The feasibility of expectant management with inner-city men with newly diagnosed localized prostate cancer.
OBJECTIVE
To determine the compliance rate for treatment recommendations consistent with expectant management of inner-city men with prostate cancer.


METHODS
Twenty-seven out of 560 men who underwent biopsy of the prostate were found to harbor cancer and opted for expectant management. Clinic and hospital records were reviewed for adherence to follow-up schema.


RESULTS
Of the 27 men on expectant management, 22 men (82%) adhered to strict follow-up schema. At 6-month follow-up, there were no significant changes in clinicopathologic features (e.g., prostate specific antigen (PSA), Gleason score, and stage). With a median follow-up of 12 months, only 2 men demonstrated a rise of more than 30% from baseline PSA (repeat biopsy demonstrated persistent low grade, low stage disease).


CONCLUSIONS
Our findings imply that expectant management may be feasible in inner-city settings. Thus, in subsequent expectant management trials, inner-city men should be actively recruited.
Anai
Satoshi
S
Department of Urology, University of Florida, College of Medicine, Gainesville, FL 32610, USA.
Nakamura
Kogenta
K
Chang
Myron N
MN
Pendleton
John
J
Yacoub
Saif
S
Rosser
Charles J
CJ
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D054526:Men's Health; D008875:Middle Aged; D009367:Neoplasm Staging; D010349:Patient Compliance / Q000208:ethnology / Q000706:statistics & numerical data*; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy*; D014505:Urban Population; D057832:Watchful Waiting / Q000706:statistics & numerical data*
D017430:Prostate-Specific Antigen