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ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Management of high-risk prostate cancer in Spain: results from a national patterns of care survey.

Victor Duque-Santana, Maria Antonia Gómez-Aparicio, Abrahams Ocanto, Elias Gomis Selles, Miren Gaztañaga, Patricia Willisch, Xavier Maldonado Pijoan, Manuel Luis Blanco-Villar, Ivan Henriquez, Pedro Carlos Lara and 22 more

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors.

Victor Duque-SantanaDepartment of Radiation Oncology, Hospital Universitario Quirónsalud Madrid, Madrid, Spain. victorduquesantana@gmail.com.ORCID http://orcid.org/0000-0001-7505-8176
Maria Antonia Gómez-AparicioDepartment of Radiation Oncology, Hospital Universitario Toledo, Toledo, Spain.
Abrahams OcantoDepartment of Radiation Oncology, GenesisCare, Hospital Universitario San Francisco de Asís, 28002, Madrid, Spain.
Elias Gomis SellesDepartment of Radiation Oncology, Hospital Clinic Barcelona, Barcelona, Spain.
Miren GaztañagaDepartment of Radiation Oncology, GenesisCare, Hospital Universitario Clínico San Carlos Madrid, Moncloa-Aravaca, Madrid, Spain.
Patricia WillischDepartment of Radiation Oncology, Hospital Meixoeiro, Vigo, Spain.
Xavier Maldonado PijoanDepartment of Radiation Oncology, Hospital Universitari de La Vall d'Hebron, Barcelona, Spain.
Manuel Luis Blanco-VillarDepartment of Radiation Oncology, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
Ivan HenriquezDepartment of Radiation Oncology, Hospital Universitario Sant Joan, Reus, Tarragona, Spain.
Pedro Carlos LaraDepartment of Radiation Oncology, Centro Oncológico Integral Canario, Hospital Universitario San Roque Las Palmas, Universidad Fernando Pessoa Canarias, Las Palmas de Gran Canaria, Spain.
Ivone RibeiroDepartment of Radiation Oncology, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Alai Goñi RamirezDepartment of Radiation Oncology, Onkologikoa - UGC Oncología Gipuzkoa, San Sebastián, Gipuzkoa, Spain.
Marta López ValcárcelDepartment of Radiation Oncology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Ignacio Visus Fernández de ManzanosDepartment of Radiation Oncology, Hospital Universitario de Navarra, Navarra, Spain.
Susana Pérez EchagüenDepartment of Radiation Oncology, CIBIR-Hospital Universitario San Pedro, Logroño, La Rioja, Spain.
Pilar Alonso MartínezDepartment of Radiation Oncology, Hospital Clínico Universitario, Valladolid, Spain.
Victoria Vera BarragánDepartment of Radiation Oncology, Hospital Universitario de Badajoz, Badajoz, Spain.
Carmen Velilla MillánDepartment of Radiation Oncology, HCU UCMORA, Zaragoza, Spain.
Ana Illescas VacasDepartment of Radiation Oncology, Hospital Universitario Virgen Macarena, Seville, Spain.
Pilar María Samper OtsDepartment of Radiation Oncology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain.
Luis Alberto Glaría EnríquezDepartment of Radiation Oncology, GenesisCare, Hospital Universitario La Paz, Madrid, Spain.
Angel Montero LuisDepartment of Radiation Oncology, Hospital Universitario HM Sanchinarro, Madrid, Spain.
Laura Montezuma NiñoDepartment of Radiation Oncology, Hospital Santa Creu i Sant Pau, Horta-Guinardó, Barcelona, Spain.
Rocío Del Castillo AcuñaDepartment of Radiation Oncology, Hospital Universitario Punta de Europa, Algeciras, Spain.
Elísabet González Del PortilloDepartment of Radiation Oncology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain.
Ferran FerrerDepartment of Radiation Oncology, Institut Català d'Oncologia -Hospital Duran i Reynals ICO L'Hospitalet, L'Hospitalet de Llobregat, Spain.
Alfonso Gómez-IturriagaDepartment of Radiation Oncology, Hospital Universitario Cruces, Biobizkaia Health Research Institute, San Vicente de Barakaldo, Spain.
Antonio José Conde MorenoDepartment of Radiation Oncology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Elia Del Cerro PeñalverDepartment of Radiation Oncology, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.
Felipe CouñagoDepartamento de Medicina, Facultad de Medicina, Salud y Deportes, Universidad Europea de Madrid, Madrid, España.
Fernando López-CamposDepartment of Radiation Oncology, Hospital Universitario Ramon y Cajal, Madrid, Spain.
URONCOR investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe management of high-risk (HR) prostate cancer represents a challenge for radiation oncologists. This survey investigates the pattern of care in management of HR-prostate cancer across Spanish institutions. MATERIALS AND

methodsWe conducted a survey among URONCOR members from March to May 2024. This survey was structured in five sections: diagnosis, radiotherapy, hormonal treatment, follow-up, and future perspectives.

resultsA total of 74 responses from 71 different hospitals were received. Participants have a median professional experienced of 11 years, working most of them (84.9%) in public university hospitals. 97.3% have multidisciplinary tumor board and treat a median of 50 (0-200) HR-prostate cancer patients per year/department. 44.63% of centers use Choline-PET and 28.4% PSMA-PET at diagnosis with 26 different fractionation schedules, the most common is moderate hypofractionation (52.7%): 70 Gy in 28 fractions, followed by 37.5 Gy in 15 fractions + 15 Gy brachytherapy boost (30.4%). 56.8% of the institutions perform whole-pelvic irradiation in N0 patients, with 50.4 Gy in 28 fractions (40.48%) being the most common scheme. 56.8% prescribe an LHRH agonist and 74.6% for 24 months. 75.7% prescribe abiraterone in very high-risk patients. 63.0% use the PHOENIX-criteria to define a recurrence. 38.0% perform PSMA-PET and 39.0% Choline-PET as imaging for recurrence. After local relapse, 73.97% apply a re-irradiation technique with 11 different schedules (32.35%), with HDR-brachytherapy: 13.5 Gy × 2 being the most used (56.16%). 83.8% consider that they achieved good results in HR-prostate cancer.

conclusionThis study represents the current status of the management of HR-prostate cancer in Spain, highlighting the wide variety of radiotherapy treatments as well as the need for national consensus guidelines.

Indexed as

Practice Patterns, Physicians'Prostatic NeoplasmsBrachytherapyHealth Care SurveysHumansMaleSpainSurveys and QuestionnairesHigh-risk prostate cancerHormonal treatmentPSMA-PETRadiotherapySBRT

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.