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. Author manuscript; available in PMC: 2018 Jul 2.
Published in final edited form as: Ann Intern Med. 2017 Nov 28;168(1):1–9. doi: 10.7326/M17-0548

Table 1.

Eligibility criteria, surveillance protocol, and definition of progression in four active surveillance studies.

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”.