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Active surveillance: pitfalls to consider.

Barbara Ercole1, Dipen J Parekh

  • 1Department of Urology, University of Texas Health Sciences Center at San Antonio, USA. ercole@uthscsa.edu

Archivos Espanoles De Urologia
|November 5, 2011
PubMed
Summary
This summary is machine-generated.

Active Surveillance (AS) is a viable option for low-risk prostate cancer (PCa), but understanding its limitations is crucial. Proper patient selection and counseling on risks and benefits are essential for effective AS management.

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Area of Science:

  • Urology
  • Oncology

Background:

  • Growing concerns regarding overtreatment and overdiagnosis in low-risk prostate cancer (PCa).
  • Increasing urologist interest in Active Surveillance (AS) as a management alternative for low-risk PCa patients.

Purpose of the Study:

  • To critically evaluate the limitations of current Active Surveillance protocols for prostate cancer.
  • To discuss the assumptions underlying AS and their impact on patient selection.

Main Methods:

  • Comprehensive literature review utilizing multiple computerized databases (Ovid, Medline, Pubmed, CINAHL, Cochrane Library).
  • Keywords used included "active surveillance," "prostate neoplasm," and "low risk PCa."
  • Manual literature searches were also conducted.

Main Results:

  • Active Surveillance is recognized as a potential management option for men with low-risk prostate cancer.
  • The article highlights critical limitations in the current application of AS.
  • Discussion of assumptions associated with AS and their implications for candidate selection.

Conclusions:

  • Active Surveillance has a defined role in managing low-risk prostate cancer.
  • It is imperative to acknowledge and understand the limitations of AS.
  • Appropriate selection and thorough counseling regarding risks and benefits are vital for patients considered for AS.