Cancer News
OncoLink Cancer News - HealthDay


Integrated Care Endorsed for Castration-Resistant Prostate CA

Friday, December 13, 2013 (Last Updated: 12/16/2013)

FRIDAY, Dec. 13, 2013 (HealthDay News) -- For patients with castration-resistant prostate cancer (CRPC), a therapeutic framework should involve an integrated approach, with joint management by a urologist and medical oncologist, according to an article published online Dec. 9 in Urologic Oncology.

Noting that the therapeutic landscape in CRPC has evolved rapidly in recent years, with five new systemic agents available, Ralph de Vere White, M.D., and Primo N. Lara Jr., M.D., from the University of California Davis Comprehensive Cancer Center in Sacramento, propose a framework for urology and medical oncology interaction to optimize treatment.

The authors note that all caregivers should be involved in an integrated and comprehensive approach, which requires joint management of CRPC by a urologist and a medical oncologist, from initial manifestations of castration resistance to the end of life. This partnership should involve the establishment of common management guidelines, which identify available therapeutic options and define treatment goals and responsibilities of each provider. The partnership could be used to develop and pursue clinical studies that would allow testing of different models of integrated patient management. Potential barriers to integrated care include financial considerations as well as logistical and regulatory barriers.

"The patient with CRPC deserves no better than an integrated care team that includes both urologic and medical oncology specialties, rather than being managed by a temporal sequence of specialists separated in time and space," the authors write.

Abstract
Full Text (subscription or payment may be required)

Specialties Hematology & Oncology
OBGYN & Women's Health
Pharmacy
Surgery

Copyright © 2013 HealthDay. All rights reserved.


I Wish You Knew

Screening with Mammography: Looking at the Controversy

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More