at least one of these treatments was indicated in 76% of patients. The model was sensitive to patient preference estimates. Optimal rates were achievable in some health care jurisdictions.ConclusionsModelling optimal utilisation of all local treatment options for a particular cancer is possible. These optimal prostate cancer treatment rates can be used as a planning and quality assurance tool, providing an evidence-based benchmark against which can be measured patterns of practice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Radiotherapy and Oncology - Volume 118, Issue 1, January 2016, Pages 118–121
نویسندگان
, , , , , , , ,