What percentage of prostate cancer patients are really good candidates for active surveillance?

In addition to the new data from Johns Hopkins, reported earlier this week, that were highly supportive of active surveillance as a first-line management strategy for “favorable-risk” prostate cancer, another recent study has suggested that as many as 67 percent of newly diagnosed patients may be good candidates for such first-line management. … READ MORE …

New data from Johns Hopkins on outcomes after active surveillance

A new article from the group at Johns Hopkins has now confirmed that rates of prostate cancer-specific mortality and progression to metastatic disease are extremely low at 15 years of follow-up in their 18-year-long active surveillance cohort. … READ MORE …

The expanding role of active surveillance in urology

It is fascinating to see that, as urologists have begun to understand and accept the viability and value of active surveillance (“expectant management”) in management of prostate cancer, they are beginning to see other uses for this strategy too. … READ MORE …

Sticks and stones can break your bones, and words can really hurt you

Smart physicians have always been extremely conscious that how they present information can have a profound impact on exactly how patients will react to that information. … READ MORE …

Selection of appropriate candidates for management with active surveillance

In this month’s issue of the Journal of Urology, Dr. Peter Carroll (of UCSF) and Dr. Mark Dall’Era (formerly of UCSF and now at UCDavis) have contributed an editorial entitled “What is the optimal way to select candidates for active surveillance of prostate cancer?” … READ MORE …

Active surveillance, upgrading on repeat biopsy, and consequent management

In February this year we commented on an article that argued in favor of active surveillance as an appropriate initial management strategy for “favorable” intermediate-risk prostate cancer. … READ MORE …

Other items from the annual meeting of the AUA

A combination of travel and other commitments made it difficult for your sitemaster to complete his summaries of significant information presented at this year’s annual meeting of the American Urological Association (AUA), so here’s the final wrap-up. … READ MORE …

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