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A New Technique for Treating Low-risk Prostate Cancer&#8212;Super Active Surveillance
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Being on active surveillance: the patient perspective.

Ken Mastris1, Louis Denis2

  • 1Europa Uomo, Antwerp, Belgium.

Translational Andrology and Urology
|March 30, 2018
PubMed
Summary

Active surveillance (AS) for prostate cancer (PCa) offers initial relief but follow-up uncertainty can cause anxiety. Enhancing prognostic information and patient confidence is crucial for successful long-term AS management.

Keywords:
Prostate cancer (PCa)T1aT1cactive surveillance (AS)natural historyprognosis

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Area of Science:

  • Urology
  • Oncology
  • Patient Management

Background:

  • Prostate cancer (PCa) patients on active surveillance (AS) initially feel positive about avoiding invasive treatments.
  • This positive response diminishes due to uncertainty regarding follow-up procedures like biopsies and monitoring.
  • Current prognostic tools may not fully alleviate patient anxiety during AS.

Purpose of the Study:

  • To identify the need for improved prognostic information for prostate cancer patients undergoing active surveillance.
  • To explore methods for building patient confidence and reassurance throughout the active surveillance process.

Main Methods:

  • Review of patient psychological responses to active surveillance protocols.
  • Analysis of current diagnostic and monitoring techniques in active surveillance.
  • Assessment of information needs for patients in active surveillance programs.

Main Results:

  • Patients experience initial euphoria followed by anxiety related to follow-up uncertainty.
  • A need exists for better prognostic indicators to support patient decision-making.
  • Enhanced communication and evidence-based reassurance are vital for maintaining patient adherence to AS.

Conclusions:

  • Active surveillance for prostate cancer requires better strategies to manage patient anxiety and uncertainty.
  • Improving prognostic confidence is essential for the long-term success of active surveillance.
  • Further research should focus on developing tools and communication strategies to support patients on AS.