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Related Concept Videos

Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Pharmacovigilance01:19

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Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
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Antimicrobial Effectiveness01:28

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The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
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Is Active Surveillance Too Active?

James T Kearns1, Brian T Helfand2

  • 1Division of Urology, NorthShore University HealthSystem, 2180 Pfingsten Rd., Suite 3000, Glenview, Evanston, IL, 60026, USA. jkearns@northshore.org.

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Summary
This summary is machine-generated.

Current prostate cancer active surveillance protocols may involve excessive testing. While MRI and biomarkers aid risk stratification, periodic biopsies remain essential for safety, as omitting them is not yet proven viable.

Keywords:
Active surveillanceBiomarkersProstate MRIProstate cancer

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Area of Science:

  • Oncology
  • Urology
  • Medical Diagnostics

Background:

  • Active surveillance is a common strategy for managing low-risk prostate cancer.
  • Protocols often include frequent monitoring like PSA tests, clinic visits, MRI, and biopsies.

Purpose of the Study:

  • To evaluate if current prostate cancer active surveillance protocols lead to over-testing.
  • To assess the necessity and utility of serial monitoring components.

Main Methods:

  • Review of recent studies on multiparametric MRI, serum biomarkers, and serial prostate biopsies.
  • Analysis of the predictive value of these tools in active surveillance.

Main Results:

  • Multiparametric MRI and serum biomarkers show promise for risk stratification.
  • No evidence supports safely omitting periodic prostate biopsies in active surveillance.
  • Additional MRIs or biomarkers do not consistently improve prediction of higher-grade disease.

Conclusions:

  • Current active surveillance protocols may be overly intensive for some patients.
  • Periodic prostate biopsies remain a critical component of active surveillance safety.
  • Further research is needed to optimize monitoring strategies without compromising patient safety.