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

S. Persaud, L. Goetz, A. L. Burnett

Research output: Contribution to journalReview articlepeer-review

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)
Pages (from-to)89-93
Number of pages5
JournalAfrican Journal of Urology
Volume23
Issue number2
DOIs
StatePublished - Jun 2017

Keywords

  • Active surveillance
  • African
  • Caribbean

ASJC Scopus subject areas

  • Urology

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