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  1. Article ; Online: Unravelment of Medtronic Onyx stent during bifurcation stenting using the jailed wire technique; An adverse effect of helical stent structure?

    Leenders, Geert E / Liew, Houng-Bang / Stella, Pieter R

    Cardiovascular revascularization medicine : including molecular interventions

    2018  Volume 19, Issue 8S, Page(s) 58–59

    Abstract: A 62-year old male underwent treatment of a bifurcation lesion in the left anterior descending coronary artery using provisional stenting with a jailed wire technique. Severe longitudinal stent deformation and unravelment of the stent part proximal of ... ...

    Abstract A 62-year old male underwent treatment of a bifurcation lesion in the left anterior descending coronary artery using provisional stenting with a jailed wire technique. Severe longitudinal stent deformation and unravelment of the stent part proximal of the bifurcation occurred when we tried to pull the jailed wire from the side branch. The described case poses a caution on the use of this specific stent(-design) in bifurcation lesions.
    MeSH term(s) Coronary Angiography ; Coronary Stenosis/diagnosis ; Coronary Stenosis/surgery ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Drug-Eluting Stents ; Humans ; Male ; Middle Aged ; Percutaneous Coronary Intervention/methods ; Prosthesis Design
    Language English
    Publishing date 2018-03-21
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2212113-4
    ISSN 1878-0938 ; 1553-8389
    ISSN (online) 1878-0938
    ISSN 1553-8389
    DOI 10.1016/j.carrev.2018.03.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: GRPR versus PSMA: expression profiles during prostate cancer progression demonstrate the added value of GRPR-targeting theranostic approaches.

    Verhoeven, Marjolein / Ruigrok, Eline A M / van Leenders, Geert J L H / van den Brink, Lilian / Balcioglu, Hayri E / van Weerden, Wytske M / Dalm, Simone U

    Frontiers in oncology

    2023  Volume 13, Page(s) 1199432

    Abstract: Introduction: Central to targeted radionuclide imaging and therapy of prostate cancer (PCa) are prostate-specific membrane antigen (PSMA)-targeting radiopharmaceuticals. Gastrin-releasing peptide receptor (GRPR) targeting has been proposed as a ... ...

    Abstract Introduction: Central to targeted radionuclide imaging and therapy of prostate cancer (PCa) are prostate-specific membrane antigen (PSMA)-targeting radiopharmaceuticals. Gastrin-releasing peptide receptor (GRPR) targeting has been proposed as a potential additional approach for PCa theranostics. The aim of this study was to investigate to what extent and at what stage of the disease GRPR-targeting applications can complement PSMA-targeting theranostics in the management of PCa.
    Methods: Binding of the GRPR- and PSMA-targeting radiopharmaceuticals [
    Results: The highest median [
    Conclusion: Our study emphasizes that GRPR-targeting approaches can contribute to improved PCa management and complement currently applied PSMA-targeting strategies in both early and late stage PCa.
    Language English
    Publishing date 2023-08-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2023.1199432
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Long-term follow-up of contemporary drug-eluting stent implantation in diabetic patients: Subanalysis of a randomized controlled trial.

    van Hemert, Nicole D / Voskuil, Michiel / Rozemeijer, Rik / Kraaijeveld, Adriaan O / Rittersma, Saskia Z / Leenders, Geert E H / Stein, Mèra / Frambach, Peter / van der Harst, Pim / Agostoni, Pierfrancesco / Stella, Pieter R

    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

    2023  Volume 101, Issue 3, Page(s) 505–510

    Abstract: Objective: The elevated risk of adverse events following percutaneous coronary intervention in diabetic patients persists with newer-generation DES. The polymer-free amphilimus-eluting stent (PF-AES) possesses characteristics with a potentially enhanced ...

    Abstract Objective: The elevated risk of adverse events following percutaneous coronary intervention in diabetic patients persists with newer-generation DES. The polymer-free amphilimus-eluting stent (PF-AES) possesses characteristics with a potentially enhanced performance in patients with diabetes. Data from the 1-year follow-up period has been previously published. The aim of this subanalysis was to assess long-term performance of two contemporary drug-eluting stents (DES) in a diabetic population.
    Methods: In the ReCre8 trial, patients were stratified for diabetes and troponin status, and randomized to implantation of a permanent polymer zotarolimus-eluting stent (PP-ZES) or PF-AES. The primary endpoint was target-lesion failure (TLF), a composite of cardiac death, target-vessel myocardial infarction and target-lesion revascularization. Clinical outcomes between discharge and 3 years follow-up were assessed.
    Results: A total of 302 patients with diabetes were included in this analysis. After 3 years, TLF occurred in 12.5% of PP-ZES patients versus 10.0% in PF-AES patients (p = 0.46). Similarly, the separate components of TLF were comparable between the two study arms. The secondary composite endpoint of NACE was higher in the PP-ZES arm with 45 cases (29.6%) versus 30 cases (20.0%) in the PF-AES arm (p = 0.036). In the insulin-dependent diabetic population, TLF occurred in 19.1% of PP-ZES patients versus 10.4% of PF-AES patients (p = 0.21). NACE occurred in 40.4% of PP-ZES patients versus 27.1% of PF-AES patients (p = 0.10).
    Conclusions: This subanalysis shows that the use of PF-AES results in similar clinical outcomes as compared to PP-ZES, yet some benefits of use of PF-AES in diabetic patients may prevail. Future dedicated trials should confirm these findings.
    MeSH term(s) Humans ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/therapy ; Coronary Artery Disease/chemically induced ; Follow-Up Studies ; Drug-Eluting Stents ; Risk Factors ; Treatment Outcome ; Diabetes Mellitus/diagnosis ; Percutaneous Coronary Intervention/adverse effects ; Prosthesis Design ; Cardiovascular Agents/adverse effects
    Chemical Substances zotarolimus (H4GXR80IZE) ; Cardiovascular Agents
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1459995-8
    ISSN 1522-726X ; 1522-1946
    ISSN (online) 1522-726X
    ISSN 1522-1946
    DOI 10.1002/ccd.30545
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Does prostate cancer without cribriform pattern have metastatic potential?

    Kroon, Lisa J / Remmers, Sebastiaan / Hollemans, Eva / Bangma, Chris H / Roobol, Monique J / van Leenders, Geert J L H

    Prostate cancer and prostatic diseases

    2024  

    Language English
    Publishing date 2024-02-10
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1419277-9
    ISSN 1476-5608 ; 1365-7852
    ISSN (online) 1476-5608
    ISSN 1365-7852
    DOI 10.1038/s41391-024-00802-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Association of quantifiable prostate MRI parameters with any and large cribriform pattern in prostate cancer patients undergoing radical prostatectomy.

    Seyrek, Neslisah / Hollemans, Eva / Schoots, Ivo G / van Leenders, Geert J L H

    European journal of radiology

    2023  Volume 166, Page(s) 110966

    Abstract: Purpose: Cribriform pattern has recently been recognized as an important independent risk factor for prostate cancer (PCa) outcome. This study aimed to identify the association of quantifiable prostate magnetic resonance imaging (MRI) parameters with ... ...

    Abstract Purpose: Cribriform pattern has recently been recognized as an important independent risk factor for prostate cancer (PCa) outcome. This study aimed to identify the association of quantifiable prostate magnetic resonance imaging (MRI) parameters with any and large cribriform pattern at radical prostatectomy (RP) specimens.
    Methods: Preoperative prostate MRI's from 188 men undergoing RP between 2010 and 2018 were retrospectively acquired. RP specimens of the patients were revised for Gleason score (GS), and presence of any and large cribriform pattern. MRI parameters such as MRI visibility, PI-RADS score, lowest apparent diffusion coefficient (ADC) value, lesion size, and radiologic extra-prostatic extension (EPE) were reviewed. The association of prostate MRI parameters for presence of any and large cribriform pattern at RP was analysed using logistic regression.
    Results: 116/188 (61.7%) PCa patients had any cribriform and 36/188 (19.1%) large cribriform pattern at RP. 171/188 (91.0%) men had MRI-visible lesions; 111/116 (95.7%) tumours with any and 36/36 (100%) with large cribriform pattern were visible at MRI. PCa with any and large cribriform pattern both had lower ADC values than those without (p < 0.001). In adjusted analysis, lowest ADC value was as an independent predictor for any cribriform (Odds Ratio (OR) 0.2, 95% Confidence Interval (CI) 0.1-0.8; p = 0.01) and large cribriform pattern (OR 0.2, 95% CI 0.1-0.7; p = 0.01), while other parameters were not.
    Conclusions: The majority of PCa with cribriform pattern at RP were visible at MRI, and lowest ADC value was an independent predictor for both any and large cribriform pattern.
    MeSH term(s) Male ; Humans ; Prostate/pathology ; Prostatic Neoplasms/diagnostic imaging ; Prostatic Neoplasms/surgery ; Prostatic Neoplasms/pathology ; Magnetic Resonance Imaging ; Retrospective Studies ; Prostatectomy/methods ; Neoplasm Grading
    Language English
    Publishing date 2023-07-07
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 138815-0
    ISSN 1872-7727 ; 0720-048X
    ISSN (online) 1872-7727
    ISSN 0720-048X
    DOI 10.1016/j.ejrad.2023.110966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Gene-expression-based T-Cell-to-Stroma Enrichment (TSE) score predicts response to immune checkpoint inhibitors in urothelial cancer.

    Rijnders, Maud / Nakauma-González, J Alberto / Robbrecht, Debbie G J / Gil-Jimenez, Alberto / Balcioglu, Hayri E / Oostvogels, Astrid A M / Aarts, Maureen J B / Boormans, Joost L / Hamberg, Paul / van der Heijden, Michiel S / Szabados, Bernadett E / van Leenders, Geert J L H / Mehra, Niven / Voortman, Jens / Westgeest, Hans M / de Wit, Ronald / van der Veldt, Astrid A M / Debets, Reno / Lolkema, Martijn P

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 1349

    Abstract: Immune checkpoint inhibitors (ICI) improve overall survival in patients with metastatic urothelial cancer (mUC), but therapeutic success at the individual patient level varies significantly. Here we identify predictive markers of response, based on whole- ...

    Abstract Immune checkpoint inhibitors (ICI) improve overall survival in patients with metastatic urothelial cancer (mUC), but therapeutic success at the individual patient level varies significantly. Here we identify predictive markers of response, based on whole-genome DNA (n = 70) and RNA-sequencing (n = 41) of fresh metastatic biopsy samples, collected prior to treatment with pembrolizumab. We find that PD-L1 combined positivity score does not, whereas tumor mutational burden and APOBEC mutagenesis modestly predict response. In contrast, T cell-to-stroma enrichment (TSE) score, computed from gene expression signature data to capture the relative abundance of T cells and stromal cells, predicts response to immunotherapy with high accuracy. Patients with a positive and negative TSE score show progression free survival rates at 6 months of 67 and 0%, respectively. The abundance of T cells and stromal cells, as reflected by the TSE score is confirmed by immunofluorescence in tumor tissue, and its good performance in two independent ICI-treated cohorts of patients with mUC (IMvigor210) and muscle-invasive UC (ABACUS) validate the predictive power of the TSE score. In conclusion, the TSE score represents a clinically applicable metric that potentially supports the prospective selection of patients with mUC for ICI treatment.
    MeSH term(s) Humans ; Immune Checkpoint Inhibitors/pharmacology ; Immune Checkpoint Inhibitors/therapeutic use ; Prospective Studies ; T-Lymphocytes ; Carcinoma, Transitional Cell/drug therapy ; Carcinoma, Transitional Cell/genetics ; Urinary Bladder Neoplasms/drug therapy ; Urinary Bladder Neoplasms/genetics ; B7-H1 Antigen
    Chemical Substances Immune Checkpoint Inhibitors ; B7-H1 Antigen
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-024-45714-0
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  7. Article ; Online: Acute recoordination rather than functional hemodynamic improvement determines reverse remodelling by cardiac resynchronisation therapy.

    Wouters, Philippe C / Leenders, Geert E / Cramer, Maarten J / Meine, Mathias / Prinzen, Frits W / Doevendans, Pieter A / De Boeck, Bart W L

    The international journal of cardiovascular imaging

    2021  Volume 37, Issue 6, Page(s) 1903–1911

    Abstract: Purpose: Cardiac resynchronisation therapy (CRT) improves left ventricular (LV) function acutely, with further improvements and reverse remodelling during chronic CRT. The current study investigated the relation between acute improvement of LV systolic ... ...

    Abstract Purpose: Cardiac resynchronisation therapy (CRT) improves left ventricular (LV) function acutely, with further improvements and reverse remodelling during chronic CRT. The current study investigated the relation between acute improvement of LV systolic function, acute mechanical recoordination, and long-term reverse remodelling after CRT.
    Methods: In 35 patients, LV speckle tracking longitudinal strain, LV volumes & ejection fraction (LVEF) were assessed by echocardiography before, acutely within three days, and 6 months after CRT. A subgroup of 25 patients underwent invasive assessment of the maximal rate of LV pressure rise (dP/dt
    Results: CRT induced acute and ongoing recoordination (ISF from 45 ± 18 to 27 ± 11 and 23 ± 12%, p < 0.001; SRS from 2.27 ± 1.33 to 0.74 ± 0.50 and 0.71 ± 0.43%, p < 0.001) and improved LV function (dP/dt
    Conclusion: Long-term reverse remodelling after CRT is likely determined by (acute) recoordination rather than by acute hemodynamic improvements. Discoordination may therefore be a more important CRT-substrate that can be assessed and, acutely restored.
    MeSH term(s) Cardiac Resynchronization Therapy ; Echocardiography ; Heart Failure/diagnostic imaging ; Heart Failure/therapy ; Hemodynamics ; Humans ; Predictive Value of Tests ; Treatment Outcome ; Ventricular Remodeling
    Language English
    Publishing date 2021-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2055311-0
    ISSN 1875-8312 ; 1573-0743 ; 1569-5794 ; 0167-9899
    ISSN (online) 1875-8312 ; 1573-0743
    ISSN 1569-5794 ; 0167-9899
    DOI 10.1007/s10554-021-02174-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Confocal laser microscopy for assessment of surgical margins during radical prostatectomy.

    Baas, Diederik J H / Vreuls, Willem / Sedelaar, J P Michiel / Vrijhof, Henricus J E J / Hoekstra, Robert J / Zomer, Saskia F / van Leenders, Geert J L H / van Basten, Jean-Paul A / Somford, Diederik M

    BJU international

    2022  Volume 132, Issue 1, Page(s) 40–46

    Abstract: Objective: To evaluate the feasibility of confocal laser microscopy (CLM) for intraoperative margin assessment as faster alternative to neurovascular structure-adjacent frozen-section examination (NeuroSAFE) during robot-assisted radical prostatectomy ( ... ...

    Abstract Objective: To evaluate the feasibility of confocal laser microscopy (CLM) for intraoperative margin assessment as faster alternative to neurovascular structure-adjacent frozen-section examination (NeuroSAFE) during robot-assisted radical prostatectomy (RARP).
    Patients and methods: Surgical margins were assessed during 50 RARP procedures in patients scheduled for NeuroSAFE. Posterolateral sections were cut and imaged with CLM and further processed to conform with the NeuroSAFE protocol. Secondary resection (SR) was performed in case a positive surgical margin (PSM) was observed with NeuroSAFE. Afterwards, the CLM images were non-blinded assessed for the presence of PSMs. The accuracy of both NeuroSAFE and CLM was compared with conventional histopathology. Agreement for detection of PSMs between NeuroSAFE and CLM was evaluated with Cohen's kappa coefficient. Procedure times were compared with a Wilcoxon signed-ranks test.
    Results: In total, 96 posterolateral sections of RP specimens were evaluated for the presence of PSMs. CLM identified 15 (16%) PSMs and NeuroSAFE identified 14 (15%) PSMs. CLM had a calculated sensitivity, specificity, positive predictive value and negative predictive value of 86%, 96%, 80% and 98% respectively for the detection of PSMs compared to definite pathology. After SR, residual tumour was found in six of 13 cases (46%), which were all identified by both techniques. There was a substantial level of agreement between CLM and NeuroSAFE (κ = 0.80). The median procedure time for CLM was significantly shorter compared to NeuroSAFE (8 vs 50 min, P < 0.001). The main limitation of this study was the non-blinded assessment of the CLM images.
    Conclusions: Compared to NeuroSAFE, CLM is a promising technique for intraoperative margin assessment and is able to reduce the time of intraoperative margin assessment.
    MeSH term(s) Male ; Humans ; Margins of Excision ; Prostate/surgery ; Prostatectomy/methods ; Robotic Surgical Procedures/methods ; Microscopy, Confocal
    Language English
    Publishing date 2022-12-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15938
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: High bleeding risk in patients undergoing percutaneous coronary intervention with drug-eluting stent implantation: ReCre8 subanalysis.

    van Hemert, Nicole D / Stella, Pieter R / Rozemeijer, Rik / Stein, Mèra / Frambach, Peter / Kraaijeveld, Adriaan O / Rittersma, Saskia Z / Meijs, Timion A / Leenders, Geert E H / van der Harst, Pim / Agostoni, Pierfrancesco / Voskuil, Michiel

    American heart journal plus : cardiology research and practice

    2022  Volume 24, Page(s) 100227

    Abstract: Objectives: In an all-comers cohort undergoing percutaneous coronary intervention (PCI), we aimed to assess prevalence of high bleeding risk (HBR) patients and impact of HBR and dual antiplatelet therapy (DAPT) on clinical events.: Background: HBR ... ...

    Abstract Objectives: In an all-comers cohort undergoing percutaneous coronary intervention (PCI), we aimed to assess prevalence of high bleeding risk (HBR) patients and impact of HBR and dual antiplatelet therapy (DAPT) on clinical events.
    Background: HBR represents a complex subgroup of patients undergoing PCI.
    Methods: In the ReCre8 trial, patients undergoing PCI were stratified for troponin status and diabetes and randomized to a permanent polymer zotarolimus-eluting- or polymer-free amphilimus-eluting stent. Patients were treated with 12 months (troponin-positive) or one month (troponin-negative) of DAPT. We evaluated clinical outcomes in patients with and without HBR according to the Academic Research Consortium for High Bleeding Risk criteria.
    Results: From a total of 1488 patients included in this subanalysis, 406 patients (27.3 %) were identified as being at HBR. Among HBR patients, target-lesion failure (TLF) was similar after one year yet was higher after three years (13.3 % vs. 9.1 %; p = 0.013), compared to non-HBR patients. There was no difference in Bleeding Academic Research Consortium (BARC) 3 to 5 bleeding, however BARC 2 to 5 bleeding was higher after three years with 4.9 % vs. 3.0 % (p = 0.037). There were no differences between troponin-positive (12-months DAPT) and -negative (1-month DAPT) HBR patients with respect to ischemic and bleeding outcomes.
    Conclusions: In this all-comers population of PCI patients, a higher TLF rate among HBR patients at long-term follow-up was found, underlining the complexities involving treatment of HBR patients. We did not observe statistically significant differences in BARC 3 to 5 bleeding between HBR and non-HBR patients regardless of DAPT duration.
    Clinical trial registration: URL: http://www.clinicaltrials.gov, unique identifier: NCT02328898.
    Language English
    Publishing date 2022-11-09
    Publishing country United States
    Document type Journal Article
    ISSN 2666-6022
    ISSN (online) 2666-6022
    DOI 10.1016/j.ahjo.2022.100227
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer. Part II-2024 Update: Treatment of Relapsing and Metastatic Prostate Cancer.

    Tilki, Derya / van den Bergh, Roderick C N / Briers, Erik / Van den Broeck, Thomas / Brunckhorst, Oliver / Darraugh, Julie / Eberli, Daniel / De Meerleer, Gert / De Santis, Maria / Farolfi, Andrea / Gandaglia, Giorgio / Gillessen, Silke / Grivas, Nikolaos / Henry, Ann M / Lardas, Michael / J L H van Leenders, Geert / Liew, Matthew / Linares Espinos, Estefania / Oldenburg, Jan /
    van Oort, Inge M / Oprea-Lager, Daniela E / Ploussard, Guillaume / Roberts, Matthew J / Rouvière, Olivier / Schoots, Ivo G / Schouten, Natasha / Smith, Emma J / Stranne, Johan / Wiegel, Thomas / Willemse, Peter-Paul M / Cornford, Philip

    European urology

    2024  

    Abstract: Background and objective: The European Association of Urology (EAU)-European Association of Nuclear Medicine (EANM)-European Society for Radiotherapy and Oncology (ESTRO)-European Society of Urogenital Radiology (ESUR)-International Society of ... ...

    Abstract Background and objective: The European Association of Urology (EAU)-European Association of Nuclear Medicine (EANM)-European Society for Radiotherapy and Oncology (ESTRO)-European Society of Urogenital Radiology (ESUR)-International Society of Urological Pathology (ISUP)-International Society of Geriatric Oncology (SIOG) guidelines on the treatment of relapsing, metastatic, and castration-resistant prostate cancer (PCa) have been updated. Here we provide a summary of the 2024 guidelines.
    Methods: The panel performed a literature review of new data, covering the time frame between 2020 and 2023. The guidelines were updated and a strength rating for each recommendation was added on the basis of a systematic review of the evidence.
    Key findings and limitations: Risk stratification for relapsing PCa after primary therapy may guide salvage therapy decisions. New treatment options, such as androgen receptor-targeted agents (ARTAs), ARTA + chemotherapy combinations, PARP inhibitors and their combinations, and prostate-specific membrane antigen-based therapy have become available for men with metastatic PCa.
    Conclusions and clinical implications: Evidence for relapsing, metastatic, and castration-resistant PCa is evolving rapidly. These guidelines reflect the multidisciplinary nature of PCa management. The full version is available online (http://uroweb.org/guideline/ prostate-cancer/).
    Patient summary: This article summarises the 2024 guidelines for the treatment of relapsing, metastatic, and castration-resistant prostate cancer. These guidelines are based on evidence and guide doctors in discussing treatment decisions with their patients. The guidelines are updated every year.
    Language English
    Publishing date 2024-04-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2024.04.010
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