Changing attitudes towards management of men with locally advanced prostate cancer following radical prostatectomy: A follow-up survey of Australia-based urologists

• Published in: Journal of medical imaging and radiation oncology 2016-12, Vol.60 (6), p.744-755
• Main Authors: Brown, Bernadette, Egger, Sam, Young, Jane, Kneebone, Andrew B, Brooks, Andrew J, Dominello, Amanda, Haines, Mary
• Format: Article
• Language: English
• Subjects: adjuvant radiation therapy; Australia; clinical practice guidelines; Follow-Up Studies; Guidelines as Topic; Health Knowledge, Attitudes, Practice; Humans; Male; New Zealand; prostate cancer; Prostatectomy; Prostatic Neoplasms - surgery; Prostatic Neoplasms - therapy; radical prostatectomy; salvage radiotherapy; Surveys and Questionnaires; urologist; urologist, clinical practice guidelines; Urologists - statistics & numerical data
• ISSN: 1754-9477; 1754-9485
• DOI: 10.1111/1754-9485.12483

Introduction This study examined whether there has been change among Australia‐based urologists' knowledge, attitudes and beliefs relating to guideline‐recommended adjuvant radiotherapy for men with adverse pathologic features following radical prostatectomy since a prior survey in 2012 and investigated associations between attitudes and treatment preferences. Methods A nationwide survey of Australia‐based urologist members of the Urological Society of Australia and New Zealand. Results Ninety‐six respondents completed the 2015 survey (30% response rate) compared with 157 (45% response rate) in 2012. There was no significant change in awareness of national clinical practice guidelines for the management of prostate cancer. When considering adjuvant against salvage radiotherapy, urologists were significantly less favourable towards adjuvant radiotherapy in 2015 than in 2012 for two of three hypothetical clinical case scenarios with a high 10‐year risk of biochemical relapse according to Memorial Sloan Kettering Cancer Center nomograms (P