Follow-up care over 12months of patients with prostate cancer in Spain. A multicenter prospective cohort study Sánchez Pérez, María José Ruiz Díaz, Irune Morales Olivera, Enrique Suárez Pacheco, Armando García López, César Cózar Olmo, José Manuel Martínez, Carmen Chang Chan, Daysy Martinez Zapata, María José Hormone therapy Multicenter study Multivariate analysis Prostate cancer Prostatic neoplasms Radiotherapy Surgery This study was funded by an Instituto de Salud Carlos III (ISCIII) Grant PS09/01204 (Fondo de Investigación Sanitaria [FIS], Spain). Dr María José Martinez Zapata is funded by a Miguel Servet II research contract from the ISCIII (CP1120/00023). ISCIII had any role in the design or execution of the study; in the data collection, management, or interpretation; or in the writing, reviewing, or approval of the manuscript. Ailish Maher and Andrea Cervera Alepuz revised the English in a version of this manuscript. Maria José Martinez Zapata is funded by a Miguel Servet research contract (CPII20/00023). EMPARO Study Group: Coordinating investigator: Xavier Bonfill Cosp (Iberoamerican Cochrane Centre, Public Health and Clinical Epidemiology Service, Hospital de la Santa Creu i Sant Pau, IIB Sant Pau, Barcelona, Spain). Project manager: María José Martínez Zapata (Iberoamerican Cochrane Centre, IIBSant Pau, Barcelona, Spain). Clinical research assistants: Alborada Martínez (Universidad de Valencia); Enrique Morales Olivera (Escuela Andaluza de Salud Publica, Granada, Spain); Esther Canovas, Laura Muñoz, Gemma Mas, René Acosta, Ekaterina Popova (Iberoamerican Cochrane Centre, IIB Sant Pau, Barcelona, Spain); Irma Ospina (Hospital 12 de Octubre, Madrid, Spain); María José Velázquez (Hospital Donostia, Donostia, Spain); Tamara Ruiz Merlo (Hospital Ramón y Cajal, Madrid, Spain); Gael Combarros Herman, Judit Tirado Muñoz (IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain). Statistical analysis: Robin W.M. Vernooij (Iberoamerican Cochrane Centre, IIB Sant Pau, Barcelona, Spain); Javier Zamora and Claudia Coscia Requena (Hospital Ramón y Cajal, Madrid, Spain). Co-investigators: Barcelona, Spain Albert Frances (Hospital del Mar); Carola Orrego Villagran, Rosa Suñol (Instituto Universitario Avedis Donabedian); Dimelza Osorio, Gemma Sancho Pardo, Ignasi Bolívar, José Pablo Maroto, María Jesus Quintana, Cristina Martin (Hospital de la Santa Creu i Sant Pau); Ferran Algaba, Palou Redorta, Salvador Esquena (Fundació Puigvert); Jordi Bachs (Fundació Privada Hospital de la Santa Creu i Sant Pau); María José Martínez Zapata (Iberoamerican Cochrane Centre, IIB Sant Pau); Montserrat Ferrer Fores, Stefanie Schmidt, Olatz Garin, Virginia Becerra Bachito, Yolanda Pardo (IMIM-Hospital del Mar Medical Research Institute). Bilbao, Spain Amaia Martínez Galarza, José Ignacio Pijoán Zubizarreta (Hospital Universitario Cruces/BioCruces Health Research Institute). Granada, Spain Armando Suárez Pacheco, Cesar García López, José Manuel Cozar Olmo (Hospital Universitario Virgen de las Nieves); Carmen Martínez, Daysy Chang Chan, María José Sánchez Pérez (Escuela Andaluza de Salud Publica). Madrid, Spain Ana Isabel Díaz Moratinos, Angel Montero Luis, Asunción Hervás, Carmen Vallejo Ocaña, Costantino Varona, Javier Burgos, Javier Zamora, Jose Alfredo Polo Rubio, Luis López Fando Lavalle, Miguel Angel Jimenez Cidre, Muriel García, Alfonso, Nieves Plana Farras, Rosa Morera Lopez, Sonsoles Sancho Garcia, Victor Abraira, Victoria Gomez Dos Santos (Hospital Ramón y Cajal); Agustín Gómez de la Cámara, Javier de la Cruz, Juan Passas Martínez, Humberto García Muñoz, María Ángeles Cabeza Rodríguez (Hospital 12 de Octubre). San Sebastián, Spain Irune Ruiz Díaz, José Ignacio Emparanza, Juan Pablo Sanz Jaka (Hospital Universitario Donostia). Valencia, Spain Agustín Llopis González, María Morales (Universidad de Valencia); Carlos Camps, Cristina Caballero Díaz, Emilio Marqués Vidal, Francisco Sánchez Ballester, Joaquín Ulises Juan Escudero, Jorge Pastor Peidro, José López Torrecilla, María Macarena Ramos Campos, Miguel Martorell Cebollada (Consorcio Hospital General Universitario de Valencia). The therapeutic approach is crucial to prostate cancer prognosis. We describe treatments and outcomes for a Spanish cohort of patients with prostate cancer during the first 12 months after diagnosis and identify the factors that influenced the treatment they received. This multicenter prospective cohort study included patients with prostate cancer followed up for 12 months after diagnosis. Treatment was stratified by factors such as hospital, age group (<70 and ≥70 years), and D’Amico cancer risk classification. The outcomes were Eastern Cooperative Oncology Group (ECOG) performance status, adverse events (AEs), and mortality. The patient characteristics associated with the different treatment modalities were analyzed using multivariate logistic regression. We included 470 men from 7 Spanish tertiary hospitals (mean (standard deviation) age 67.8 (7.6) years), 373 (79.4%) of which received treatment (alone or in combination) as follows: surgery (n = 163; 34.7%); radiotherapy (RT) (n = 149; 31.7%); and hormone therapy (HT) (n = 142; 30.2%). The remaining patients (n = 97) were allocated to no treatment, that is, watchful waiting (14.0%) or active surveillance (5.7%). HT was the most frequently administered treatment during follow-up and RT plus HT was the most common therapeutic combination. Surgery was more frequent in patients aged <70, with lower histologic tumor grades, Gleason scores <7, and lower prostate-specific antigen levels; while RT was more frequent in patients aged ≥70 with histologic tumor grade 4, and higher ECOG scores. HT was more frequent in patients aged ≥70, with histologic tumor grades 3 to 4, Gleason score ≥8, ECOG ≥1, and higher prostate-specific antigen levels. The number of fully active patients (ECOG score 0) decreased significantly during follow-up, from 75.3% at diagnosis to 65.1% at 12 months (P < .001); 230 (48.9%) patients had at least 1 AE, and 12 (2.6%) patients died. Surgery or RT were the main curative options. A fifth of the patients received no treatment. Palliative HT was more frequently administered to older patients with higher tumor grades and higher Gleason scores. Close to half of the patients experienced an AE related to their treatment. 2022-02-09T11:44:50Z 2022-02-09T11:44:50Z 2021-11-24 info:eu-repo/semantics/article Bonfill X, Martinez-Zapata MJ, Vernooij RW, Sánchez MJ, Morales-Suárez-Varela M, Emparanza JI, Ferrer M, Pijoan JI, Palou J, Madrid E, Abraira V, Zamora J. Follow-up care over 12months of patients with prostate cancer in Spain: a multicenter prospective cohort study. Medicine 2021;100:47(e27801). [doi: 10.1097/MD.0000000000027801] http://hdl.handle.net/10481/72750 10.1097/MD.0000000000027801 eng http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess Atribución 3.0 España Lippincott Williams and Wilkins