Reply from Authors re: Laurence Klotz. Active Surveillance, Quality of Life, and Cancer-related Anxiety. Eur Urol 2013;64:37–9: Active Surveillance: Risk and Protective Factors for Quality of Life

Published on Jul 1, 2013in European Urology17.947
· DOI :10.1016/J.EURURO.2013.02.028
Lara Bellardita10
Estimated H-index: 10
Riccardo Valdagni51
Estimated H-index: 51
Tiziana Rancati27
Estimated H-index: 27
#1Laurence Klotz (Sunnybrook Health Sciences Centre)H-Index: 85
Cancer is a dreaded disease in the publicmind, and learning that one is diagnosed is a stressful and anxiety-laden experience. The diagnosis of prostate cancer induces a range of psychosocial responses in men and their families. The responses to a cancer diagnosis, like responses to any major stressor, reflect many factors including a patient’s upbringing, personality, and social support and environment. Men diagnosed with prostate cancer in late middle age may have their response conditioned by...
24 CitationsSource
#1Lara BellarditaH-Index: 10
#2Tiziana RancatiH-Index: 27
Last. Riccardo ValdagniH-Index: 51
view all 11 authors...
Abstract Background Active surveillance (AS) is emerging as an alternative approach to limit the risk of overtreatment and impairment of quality of life (QoL) in patients with low-risk localised prostate cancer. Although most patients report high levels of QoL, some men may be distressed by the idea of living with untreated cancer. Objective To identify factors associated with poor QoL during AS. Design, setting, and participants Between September 2007 and March 2012, 103 patients participated i...
78 CitationsSource
#1Tiziana MagnaniH-Index: 10
#2Riccardo ValdagniH-Index: 51
Last. Nadia ZaffaroniH-Index: 66
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Study Type – Therapy (decision analysis) Level of Evidence 2b What's known on the subject? and What does the study add? The benefits of the multidisciplinary approach in oncology are widely recognised. In particular, managing patients with prostate cancer within a multidisciplinarity and multiprofessional context is of paramount importance, to address the complexity of a disease where patients may be offered multiple therapeutic and observational options handled by different specialists and havi...
36 CitationsSource
#1Ayal A. Aizer (Harvard University)H-Index: 34
#2Jonathan J. PalyH-Index: 15
Last. Jason A. EfstathiouH-Index: 55
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Purpose Multidisciplinary clinics offer a unique approach to the management of patients with cancer. Yet, limited data exist to show that such clinics affect management. The purpose of this study was to determine whether consultation at a multidisciplinary clinic is associated with selection of active surveillance in patients with low-risk prostate cancer. Patients and Methods The study comprised 701 men with low-risk prostate cancer managed at three tertiary care centers in Boston, MA in 2009. ...
111 CitationsSource
#1Roderick C.N. van den Bergh (EUR: Erasmus University Rotterdam)H-Index: 37
#2Ida J. KorfageH-Index: 36
Last. Chris H. BangmaH-Index: 78
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Purpose of reviewActive surveillance is emerging as a serious alternative to radical therapy for low-risk prostate cancer. In a situation in which the difference in effects on disease morbidity and mortality of different treatment options for these malignancies is likely to be small, the quality of
56 CitationsSource
#1Lara BellarditaH-Index: 10
#2Tiziana RancatiH-Index: 27
Last. Riccardo ValdagniH-Index: 51
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2 CitationsSource
8 CitationsSource
#1Riccardo ValdagniH-Index: 51
#2Peter Albers (HHU: University of Düsseldorf)H-Index: 43
Last. Alberto CostaH-Index: 49
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The widely recognised benefits of a multidisciplinary approach to treating cancer may be particularly important in prostate cancer, where there are so many treatment options to choose from. It offers patients the best chance of receiving high-quality medical procedures administered by a team of specialists in prostate disease, which is able to tailor treatment and observational strategies to their needs, and ensure access to specialist counselling, supportive care and rehabilitation. This articl...
44 CitationsSource
#1Lara BellarditaH-Index: 10
#2Simona DoneganiH-Index: 5
Last. Riccardo ValdagniH-Index: 51
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Purpose: Previous studies indicate that a multidisciplinary approach could be suitable for dealing with the complex issues faced by physicians in the management of prostate cancer; however, few studies have investigated clinicians’ perceptions of multidisciplinary care. Our aim was to evaluate clinicians’ perceptions of the patient-clinician relationship in a multidisciplinary context, and to compare this with physicians’ perceptions of providing care independently. Methods: A qualitative observ...
25 CitationsSource
#1Tom Pickles (TBCC: Tom Baker Cancer Centre)H-Index: 54
#2J. Dean Ruether (TBCC: Tom Baker Cancer Centre)H-Index: 13
Last. Fabijana Jakulj (TBCC: Tom Baker Cancer Centre)H-Index: 2
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OBJECTIVES To review the psychosocial needs of men undergoing active surveillance (AS, the monitoring of early prostate cancer, with curative intervention only if the disease significantly progresses) for prostate cancer, and barriers to its uptake. METHODS The introduction of screening for prostate-specific antigen (PSA) has led to more men diagnosed with early and nonlife-threatening forms of prostate cancer; about half of men diagnosed as a result of PSA testing have cancers that would never ...
96 CitationsSource
Cited By1
#1Lara BellarditaH-Index: 10
#2Silvia VillaH-Index: 6
Last. Riccardo ValdagniH-Index: 51
view all 3 authors...
Purpose of reviewTo summarize the literature on the predictors of quality of life (QoL) of patients with prostate cancer (PCa) on active surveillance and to highlight both risk factors of poor QoL and resilience factors that facilitate decision-making and promote adherence to active surveillance.Rec
9 CitationsSource