Active surveillance in prostate cancer: a concept analysis

Journal of Clinical Nursing
Tara Horrill

Abstract

To report an analysis of the concept of active surveillance. Prostate cancer has become more prevalent since the introduction of PSA screening, however, many men are diagnosed with low-risk disease that may not require treatment. Active surveillance is a treatment strategy used to avoid treatment and related adverse effects when immediate treatment is not necessary. A universal definition is lacking. Concept analysis. The CINAHL, PubMed, Scopus, Cochrane Library and Google Scholar databases were searched for literature published between 1980 and 2014 using the term active surveillance. The method of Walker and Avant (2010) was used to analyse the concept of active surveillance, specifically within the context of prostate cancer. Key attributes of active surveillance emerging from the analysis include: regular and purposeful monitoring, early detection of disease progression and planned curative intervention if necessary. Multiple terms are used in the literature to refer to the concept of active surveillance. Active surveillance can cause uncertainty, and prompt men to make lifestyle changes and seek more information on prostate cancer. Active surveillance is not well understood, and ambiguity remains around the concept. Active...Continue Reading

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Citations

Jul 1, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Austin JohnsonEleni Linos

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