Mp23-06 impact of a national comprehensive cancer network compliant multidisciplinary conference on treatment decisions in patients with localized prostate cancer: 2009-2019

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (MP23)1 Sep 2021MP23-06 IMPACT OF A NATIONAL COMPREHENSIVE CANCER NETWORK COMPLIANT MULTIDISCIPLINARY CONFERENCE ON TREATMENT DECISIONS IN PATIENTS WITH LOCALIZED PROSTATE CANCER: 2009-2019 Umar Iqbal, Ahmed A. Hussein, Stephanie Newman, Blake Peterson, Katarina Krajacic, Holly Houenstein, Adeena Samoni, Ahmed S. Elsayed, Eric Kauffman, James Mohler, Michael Kuettel, and Khurshid A. Guru Umar IqbalUmar Iqbal More articles by this author , Ahmed A. HusseinAhmed A. Hussein More articles by this author , Stephanie NewmanStephanie Newman More articles by this author , Blake PetersonBlake Peterson More articles by this author , Katarina KrajacicKatarina Krajacic More articles by this author , Holly HouensteinHolly Houenstein More articles by this author , Adeena SamoniAdeena Samoni More articles by this author , Ahmed S. ElsayedAhmed S. Elsayed More articles by this author , Eric KauffmanEric Kauffman More articles by this author , James MohlerJames Mohler More articles by this author , Michael KuettelMichael Kuettel More articles by this author , and Khurshid A. GuruKhurshid A. Guru More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002014.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We sought to investigate the impact of compliance with National Comprehensive Cancer Network (NCCN) guidelines on the treatment received by patients with prostate cancer. METHODS: Retrospective review of Localized Prostate Cancer database between 2009 and 2019 was performed. Patients who presented for a second opinion at our NCCN-compliant institution were presented to the multidisciplinary Localized Prostate Cancer Conference (LPCC) (includes urologists, medical oncologists, radiation oncologists, radiologists, genitourinary pathologists and patient advocates). Patients who received treatment outside our institution were contacted to determine the treatment received. Data was analyzed for concordance between the LPCC recommendations, initial recommendations by the community urologist, and the actual treatment received by patients. RESULTS: Community treatment recommendations were available for 1302 patients. Median age was 65 (IQR 60-70) years, 25% had NCCN low-risk, and 23% had NCCN-high risk prostate cancer. Disagreement between LPCC and community-based recommendations was present in 485 (37%) patients (Fig1). In the disagreement cohort, 212 (44%) were recommended radiation in the community-based practices. Disagreement was high for patients that were recommended active surveillance by LPCC (53%), of who 26% were recommended radiation by community practices. (Tab1). Recommendations by the LPCC matched treatment received in 78% cases, compared to 56% match with community recommendations. Discordance with treatment was highest in community-based recommendation for radiation (72%), of who 31% received active surveillance and 26% received radical prostatectomy. CONCLUSIONS: Community-based recommendation was discordant with NCCN-compliant recommendations in over one-third of patients. Compliance with NCCN Guidelines was associated with increased uptake of active surveillance. Source of Funding: Roswell Park Alliance Foundation © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e402-e403 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Umar Iqbal More articles by this author Ahmed A. Hussein More articles by this author Stephanie Newman More articles by this author Blake Peterson More articles by this author Katarina Krajacic More articles by this author Holly Houenstein More articles by this author Adeena Samoni More articles by this author Ahmed S. Elsayed More articles by this author Eric Kauffman More articles by this author James Mohler More articles by this author Michael Kuettel More articles by this author Khurshid A. Guru More articles by this author Expand All Advertisement Loading ...