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. 2012 Apr 16;14(3):361–364. doi: 10.1038/aja.2011.151

Table 2. Follow-up protocols and triggers indicating initiation of radical treatment in prospective active surveillance studies.

  Johns Hopkins University14 University of Toronto11 PRIAS15 UCSF16 Japanese Multicenter12
PSA check 6 monthly 3 monthly 3 monthly 3 monthly 3 monthly
DRE check 6 monthly 6 monthly 6 monthly n.d. 6 monthly
TRUS check n.d. n.d. n.d. 6–12 months 6 monthly
Repeat biopsy Annually 6–12 months after AS and every 2–3 years thereafter 1 year after AS. PSA-DT >10years: every 3 years thereafter; PSA-DT: 3–10 years annually Every 1–2 years 1 year after AS
Trigger for active treatment Repeat biopsy: reclassification PSA-DT <3 years Repeat biopsy: reclassification PSA-DT<3 years Repeat biopsy: reclassification PSAV >0.75 Repeat biopsy: reclassification PSA-DT<2 years Repeat biopsy: reclassification

Abbreviations: DRE, digital rectal exam; n.d., not defined; PRIAS, the Prostate Cancer Research International: Active Surveillance; PSA, prostate-specific antigen; PSA-DT, PSA doubling time; TRUS, transrectal ultrasonography; UCSF, University of California, San Francisco.