Improving Active Surveillance Rates for Prostate Cancer: A Personalized Approach to Treatment Decision-Making

Genaro Donaro Urology Reply March 08, 2023

 We have conducted extensive research on active surveillance for prostate cancer and have found some interesting results. Our study shows that there has been an increase in the rates of active surveillance for prostate cancer, but there is still room for improvement.



Active surveillance is a management strategy for men with low-risk prostate cancer that involves regular monitoring with prostate-specific antigen (PSA) tests, digital rectal exams (DREs), and prostate biopsies. The goal of active surveillance is to avoid unnecessary treatment and its associated side effects.

Our research indicates that there has been a steady increase in the rates of active surveillance for prostate cancer in recent years. This is likely due to the growing recognition of the benefits of active surveillance, including a reduced risk of overtreatment and improved quality of life for patients.

However, despite the increasing rates of active surveillance, our study also found that there is still room for improvement. Many men with low-risk prostate cancer are still being overtreated with unnecessary surgery or radiation therapy, which can lead to significant side effects such as incontinence and impotence.

To improve the rates of active surveillance for prostate cancer, we recommend a more personalized approach to treatment decision-making. This includes considering patient preferences and values, as well as their individual cancer characteristics such as Gleason score, PSA level, and tumor volume.

In addition, we suggest that healthcare providers educate their patients about the benefits and risks of active surveillance compared to other treatment options. This can help patients make informed decisions that are aligned with their personal values and preferences.

To summarize, while there has been an increase in the rates of active surveillance for prostate cancer in recent years, there is still room for improvement. By adopting a more personalized approach to treatment decision-making and educating patients about the benefits and risks of active surveillance, we can further improve the rates of active surveillance and avoid unnecessary overtreatment.

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