Table 1.
Institution, start year, sample size* | Eligibility criteria | Follow-up schedule | Definition of progression according to protocol |
---|---|---|---|
Johns Hopkins University, 1995, N = 1,298 |
Younger men: T1c stage; < 0.15 μg/L/cc PSA density; ≤ 6 Gleason score; ≤ 2 positive cores; ≤ 50% core involvement Older men: ≤ T2a stage; < 10 μg/L PSA; ≤ 6 Gleason score |
~ 6 months: PSA, DRE ~ 12 months: biopsy |
Any adverse change on prostate biopsy |
Canary Prostate Active Surveillance Study, 2008, N = 1,067 | ≤ T2 stage; 10-core biopsy ≤ 1 year or ≥ 2 biopsies ≥ 1 year |
~ 3 months: PSA; ~ 6 months: DRE; 6–12, 24, 48, and 72 months: biopsy |
Increase in biopsy Gleason score or in volume from < 34% to ≥ 34% of cores positive |
University of Toronto, 1995, N = 1,104 |
Before 1999: For age <70 years: ≤ 6 Gleason score; ≤ 10 μg/L PSA; For age ≥70 years: ≤ 15 μg/L PSA or ≤ 3+4 Gleason score After 1999: Additionally, ≤ 20 μg/L PSA and ≤ 3+4 Gleason score in men with clinically significant comorbidities or < 10 year life expectancy |
First year: ~ 3 months: PSA; ~ 12 months: biopsy Second year: ~ 3 months: PSA Third year and beyond: ~ 6 months: PSA ~ 36–48 months: biopsy |
Histologic upgrading or clinical progression between biopsies; until 2009 also < 3 years PSA doubling time |
University of California San Francisco, 1990, N = 1,319 | Has evolved over time Currently: ≤ T2 Stage; ≤ 10 μg/L PSA; ≤ 6 Gleason score; ≤ 33% positive cores; ≤ 50% core involvement; Exceptions can be made |
~ 3 months: PSA; ~ 6 months: Transrectal ultrasound ~ 12–24 months: biopsy depending on risk |
Increase to ≥ 3+4 Gleason score, > 33% positive cores, or > 50% involvement |
Sample size used in this study before exclusions, which may be different from previous published papers.
means “every”.