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June 7, 2018The Journal of UrologyOpen Access

Long-Term Cancer Specific Anxiety in Men Undergoing Active Surveillance of Prostate Cancer: Findings from a Large Prospective Cohort

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Key result

Time on active surveillance for prostate cancer is linked to ~13% lower cancer-specific anxiety.

  • OR 0.87
  • 95% CI 0.79-0.95
  • P=0.003
  • n=413

Why the study?

Cancer specific anxiety during active surveillance of low risk prostate cancer remains understudied.

Does cancer-specific anxiety change over time in men undergoing active surveillance for prostate cancer?

Population

413 men enrolled in active surveillance for prostate cancer at a single tertiary care center

Comparison

Not applicable; observational assessment of anxiety over time

Design

Prospective cohort study using quality of life surveys

Follow-up

Median 3.7 years

Authors

KMKarim MarzoukWestern UniversityMAMelissa AsselMemorial Sloan Kettering Cancer CenterBEBehfar EhdaieMemorial Sloan Kettering Cancer Center

Discussion

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Member takes

Implication

Anxiety may decline over time on active surveillance; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort (n=413)

Multicenter

No

Structured PICO

Does cancer-specific anxiety change over time in men undergoing active surveillance for prostate cancer?

P
Population
413 men with prostate cancer undergoing active surveillance at a single center, followed for a median of 3.7 years.
E
Exposure
Active surveillance
O
Outcome
Cancer specific anxiety measured by a modified version of the MAX-PC (Memorial Anxiety Scale for Prostate Cancer)patient reported

Main Result

Odds Ratio: 0.87 (95% CI 0.79–0.95)

p-value: p=0.003

In men undergoing active surveillance for prostate cancer, cancer-specific anxiety is initially moderate but significantly decreases over time.

Cite This Study

Marzouk et al. (2018) conducted a cohort in Prostate cancer (n=413). Active surveillance was evaluated on Cancer specific anxiety (OR 0.87, 95% CI 0.79-0.95, p=0.003). Time on active surveillance for prostate cancer was associated with a significant decrease in cancer-specific anxiety (OR 0.87; 95% CI 0.79-0.95; p=0.003).

synapsesocial.com/papers/6aa9f460bf5b892176fc95a9https://doi.org/10.1016/j.juro.2018.06.013
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patient-Reported Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancer2016 · 1,362 citations
  2. 2Overdiagnosis Due to Prostate-Specific Antigen Screening: Lessons From U.S. Prostate Cancer Incidence Trends2002 · 953 citations
  3. 3A longitudinal study of anxiety, depression and distress as predictors of sexual and urinary quality of life in men with prostate cancer2013 · 104 citations
  4. 4Long-Term Follow-Up of a Large Active Surveillance Cohort of Patients With Prostate Cancer2014 · 1,232 citations