Page 413 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer

Appendix Table C3.1 Studies on offer, acceptance, and adherence of active surveillance (continued)
Factors examined Author Study approach AS/WW definitions Findings Issues
Year
PMID
surgery or radiation, but only able o Doctor recommended it
to recruit 2 men who chose • Reasons why WW not
watchful waiting (1 of whom was chosen (n=19):
diagnosed 2 years earlier) o Only for older people with
poor health; Too young; Self-
perception of having good
general health and the longevity
of their relatives
o Cancer will progress and kill if
not actively treated; Too risky,
like living with a “ticking time
bomb”; Don’t feel comfortable
“doing nothing” with cancer;
Would worry too much about
cancer spreading
o Doctor did not recommend it
(only ½ remembered being told
of WW)
o Don’t know about it
o Friend(s) went through it had
bad results
o Family would be very upset
o Avoid regret later
• Some highly educated men
had a harder time selecting a
treatment because the
information was “too general”
and there was a “lack of
consensus among experts”
DRE = digital rectal examination; bx = biopsy; dx = diagnosis; GP = General Practitioner; PMID = PubMed identification number.

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