科研之友
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摘要
Active surveillance (AS) is a recognised treatment option for low-risk prostate cancer (PCa). To review AS criteria in terms of patient selection, follow-up and indications for intervention. A total of 2,959 potential participants were identified and invited via email to complete an online survey. Only urologists practising in an EU country were eligible to participate. Statistical analyses were carried out using SPSS version 18.0. The chi (2) test was used to compare responses between those who do and do not follow an AS protocol. Response rate was 8 % (n = 226). Ninety-seven per cent urologists offer AS; 25 % (n = 53/215) within a clinical trial and a further 28 % (n = 60/215) using an official AS protocol. Gleason score a parts per thousand currency sign 3 + 3 = 6 (87 %, n = 173/200) and prostate-specific antigen (PSA) a parts per thousand currency sign 10 ng/ml (86 %, n = 170/198) are the commonest selection criteria. There was a statistically significant association between having an AS protocol and using PSA as an eligibility criterion (p = 0.03). For urologists not following a protocol, 11 % do not consider PSA as an eligibility criterion and 81 % consider PSA a parts per thousand currency sign 10 ng/ml to decide on AS, compared to 2 and 90 %, respectively, who adhere to a protocol. Twenty-four per cent of urologists without a protocol do not re-biopsy in comparison to 11 % with a protocol (p = 0.026). Gleason score progression trigger the most intervention (n = 168/192, 87 %). Urologists not adhering to an AS protocol or participating in a clinical trial appear to apply less rigorous criteria for both eligibility and monitoring in AS.
- 出版日期2015-6
