A Non-Interventional Study to Evaluate Time to Event and Healthcare Resource Utilisation for Prostate Cancer Participants Throughout the Disease Trajectories Until Progression or Death

Study Overview
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Brief Summary
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Primary objective of this study is to describe the time in each prostate cancer stage from non-metastatic Hormone Sensitive Prostate Cancer (m0HSPC), metastatic Hormone Sensitive Prostate Cancer (m1HSPC), non-metastatic Castrate-Resistant Prostate Cancer (m0CRPC), metastatic Castrate-Resistant Prostate Cancer (m1CRPC) to progression or death. The secondary objectives of this study are to describe co-medication at each disease stage, to describe co-morbidities at each disease stage and to describe the healthcare resource use and costs associated to each disease stage.

Detailed Description
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This is a retrospective analysis of Prostate Cancer patients from m0HSPC, m1HSPC, m0CRPC, m1CRPC followed in the Prostate Cancer Database Sweden (PCBaSe) database. The patient population consists of men recorded in Patient-overview Prostate Cancer (PPC) between 1 January 2014 until death or 31 December 2016. Patient history to 2006 was collected by retrospective charted review. Data will be extracted from PPC for the different Prostate Cancer (PCa) disease stages, from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death. The prostate cancer disease progression from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death has not been recorded in a systematic way. Given the complexity of this disease, the aim of this study is to have a comprehensive understanding about the disease progression in prostate cancer, from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death. In addition, the following will be collected: co-morbidities, co-medication, health care resource utilization and costs, as well as other health economic variables such as sick leave and early retirement at the different disease stages.

Official Title
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Retrospective Study to Evaluate Time to Event and Healthcare Resource Utilization of Prostate Cancer Patients Throughout the Disease Stages, From m0HSPC, m1HSPC, m0CRPC, m1CRPC Until Progression or Death

Conditions
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Prostate Cancer

Intervention / Treatment
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* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients registered in PPC. Exclusion Criteria: None.
Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Participants with prostate cancer<br>This is a retrospective registry based study to collect real world data on participants with different disease stages of prostate cancer in Sweden. | Other: No intervention<br>* Retrospective study to evaluate time to event and healthcare resource utilisation of prostate cancer patients throughout the different disease stages, until progression or death.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time from entry to exit either by progression or death from prostate cancer stage m0HSPC | M0HSPC as defined by date for start of ADT (Androgen Deprivation Therapy) (bicalutamide or hormone therapy) and no date for metastatic disease. | 11 years | 
| Measure: Time from entry to exit either by progression or death from prostate cancer stage m1HSPC | M1HSPC as defined by date for start of ADT (bicalutamide or hormone therapy) and date for metastatic disease. | 11 years | 
| Time from entry to exit either by progression or death from prostate cancer stage m0CRPC | M0CRPC as defined by date for clinical assessment of CRPC (Castration Resistant Prostate Cancer) or PSA (Prostate-Specific Antigen) progression ((while on GnRH (Gonadotropin-Releasing Hormone) analogues)) and no date for metastases. | 11 years | 
| Time from entry to exit either by progression or death from prostate cancer stage m1CRPC | m1CRPC as defined by date for clinical assessment of CRPC or PSA progression (while on GnRH analogues) and confirmed by date for radiographic progression or initiation of treatment for mCRPC (metastatic castration-resistant prostate cancer). | 11 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Co-morbidities at disease stage m0HSPC | The prevalence of different co-morbidities of interest will be summarized for each disease stage. | 11 years | 
| Co-morbidities at disease stage m1HSPC | The prevalence of different co-morbidities of interest will be summarized for each disease stage. | 11 years | 
| Co-morbidities at disease stage m0CRPC | The prevalence of different co-morbidities of interest will be summarized for each disease stage. | 11 years | 
| Co-morbidities at disease stage m1CRPC | The prevalence of different co-morbidities of interest will be summarized for each disease stage. | 11 years | 
| Co-medications at disease stage m0HSPC as recorded in the registries | The prevalence of different co-medications of interest will be summarized for each disease stage. | 11 years | 
| Co-medications at disease stage m1HSPC as recorded in the registries | The prevalence of different co-medications of interest will be summarized for each disease stage. | 11 years | 
| Co-medications at disease stage m0CRPC as recorded in the registries | The prevalence of different co-medications of interest will be summarized for each disease stage. | 11 years | 
| Co-medications at disease stage m1CRPC as recorded in the registries | The prevalence of different co-medications of interest will be summarized for each disease stage. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by number of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by number of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by number of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by number of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of prostate cancer treatment regimens | Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization in-patient | Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization in-patient | Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization in-patient | Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization in-patient | Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization frequency | Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization frequency | Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization frequency | Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization frequency | Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization duration | Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization duration | Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization duration | Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization duration | Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10). | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of hospital visits | Healthcare resource utilization and related costs will be assessed by type of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of hospital visits | Healthcare resource utilization and related costs will be assessed by type of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of hospital visits | Healthcare resource utilization and related costs will be assessed by type of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of hospital visits | Healthcare resource utilization and related costs will be assessed by type of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of hospital visits | Healthcare resource utilization and related costs will be assessed by frequency of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of hospital visits | Healthcare resource utilization and related costs will be assessed by frequency of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of hospital visits | Healthcare resource utilization and related costs will be assessed by frequency of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of hospital visits | Healthcare resource utilization and related costs will be assessed by frequency of hospital visits. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of imaging examinations | Healthcare resource utilization and related costs will be assessed by type of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of imaging examinations | Healthcare resource utilization and related costs will be assessed by type of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of imaging examinations | Healthcare resource utilization and related costs will be assessed by type of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of imaging examinations | Healthcare resource utilization and related costs will be assessed by type of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of imaging examinations | Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of imaging examinations | Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of imaging examinations | Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of imaging examinations | Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of laboratory tests | Healthcare resource utilization and related costs will be assessed by type of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of laboratory tests | Healthcare resource utilization and related costs will be assessed by type of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of laboratory tests | Healthcare resource utilization and related costs will be assessed by type of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of laboratory tests | Healthcare resource utilization and related costs will be assessed by type of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of laboratory tests | Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of laboratory tests | Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of laboratory tests | Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests. | 11 years | 
| Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of laboratory tests | Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests. | 11 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prostate Cancer, Non interventional, Registry