Freedom of Information request - Active surveillance for prostate cancer
Below is a list of the questions included within the online survey. If the answers could still be provided online here
(https://www.surveymonkey.co.uk/r/AS_prostatecancer) that would be much appreciated.
About your Trust/Health Board
In which country is your Trust/Health Board located?
England
Name of Trust/Health Board/Health & Social Care Trust you are replying from:
Chelsea and Westminster Hospital NHS Fdn Trust
Active surveillance protocols
Does your Trust/Health Board/Health & Social Care Trust have an active surveillance protocol?
Yes – an externally published protocol, e.g. NICE
[If ‘yes – an externally published protocol’]
Which externally published protocol does the Trust/Health Board/Health & Social Care Trust use?
o
National Institute for Health and Care Excellence (NICE) Clinical Guideline 175 protocol for
active surveillance (2014): Available online here
o Prostate cancer Research International: Active Surveillance (PRIAS) protocol
: Available online
here
Inclusion criteria for active surveillance
Please indicate below which of the following the Trust/Health Board/Health & Social Care Trust uses, and in what way,
as
inclusion criteria for active surveillance. If any of the following are used according to the published protocol you follow (if applicable), then you do not have to
provide further details.
Used?
Details (e.g. used according to published protocol,
type (if applicable), how result is used as inclusion
criteria for active surveillance):
PSA level (ng/ml)
Yes
Three/four months
Active surveillance clinic
Does the Trust/Health Board/Health & Social Care Trust have a dedicated active surveillance clinic?
No
Any comments:
Patients are seen in general Urology clinics, oncology and joint urology clinic.
Follow up of men on active surveillance
Who manages men on active surveillance? If this changes over time, please provide details in the comments box
below.
(Multiple select)
Urologist
Oncologist
CNS – we have a dedicated CNS telephone clinic for PSA surveillance
Please indicate below which of the following tools the Trust/Health Board/Health & Social Care Trust uses, and in
what way, to
follow up men during active surveillance. If any of the following are used according to the published protocol you follow (if applicable), then you do not have to
provide further details.
Used?
Details (e.g. used according to published protocol, type (if applicable),
frequency the tool is used during active surveillance):
PSA
Yes
Multi-parametric MRI (mpMRI)
Yes
Two/three months
Repeat biopsy
Yes
If elevated PSA for TRUS biopsies or template biopsies
Triggers for changing management strategy
Please indicate below which of the following the Trust/Health Board/Health & Social Care Trust uses, and in what way,
as
potential triggers for a change in management strategy.
If any of the following are used according to the published protocol you follow (if applicable), then you do not have to
provide further details.
Used?
Details (e.g. used according to published protocol, type (if applicable),
what finding triggers a change in management strategy):
PSA kinetics
Yes
Multi-parametric
MRI
Yes
(mpMRI)
Tumour upgrading on repeat
Yes
biopsy
% of positive biopsy cores
Yes
Increase in tumour volume
Yes
Patient choice
Yes
Other
(please
provide
details):
Active surveillance database
Does the Trust/Health Board/Health & Social Care Trust have a database of men on active surveillance?
Yes
Any comments: As a Trust we use Somerset,
Would the Trust/Health Board/Health & Social Care Trust be willing, and have the resources to, submit their active
surveillance patients to a UK database/registry?
Yes