MP74-11 FEASIBILITY AND RELIABILITY OF TELEPHONE FOLLOW-UP AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy IV (MP74)1 Apr 2020MP74-11 FEASIBILITY AND RELIABILITY OF TELEPHONE FOLLOW-UP AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER Matteo Balzarro*, Emanuele Rubilotta, Marilena Gubbiotti, Alberto Diminutto, Simone Francavilla, Chiara Lonati, Antonio Benito Porcaro, Mariaangela Cerruto, Michele Di Nauta, Ester Illiano, Vito Mancini, Luigi Cormio, Elisabetta Costantini, Giuseppe Carrieri, and Alessandro Antonelli Matteo Balzarro*Matteo Balzarro* More articles by this author , Emanuele RubilottaEmanuele Rubilotta More articles by this author , Marilena GubbiottiMarilena Gubbiotti More articles by this author , Alberto DiminuttoAlberto Diminutto More articles by this author , Simone FrancavillaSimone Francavilla More articles by this author , Chiara LonatiChiara Lonati More articles by this author , Antonio Benito PorcaroAntonio Benito Porcaro More articles by this author , Mariaangela CerrutoMariaangela Cerruto More articles by this author , Michele Di NautaMichele Di Nauta More articles by this author , Ester IllianoEster Illiano More articles by this author , Vito ManciniVito Mancini More articles by this author , Luigi CormioLuigi Cormio More articles by this author , Elisabetta CostantiniElisabetta Costantini More articles by this author , Giuseppe CarrieriGiuseppe Carrieri More articles by this author , and Alessandro AntonelliAlessandro Antonelli More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000960.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the feasibility and reliability of telephone follow-up after radical prostatectomy (RP) for prostate cancer (PC). METHODS: This is a multicenter prospective observational study (January 2017- ongoing). Patients received telephone call 7-10 days before the office evaluation. During the telephone call clinical history and last available PSA were assessed. During office evaluation a urologist performed digital rectal examination (DRE) and was blind to PSA level, a second urologist assessed the PSA and the reported DRE. Correlation between PSA and DRE was performed. Patients were stratified according to PSA levels as follow: Group 1 PSA < 0.2 ng/ml. Group 2 PSA > 0.2 ng/ml. Patients were stratified also according to surgical margin specimen and pT stages. Agreement evaluation was performed. Telephone follow-up satisfaction was assessed by VAS scale. RESULTS: All patients with PSA < 0.2 ng/ml had negative DRE with agreement of 100%. Pts with PSA > 0.2 ng/ml had a positive DRE in 3/34, all pts with PSA <4 ng/ml. The concordance between DRE and PSA in non-biochemical recurrence patients was 100% (461/461), while the concordance between DRE and PSA in biochemical recurrence patients was 8.8% (3/34). Surgical margin specimen and pT stages did not influenced DRE results (Table 1). The patient management between telephone follow-up and in clinic evaluation did not change in all cases with PSA <0.2, while in case of biochemical recurrence could change in 8.8%. Satisfaction rate was high (82%). Stratification of patients according with DRE and PSA levels is reported in table 2. CONCLUSIONS: Telephone follow-up was feasible and reliable in the management of males without biochemical recurrence after RP. While, in case of biochemical recurrence an office evaluation is advisable. Telephone follow-up had high patients’ satisfaction rate. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1135-e1136 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matteo Balzarro* More articles by this author Emanuele Rubilotta More articles by this author Marilena Gubbiotti More articles by this author Alberto Diminutto More articles by this author Simone Francavilla More articles by this author Chiara Lonati More articles by this author Antonio Benito Porcaro More articles by this author Mariaangela Cerruto More articles by this author Michele Di Nauta More articles by this author Ester Illiano More articles by this author Vito Mancini More articles by this author Luigi Cormio More articles by this author Elisabetta Costantini More articles by this author Giuseppe Carrieri More articles by this author Alessandro Antonelli More articles by this author Expand All Advertisement PDF downloadLoading ...