Men who forgo aggressive treatment for prostate cancer don’t receive appropriate monitoring

Chamie, K. et al. Population-based assessment of determining predictors for quality of prostate cancer surveillance.Cancer, 2015; 121 (23): 4150

An increasing number of men diagnosed with low-risk prostate cancer are opting for active surveillance — closely monitoring their cancer — rather than aggressive treatment to avoid the debilitating potential side effects of surgery and radiation, such as erectile and urinary dysfunction.

However, a new study by UCLA researchers has found that less than 5 percent of men who chose to forgo aggressive treatment are being monitored as closely as they should be, putting them in danger of their cancer progressing or metastasizing without their knowledge.

The study, published today in the peer-reviewed journal Cancer, examined the records of 37,687 men diagnosed with prostate cancer from 2004 to 2007 who were followed through 2009. They found that of the 3,656 men diagnosed with prostate cancer who did not undergo aggressive treatment, only 166 men, or 4.5 percent, were being monitored appropriately, said Dr. Karim Chamie, the study’s first author and an assistant professor of urology at UCLA.

Carry on reading the commentary via Science Direct

View the full article via Cancer

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