Minor impact of watchful waiting and active surveillance of localized prostate cancer on psychological well-being and quality of life.

This study investigated the impact monitoring an early stage prostate cancer had on quality of life or psychological state of mind. The study found that active surveillance or watchful waiting, instead of active treatment, has a minor impact on psychological and quality of life outcomes in the long-term.

Active surveillance (AS) or watchful waiting (WW) are options in early stage prostate cancer instead of active treatment. This involves monitoring the prostate for any changes by regular testing. It is unclear what impact AS/WW has on patient quality of life and psychological state of mind. 

This study investigated the impact of AS/WW on quality of life and on psychological well-being. 341 men were interviewed at diagnosis and again 10 years later. 

After diagnosis, patients who received AS/WW reported similar long-term sexual health and urinary bother scores to those who received active treatment. They also reported fewer bowel complaints than those on radiotherapy and better urinary incontinence than surgical patients. Patients who received AS/WW initially had higher levels of distress than those who had active treatment. 10 years after diagnosis, quality of life and psychological well-being was similar for AS/WW and active treatment. 

The study found that AS or WW, compared to active treatment, has a minor impact on psychological and quality of life outcomes in the long-term.

This study had a significant drop out rate. 

If you have a localized, early stage prostate cancer it may be beneficial to discuss this paper with your doctor.