Approach to primary care follow-up of patients with prostate cancer

To review resources available to aid family physicians in their care of prostate cancer patients and develop an algorithm to summarize these findings.

MEDLINE, EMBASE, and relevant website search. All relevant guidelines were level III evidence.

Improved screening and treatment of patients with prostate cancer is resulting in an increasing number of survivors. These men require ongoing monitoring, a responsibility that is largely falling to family physicians. We review the expected prostate-specific antigen (PSA) responses to different prostate cancer treatment modalities and provide an appropriate schedule of follow-up and monitoring techniques for prostate cancer patients.

In light of the paucity of resources for family physicians in their ongoing care of prostate cancer patients, we present an algorithm, primarily based on PSA kinetics, for practical use in the continuing care of these patients.