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.