临床局限性前列腺癌:AUA/ASTRO 指南,第 I 部分:介绍、风险评估、分期和基于风险的管理。
Clinically Localized Prostate Cancer: AUA/ASTRO Guideline, Part I: Introduction, Risk Assessment, Staging, and Risk-Based Management.
机构信息
Memorial Sloan Kettering Cancer Center, New York, New York.
Urology of St. Louis, St. Louis, Missouri.
出版信息
J Urol. 2022 Jul;208(1):10-18. doi: 10.1097/JU.0000000000002757. Epub 2022 May 10.
PURPOSE
The summary presented herein represents Part I of the three-part series dedicated to Clinically Localized Prostate Cancer: AUA/ASTRO Guideline, discussing risk assessment, staging, and risk-based management in patients diagnosed with clinically localized prostate cancer. Please refer to Parts II and III for discussion of principles of active surveillance, surgery and follow-up (Part II), and principles of radiation and future directions (Part III).
MATERIALS AND METHODS
The systematic review utilized to inform this guideline was conducted by an independent methodological consultant. A research librarian conducted searches in Ovid MEDLINE, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews. The methodology team supplemented searches of electronic databases with the studies included in the prior AUA review and by reviewing reference lists of relevant articles.
RESULTS
The Clinically Localized Prostate Cancer Panel created evidence- and consensus-based guideline statements to aid clinicians in the management of patients with clinically localized prostate cancer. Statements regarding risk assessment, staging, and risk-based management are detailed herein.
CONCLUSIONS
This guideline aims to inform clinicians treating patients with clinically localized prostate cancer. Continued research and publication of high-quality evidence from future trials will be essential to further improve care for these men.
目的
本文是三部分系列文章的第一部分,专门讨论临床局限性前列腺癌:AUA/ASTRO 指南,介绍了诊断为临床局限性前列腺癌患者的风险评估、分期和基于风险的管理。请参考第二部分和第三部分,讨论主动监测、手术和随访的原则(第二部分)以及放射治疗和未来方向的原则(第三部分)。
材料与方法
本指南中使用的系统评价由独立方法学顾问进行。一名研究图书馆员在 Ovid MEDLINE、Cochrane 对照试验中心注册库和 Cochrane 系统评价数据库中进行了检索。方法学团队通过对先前 AUA 综述中包含的研究以及对相关文章的参考文献列表进行检索,补充了电子数据库的检索。
结果
临床局限性前列腺癌专家组制定了基于证据和共识的指南声明,以帮助临床医生管理临床局限性前列腺癌患者。本文详细介绍了风险评估、分期和基于风险的管理的相关声明。
结论
本指南旨在为治疗临床局限性前列腺癌患者的临床医生提供信息。未来研究的高质量证据的持续研究和发表将对进一步改善这些患者的治疗至关重要。