Active surveillance for prostate cancer: Is it ready for primetime in the Caribbean?

S. Persaud, L. Goetz, Arthur Burnett

Research output: Contribution to journalArticle

Abstract

Objective: In this paper we discuss the strategy of active surveillance (AS) as a whole followed by the implications of its use in the Caribbean. Methods: The literature was reviewed with a view to establishing the merits of AS and to identify potential pitfalls in the application of AS among a primarily black population. Results: Active surveillance (AS) has emerged as a viable treatment strategy aimed at reducing overtreatment of indolent disease. However, there have been concerns raised over the applicability of AS among men of African descent. Black men are at higher risk of aggressive disease and data are emerging which suggest outcomes may not parallel those of their white counterparts. Recent advances such as multiparametric MRI and genetic testing have the potential to guide decision making in these men. Conclusion: Active surveillance should not be universally rejected in black men and perhaps further study is needed to determine race-specific recommendations. Until then, discussion with the patient should reflect the potential pitfalls for black men on active surveillance.

Original languageEnglish (US)
JournalAfrican Journal of Urology
DOIs
StateAccepted/In press - Mar 22 2016

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Prostatic Neoplasms
Genetic Testing
Decision Making
Population
Therapeutics

Keywords

  • Active surveillance
  • African
  • Caribbean

ASJC Scopus subject areas

  • Urology

Cite this

Active surveillance for prostate cancer : Is it ready for primetime in the Caribbean? / Persaud, S.; Goetz, L.; Burnett, Arthur.

In: African Journal of Urology, 22.03.2016.

Research output: Contribution to journalArticle

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