Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study
Objective. A number of evidence-based guidelines for diagnosis and management of prostate cancer have been published. The aim of this study is to evaluate the adherence of Italian urologists to the guidelines concerning the preoperative imaging staging of prostate cancer. Methods. In October 2007 a...
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Wiley
2012-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/651061 |
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| author | Alchiede Simonato Virginia Varca Mauro Gacci Paolo Gontero Ottavio De Cobelli Massimo Maffezzini Roberto Salvioni Marco Carini Andrea Decensi Vincenzo Mirone Giorgio Carmignani |
| author_facet | Alchiede Simonato Virginia Varca Mauro Gacci Paolo Gontero Ottavio De Cobelli Massimo Maffezzini Roberto Salvioni Marco Carini Andrea Decensi Vincenzo Mirone Giorgio Carmignani |
| author_sort | Alchiede Simonato |
| collection | DOAJ |
| description | Objective. A number of evidence-based guidelines for diagnosis and management of prostate cancer have been published. The aim of this study is to evaluate the adherence of Italian urologists to the guidelines concerning the preoperative imaging staging of prostate cancer. Methods. In October 2007 a multicentric observational perspective study called Multicentric Italian Report on Radical prostatectomy Outcome and Research (MIRROR) was started in 135 Italian urology centers. Recruitment was closed in December 2008 and 2,408 cases were collected. In this paper we have taken into consideration all examinations carried out for preoperative imaging staging, evaluating compliance with the recommendations in the American Urological Association (AUA) and European Association of Urology (EAU) guidelines. Results. Five hundred sixty-seven (53.34%) patients were not managed according to the EAU guidelines concerning T-staging, 545 (51.27%) concerning N-staging and 757 (71.21%) concerning M-staging. According to AUA guidelines, we also analyzed patients with a Gleason grade of biopsy specimens of 7: 238 (57.35%) of these patients had undergone testing for T staging, 244 (57.35%) for N-staging and 322 (77.60%) for M-staging. Conclusions. The compliance of Italian urologists with the guidelines is low, leading to an inappropriate increase in cost of care and unnecessary anxiety for the patients. |
| format | Article |
| id | doaj-art-67366135ddf24a6ca7495bb526c1d159 |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
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| series | Advances in Urology |
| spelling | doaj-art-67366135ddf24a6ca7495bb526c1d1592025-08-20T02:23:53ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/651061651061Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) StudyAlchiede Simonato0Virginia Varca1Mauro Gacci2Paolo Gontero3Ottavio De Cobelli4Massimo Maffezzini5Roberto Salvioni6Marco Carini7Andrea Decensi8Vincenzo Mirone9Giorgio Carmignani10“Luciano Giuliani” Department of Urology, University of Genoa, 16132 Genoa, ItalyDepartment of Urology, “L. Sacco” Hospital, 20175 Milan, ItalyDepartment of Urology, University of Florence, Careggi Hospital, 50134 Florence, ItalyDepartment of Urology, University of Turin, 10125 Turin, ItalyDepartement of Urology, European Institution of Oncology, 20141 Milan, ItalyDepartment of Urology, E.O. Ospedali Galliera, 16128 Genoa, ItalyDepartment of Genitourinary Oncology, Urologic Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori of Milan, 20133 Milan, ItalyDepartment of Urology, University of Florence, Careggi Hospital, 50134 Florence, ItalyMedical Oncology Unit, E.O. Ospedali Galliera, 16128 Genova, ItalyDepartment of Urology, University Federico II of Naples, 80131 Naples, Italy“Luciano Giuliani” Department of Urology, University of Genoa, 16132 Genoa, ItalyObjective. A number of evidence-based guidelines for diagnosis and management of prostate cancer have been published. The aim of this study is to evaluate the adherence of Italian urologists to the guidelines concerning the preoperative imaging staging of prostate cancer. Methods. In October 2007 a multicentric observational perspective study called Multicentric Italian Report on Radical prostatectomy Outcome and Research (MIRROR) was started in 135 Italian urology centers. Recruitment was closed in December 2008 and 2,408 cases were collected. In this paper we have taken into consideration all examinations carried out for preoperative imaging staging, evaluating compliance with the recommendations in the American Urological Association (AUA) and European Association of Urology (EAU) guidelines. Results. Five hundred sixty-seven (53.34%) patients were not managed according to the EAU guidelines concerning T-staging, 545 (51.27%) concerning N-staging and 757 (71.21%) concerning M-staging. According to AUA guidelines, we also analyzed patients with a Gleason grade of biopsy specimens of 7: 238 (57.35%) of these patients had undergone testing for T staging, 244 (57.35%) for N-staging and 322 (77.60%) for M-staging. Conclusions. The compliance of Italian urologists with the guidelines is low, leading to an inappropriate increase in cost of care and unnecessary anxiety for the patients.http://dx.doi.org/10.1155/2012/651061 |
| spellingShingle | Alchiede Simonato Virginia Varca Mauro Gacci Paolo Gontero Ottavio De Cobelli Massimo Maffezzini Roberto Salvioni Marco Carini Andrea Decensi Vincenzo Mirone Giorgio Carmignani Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study Advances in Urology |
| title | Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study |
| title_full | Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study |
| title_fullStr | Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study |
| title_full_unstemmed | Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study |
| title_short | Adherence to Guidelines among Italian Urologists on Imaging Preoperative Staging of Low-Risk Prostate Cancer: Results from the MIRROR (Multicenter Italian Report on Radical Prostatectomy Outcomes and Research) Study |
| title_sort | adherence to guidelines among italian urologists on imaging preoperative staging of low risk prostate cancer results from the mirror multicenter italian report on radical prostatectomy outcomes and research study |
| url | http://dx.doi.org/10.1155/2012/651061 |
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