RESUMEN
INTRODUCTION AND OBJECTIVE: The management of patients with metastatic hormone-sensitive prostate cancer (mHSPC) has changed in recent years due to the approval of new drugs. The aim of this study was to evaluate the prevalence, incidence, and treatment patterns in mHSPC in Spain. PATIENTS AND METHODS: Multicenter, observational, longitudinal, retrospective study in routine clinical practice of patients diagnosed with mHSPC treated in Spanish hospitals between 2015 and 2019 (ECHOS study). Electronic medical records were extracted from BIG-PAC database, which contains geographically representative Spanish centers. RESULTS: Data from 379 men with mHSPC were included. The prevalence of mHSPC ranged between 12.2-14.6% per year, representing from 671 to 824 annual cases with an increasing trend. The mean incidence along the 4-year period was 2.5%, with annual incidence ranging 2.2-3.0%. New annual cases of de novo and recurrent disease ranged between 7-11 and 77-104, respectively, with no trend being observed. These patients were mostly recurrent (91%) with high-volume disease (68.6%). The most common first-line therapy was ADT combined with docetaxel (53%), followed by ADT alone (23.8%), combination of ADT and abiraterone (11.2%), and radiotherapy (8.6%). In the last 12 months before diagnosis of metastasis, most men had been submitted to radical prostatectomy (84.9%). The remaining patients had received radiotherapy (12%) or no treatment at all (3.8%). CONCLUSIONS: The ECHOS study provides epidemiologic data and current patterns of treatment in clinical practice of patients with mHSPC in Spain. These results emphasize the medical need of targeted treatments in these clinical settings.
Asunto(s)
Antagonistas de Andrógenos , Neoplasias de la Próstata , Masculino , Humanos , Antagonistas de Andrógenos/uso terapéutico , España/epidemiología , Incidencia , Estudios Retrospectivos , Prevalencia , Neoplasias de la Próstata/terapia , Neoplasias de la Próstata/tratamiento farmacológico , Hormonas/uso terapéuticoRESUMEN
A series of d4T analogues have been synthesised in which the 2',3'-didehydro-2',3'-dideoxyribose moiety is replaced by a benzo[c]furan core. A simple strategy has been developed to access a range of compounds for biological screening. In addition, a stereoselective approach has been achieved with view to permit more detailed studies.
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Benzofuranos/química , Estavudina/síntesis química , Fármacos Anti-VIH/síntesis química , Fármacos Anti-VIH/química , Inhibidores de la Transcriptasa Inversa/síntesis química , Inhibidores de la Transcriptasa Inversa/química , Estavudina/análogos & derivados , EstereoisomerismoRESUMEN
Liver fibrosis determines the course and prognosis of alcoholic liver disease. Evaluation of serum concentration of procollagen-III peptides (sPIIIP) is considered a biochemical test useful for evaluating a fibrotic process. We have investigated 30 healthy subjects and 53 patients with alcoholic liver disease, histologically diagnosed by percutaneous liver biopsy in four clusters: steatosis (11), fibrosteatosis (11), chronic active hepatitis (11) and cirrhosis (20). SPIIIP levels were increased in patients with cirrhosis and chronic active hepatitis; while they were regular in patients with steatosis and fibrosteatosis. Evaluation of serum concentration of sPIIIP by radioimmunoassay seems to be an useful test for identifying patients with alcoholic liver disease with a good prognosis and patients in progress to cirrhosis and it is an useful test for control the course and evolution of chronic liver disease.
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Hepatopatías Alcohólicas/sangre , Hepatopatías/sangre , Fragmentos de Péptidos/sangre , Procolágeno/sangre , Adulto , Anciano , Biomarcadores/sangre , Biopsia con Aguja , Enfermedad Crónica , Femenino , Humanos , Ensayo Inmunorradiométrico , Hígado/patología , Hepatopatías/patología , Hepatopatías Alcohólicas/patología , Masculino , Persona de Mediana Edad , Sensibilidad y EspecificidadRESUMEN
Liver fibrosis determines the course and prognosis of chronic liver disease. Histological examination of liver biopsy is essential for diagnosing hepatic disease. Evaluation of serum concentration procollagen III peptides (sPIIIP) by radioimmunoassay (RIA) is a biochemical test useful for evaluating a fibrotic process. We have investigated 20 healthy subjects and 50 patients with chronic liver disease, histologically diagnosed by percutaneous liver biopsy: steatosis (8), fibrosteatosis (7), chronic persistent hepatitis (10), chronic active hepatitis (7), cirrhosis (18). SPIIIP levels were increased in patients with cirrhosis and chronic active hepatitis and in these groups of patients such levels were well correlated with histological activity of hepatic disease. Evaluation of serum concentration of PIIIP by RIA seems to be a useful test for evaluating a fibrotic process in chronic liver diseases evolving towards cirrhosis.
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Hepatopatías/sangre , Fragmentos de Péptidos/sangre , Procolágeno/sangre , Adulto , Anciano , Enfermedad Crónica , Pruebas Enzimáticas Clínicas , Diagnóstico Diferencial , Hígado Graso/sangre , Hígado Graso/diagnóstico , Femenino , Hepatitis/sangre , Hepatitis/diagnóstico , Hepatitis Crónica/sangre , Hepatitis Crónica/diagnóstico , Humanos , Cirrosis Hepática/sangre , Cirrosis Hepática/diagnóstico , Hepatopatías/diagnóstico , Masculino , Persona de Mediana Edad , PronósticoAsunto(s)
Ácido Glicocólico/sangre , Hepatopatías Alcohólicas/diagnóstico , Adolescente , Adulto , Anciano , Hígado Graso/sangre , Hígado Graso/diagnóstico , Femenino , Hepatitis Alcohólica/sangre , Hepatitis Alcohólica/diagnóstico , Humanos , Cirrosis Hepática Alcohólica/sangre , Cirrosis Hepática Alcohólica/diagnóstico , Hepatopatías Alcohólicas/sangre , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad , RadioinmunoensayoRESUMEN
Determination of serum bile acids has long been regarded as the most sensitive indicator of liver function. An assessment was made of the clinical applicability of RIA evaluation of two of these acids, cholylglycine (CG) and sulpholithochocholyglycine (SLGG), on an empty stomach and 2hr after a cholecystokinetic meal in 109 liver patients ans 20 controls. After the meal test, both acids proved more sensitive than the usual liver function indices. Different mean values were observed for different diseases. They were in good correlation with the extent of histological damage. Values were highest in obstructive icterus, cirrhosis and neoplasia of the liver, fairly highly high in steatofibrosis, ACH and PCH, and normal in viral hepatitis in the course of resolution, aspecific reactive hepatitis, and steatosis. The meal test thus proved a good indicator of liver disease. Its wider use is to be hoped for in order that its limits and applications may be better understood.