Page 391 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
P. 391

Appendix Table C2.1. Eligibility criteria, follow-up protocols, triggers for intervention and definition of progression in cohorts of active
 surveillance/ watchful waiting/other observational management strategies (continued)

 Center, Country   Eligibility criteria   Followup or monitoring protocol   Triggers for intervention/   Definition of
 [PMID]                          active therapy                   progression
 Enrollment year
 stage ≤T2 and
 age ≤80 yr.
 Univ. of North   Patients with   PSA was monitored at 3 mo, then every 6 mo. Hematocrit and   NR   Development of
 Carolina, US 155    stage T1c   creatinine were measured every 6 mo.   palpable disease in
    prostate cancer                                             DER, gross hematuria,
 1991-1996   who chose to be                                    urinary tract infection,
 on expectant                                                   bothersome symptoms
 management. All                                                due to bladder outlet
 patients had DRE                                               obstruction, metastatic
 enzymatic PAP                                                  disease as shown in
 values obtained                                                physical examination
 prior to or at least                                           or radiographic
 4 wk after                                                     examination, PSA
 prostatic biopsy,                                              level increase in 3
 radionuclide bone                                              consecutive
 scan, and                                                      measurements and
 the absence of a                                               the total increase was
 visible lesion upon                                            > 5 ng/ml.
 transrectal US
 that was proven
 malignant
 histologically.
































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