FROGG - Survey on Patterns of Care after Radical Prostatectomy

	Yes	No	Unsure
a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01	a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 Yes	a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 No	a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 Unsure
b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months	b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Yes	b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months No	b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Unsure
c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01	c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 Yes	c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 No	c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 Unsure
d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months	d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Yes	d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months No	d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Unsure

Yes

Unsure

a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01

a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 Yes

a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 No

a. His pathology had shown extensive Gleason 9 disease with focal positive margins and seminal vesicle (SV) invasion, with 0/12 nodes involved and his post op PSA was 0.01 Unsure

b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months

b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Yes

b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months No

b.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 0/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Unsure

c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01

c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 Yes

c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 No

c.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA was 0.01 Unsure

d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months

d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Yes

d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months No

d.His pathology had shown extensive Gleason 9 disease with focal positive margins with SV invasion with 2/12 nodes involved and his post op PSA had risen from 0.02 at 2 months to 0.05 at 4 months Unsure

Question Title

* 3. At what PSA level would you recommend offering salvage radiation (+/- ADT) in a fit 70-year-old man (who has recovered continence) who had a RP with pT3aN0 (R1) Gleason 4+3=7 prostate cancer, with a doubling time of 10 months and PSMA scan that is negative? (please circle one answer)

Before PSA reaches 0.2

PSA 0.2-0.5

0.5-1.0

>1.0

I would wait until the PSMA PET scan is positive

Other (please describe)

	Yes	No	Unsure
a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA	a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Yes	a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA No	a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Unsure
b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA	b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Yes	b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA No	b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Unsure
c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA	c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Yes	c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA No	c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Unsure
d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA	d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Yes	d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA No	d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Unsure

Yes

Unsure

a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA

a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Yes

a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA No

a.Has a PSA recurrence of 0.20, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Unsure

b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA

b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Yes

b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA No

b.Has a PSA recurrence of 0.60, twelve (12) years after his RP (pT2Nx, R0) for a Gleason 3+4=7 cancer, with a PSA doubling time of 24 months, and a negative PSMA Unsure

c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA

c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Yes

c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA No

c.Has a PSA recurrence of 0.20, eight (8) years after his RP (pT2Nx, R0) for a Gleason 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Unsure

d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA

d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Yes

d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA No

d.Has a PSA recurrence of 0.60, eight (8) years after his RP (pT2Nx, R0) for a Gl 4+3=7 cancer, with a PSA doubling time of 12 months, and a negative PSMA Unsure

Question Title

* 5. The following case is discussed at your MDT: A healthy 68-year-old man with a PSA of 0.25, three years post RP for a pT3a/Nx/R0 Gleason 4+4=8 adenocarcinoma, with a PSA doubling time of 10 months and PSMA PET showing a solitary avid pelvic node. Which option would you advocate for? (Please circle one answer)

Dissection[AL1] of involved node followed by salvage XRT +/- ADT

Prostate bed + pelvic nodal RT + ADT

Pelvic nodal RT + ADT

SBRT to solitary pelvic lymph node

SBRT to solitary pelvic lymph node + ADT

Systemic therapy alone

Other (please specify)

FROGG - Survey on Patterns of Care after Radical Prostatectomy - Urology

Question Title

* 1. In what institution do you currently practice?

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* 2. Would you offer ‘adjuvant’ radiation therapy (with or without ADT) to a 62-year-old man 4 months post prostatectomy, who has recovered continence, if... (please circle one answer for each of parts a-d)

Question Title

* 3. At what PSA level would you recommend offering salvage radiation (+/- ADT) in a fit 70-year-old man (who has recovered continence) who had a RP with pT3aN0 (R1) Gleason 4+3=7 prostate cancer, with a doubling time of 10 months and PSMA scan that is negative? (please circle one answer)

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* 4. Would you be comfortable withholding radiation in a healthy, fully continent, 69-year-old man who… (please circle one answer for each of parts a-d)

Question Title