Expert survey on management of prostate cancer in India: Real?world insights into practice patterns
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Date
2022-03
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
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 webę¾ased 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.
Description
Keywords
India, prostate cancer, survey
Citation
Bakshi Ganesh, Tongaonkar Hemant, Addla Sanjai, Menon Santosh, Pradhan Aditya, Kumar Abhay, Bapat Abhijit, Gore Adwaita, Joshi Amit, Raja Anand, Bradoo Anil, Ramesh Anita, Kumar Anup, Agrawal Archi, Ambekar Asawari, Joshi Ashish, Singh Ashish, Singh Bhupendra Pal, Dabkara Deepak, Khadakban Dhiraj, Gautam Gagan, Prakash Gagan, Pahwa Harvinder Singh, Goel Hemant Kumar, Kulkarni Jagdeesh, Mishra Jeeban Jyoti, Patel Kaushal, Pal Mahendra, Chibber Percy Jal, Tiwari Priya, Naik Radheshyam, K Raghunath S, Krishnatry Rahul, Shimpi Rajendra, Sharma Rakesh, Taran Rakesh, Trivedi Sameer, Nabar Sanjay, Surekha Sanjoy, Kumar Satish, Sawaimoon Satyakam Krishna, Raina Shailesh, Narasimha Srivatsa, Advani Suresh, Ghouse Syed Mohammed, Muddu Vamshi Krishna, Maniar Vashishth, Venkat Vivek, Murthy Vedang. Expert survey on management of prostate cancer in India: Real?world insights into practice patterns. Indian Journal of Cancer . 2022 Mar; 59(1): 19-45