Review Article

Management of Patients with Nonmetastatic Castration-Resistant Prostate Cancer: Recommendations of a Multidisciplinary Panel of Experts from South America

Box 2

Recommendations regarding the treatment of M0CRPC.
(i) Patients with M0CRPC with PSA doubling times ≤10 months are those that can benefit most from second-generation antiandrogens
(ii)In M0CRPC patients with PSA doubling times >10 months, we recommend watchful waiting and two to three yearly determinations of PSA levels and a multidisciplinary approach to establish therapy
(iii)A comprehensive assessment with validated geriatric and comorbidity burden scales should precede the establishment of therapy in patients with M0CRPC
(iv)Extending metastasis-free survival, prospectively associated with increased overall survival, is considered a suitable therapeutic goal in the routine management of patients with M0CRPC