@article{Hotte_Finelli_Chi_Canil_Fleshner_Kapoor_Kolinsky_Malone_Morash_Niazi_Noonan_Ong_Pouliot_Shayegan_So_Sorabji_Hew_Park-Wyllie_Saad_2020, title={Real-world management of advanced prostate cancer: A description of management practices of community-based physicians and prostate cancer specialists}, volume={15}, url={https://cuaj.ca/index.php/journal/article/view/6779}, DOI={10.5489/cuaj.6779}, abstractNote={<p><strong>Introduction:</strong> The Canadian Genitourinary Research Consortium (GURC) conducted a consensus development conference leading to 31 recommendations. Using the GURC consensus development questionnaire, we conducted a survey to measure the corresponding community-based practices on the management of metastatic castration-sensitive prostate cancer (mCSPC), metastatic castration-resistant prostate cancer (mCRPC) and non-metastatic castration-resistant prostate cancer (nmCRPC).</p> <p><strong>Methods:</strong> An 87-item online questionnaire was sent to 600 community urologists and oncologists involved in the treatment of prostate cancer.</p> <p><strong>Results:</strong> Seventy-two community physicians responded to the survey. Of note, 50% community physicians indicated they would treat nmCRPC with agents approved for this indication if advanced imaging showed metastases. Radiation to the prostate for low-volume mCSPC was identified as a treatment practice by 27% of community physicians, and 35% indicated docetaxel as the next line of treatment after use of apalutamide. Use of genetic testing was reported in 36% of community physicians for newly diagnosed metastatic prostate cancer.</p> <p><strong>Conclusions:</strong> There are several areas of community-based management of advanced prostate cancer that could represent potential areas for education, practice tools, and future research.</p>}, number={2}, journal={Canadian Urological Association Journal}, author={Hotte, Sebastien J. and Finelli, Antonio and Chi, Kim N. and Canil, Christina and Fleshner, Neil and Kapoor, Anil and Kolinsky, Michael and Malone, Shawn and Morash, Christopher and Niazi, Tamim and Noonan, Krista L. and Ong, Michael and Pouliot, Frederic and Shayegan, Bobby and So, Alan I. and Sorabji, Delna and Hew, Huong and Park-Wyllie, Laura and Saad, Fred}, year={2020}, month={Aug.}, pages={E90–6} }