Current Patterns of Management of Advanced XXXX in Routine Clinical Practice in Spain.

@entity1 @entity263 @entity342 @entity158
Objective. To describe urologists' practice patterns when managing @entity1 with @entity263 ( @entity263 ) in Spain. Methods. This was an observational study conducted by 120 urologists using retrospective data of advanced @entity263 @entity1 attending hospitals and outpatient centers. Results. Urologists evaluated a total of 375 @entity1 (mean age: 75 years; ECOG 0-1: 77%; mean serum PSA levels at study entry: 50.5   ng/Ml). Approximately 50% of @entity1 had bone metastases, and 60.6% experienced @entity158 as the main symptom of progressive disease. Primary @entity342 deprivation therapy (ADT) use was 99.7%, with continuous ADT as the dominant strategy (91.9%). After failure of initial ADT, antiandrogen withdrawal was the next method most commonly used in 57% of @entity1 . Choice of secondary hormonal treatment was made mostly by urologists (96%), who continued to monitor @entity1 . @entity1 follow-up after chemotherapy and supportive care were mainly done in urology units, although responsibility was shared with medical oncologists and radiologists. Conclusion. The urologists' attitudes towards management of @entity263 in the routine practice in Spain show the urologist as an integral component even when @entity1 progress to advanced stages of the disease.
