Abstract
The use of PSA screening has led to downstaging and downgrading of prostate cancer
at diagnosis, increasing detection of indolent disease. Active surveillance aims to
reduce over-treatment by delaying or avoiding radical treatment and its associated
morbidity. However, there is not a consensus on the selection criteria and monitoring
schedules that should be used. This article aims to summarize the evidence supporting
the safety of active surveillance, the current selection criteria recommended and
in use, the incidence of active surveillance, barriers existing to its uptake and
future developments in patient selection.
Keywords
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Article info
Publication history
Published online: September 07, 2022
Accepted:
September 3,
2022
Received in revised form:
August 29,
2022
Received:
January 18,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
