Strategies adopted by men to deal with uncertainty and anxiety when following an active surveillance/monitoring protocol for localised prostate cancer and implications for care: a longitudinal qualitative study embedded within the ProtecT trial

Julia Wade, Jenny Donovan, Athene Lane, Michael Davis, Eleanor Walsh, David Neal, Emma Turner, Richard Martin, Chris Metcalfe, Tim Peters, Freddie Hamdy, Roger Kockelbergh, James Catto, Alan Paul, Peter Holding, Derek Rosario, Howard Kynaston, Edward Rowe, Owen Hughes, Prasad Bollina, David Gillatt, Alan Doherty, Vincent J Gnanapragasam & Edgar Paez
Objectives: Active surveillance (AS) enables men with low risk, localised prostate cancer (PCa) to avoid radical treatment unless progression occurs; lack of reliable AS protocols to determine progression leaves uncertainties for men and clinicians. This study investigated men’s strategies for coping with the uncertainties of active monitoring (AM, a surveillance strategy within the Prostate testing for cancer and Treatment, ProtecT trial) over the longer term and implications for optimising supportive care. Design: Longitudinal serial in-depth...
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