title: [Cancer plans apply to surgical treatment of prostate cancer: A geographically isolated center balance].
abstract: BACKGROUND
  Since 2003, fight against cancer was structured by 3 national cancer programs (CP). The objective of this study is to evaluate the application of these measures in the case of surgical prostate cancer (PCa) treatment in a geographically isolated center.
  
  
  METHODS
  Monocentric retrospective study carried in a 100-bed clinic located 2hours away from a Cancer Regional Reference Center. Between August 2009 and December 2014, 251 consecutive patients were treated by total laparoscopic prostatectomy (TLP). Fifty-seven patients (22.7 %) received a secondary treatment after TLP. The study focused on the delay between prostate biopsies and PTL, the traceability of AD elements, the return of active patients, inclusion in clinical trials (GETUG 17, GETUG 20 and GETUG 22). Data were collected in September 2016. The follow-up defined by the time between the date of the last visit and the prostate biopsy allows a median follow-up of 43.1 months (2.4-80.5).
  
  
  RESULTS
  All elements of the CAP are totally gathered on 45 % of the patients (113/251). Thirty-four (13.5 %) patients were active at the time of the intervention. Thirty-one (91.2 %) will return to an identical activity after a median work stoppage of 1.7 month (0.25-6). Fourteen percent (35/251) of the patients are eligible to a clinical trial. Seventeen percent (6/35) of them were proposed to one of a trial after multidisciplinary meeting and 5.7 % (2/35) are eventually included in one trial.
  
  
  CONCLUSIONS
  CP define a course of high quality care. A better transparency of the founding of the enforceable measures and a better consideration for the local specificities should facilitate their application. The TLP treat the PCa with the reasonable objective of a return to an identical professional activity. The multidisciplinary meeting does not guarantee the participation to clinical trial, which depends mainly on distance from the Cancer Regional Reference Center and the vigilance of the Urologist.
  
  
  METHODS
  4.
authors.affiliation: Cabinet d'urologie des Alpes du Sud, polyclinique des Alpes du Sud, 3-5, rue Antonin-Coronat, 05000 Gap, France. Electronic address: fmondet@clinalpsud.com.
authors.forename: F
authors.initials: F
authors.lastname: Mondet
authors.affiliation: Cabinet d'urologie des Alpes du Sud, polyclinique des Alpes du Sud, 3-5, rue Antonin-Coronat, 05000 Gap, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Alimi
authors.affiliation: Cabinet d'urologie des Alpes du Sud, polyclinique des Alpes du Sud, 3-5, rue Antonin-Coronat, 05000 Gap, France.
authors.forename: C
authors.initials: C
authors.lastname: Boyer
mesh_terms: D000368:Aged; D002173:Cancer Care Facilities; D005602:France; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010347:Patient Care Planning; D011468:Prostatectomy / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
keywords: Announcement consultation; Cancer program; Clinical trial; Consultation d’annonce; Essai clinique; Multidisciplinary meeting; Plan cancer; Prostate; Réunion de concertation pluridisciplinaire