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Interesting article from VA regarding watchfull waiting

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Prostate Cancer
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Posted 9/12/2018 11:06 PM (GMT 0)
Instead, according to a study led by Loeb and her colleagues from the Manhattan campus of the VA NY Harbor Healthcare System, NYU School of Medicine, and its Perlmutter Cancer Center, increasing numbers of these men are electing to postpone additional therapy unless their symptoms worsen — a passive practice called watchful waiting — or they are choosing so-called active surveillance.

https://www.blogs.va.gov/VAntage/52011/prostate-cancer-options-veterans-one-va-doctor-personal/
Posted 9/12/2018 11:18 PM (GMT 0)
clickable version:
/www.blogs.va.gov/VAntage/52011/prostate-cancer-options-veterans-one-va-doctor-personal/

AS is on the rise. In just the six years I've been on HW, I've seen a greater acceptance of this practice.

I don't hear the term watchful waiting as much anymore. Personally, I think the more active practice (regular rechecks, medical monitoring) is better and less like to miss a critical event.

Still, I think many, many more men could benefit from AS.
Posted 9/12/2018 11:34 PM (GMT 0)
There is a difference between watchful waiting and active surveillance.

WW is for older men and all risk groups who have limited life expectancies, and there is a loose protocol of monitoring, with palliative care planned if pain becomes severe.

AS is for men of all ages who have very low or low risk PCa, and enter into a supervised program of regular testing, with the intention of treatment if the risk increases. The intent of Intervention would be curative, rather than palliative, for AS.

Recent studies show that newly-diagnosed men are choosing AS/WW, surgery, and radiation in equal percentages. That is a huge jump in AS choices within the past 10 years.
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