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Current Geriatrics Reports

, Volume 6, Issue 3, pp 133–138 | Cite as

Prostate Cancer in the Elderly Male: Diagnostic and Management Considerations

  • Marah C. Hehemann
  • Kristin G. Baldea
  • Marcus L. QuekEmail author
Surgical Care for the Geriatric Patient (F Luchette and R Gonzalez, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Surgical Care for the Geriatric Patient

Abstract

Purpose of Review

Along with an aging US population comes the growing need for clinical guidelines inclusive of and specific to this unique group. Prostate cancer (PCa) is increasingly recognized as a substantial cause of mortality and morbidity in the elderly. This review seeks to address the unmet need for standardized PCa screening and management protocols for geriatric men and to synthesize recommendations based on recent literature.

Recent Findings

Guidelines regarding PCa screening in elderly men are still being optimized, with many organizations moving toward inclusion of pre-screening global health assessment. Physician compliance with screening and treatment of PCa in geriatric patients is suboptimal, despite advanced age being a predictor of advanced disease. Elderly patients may experience treatment-related side effects which differ from their younger counterparts.

Summary

Providers treating older men are encouraged to utilize comprehensive health assessments which account for comorbidities, functional status, and global well-being, along with shared decision-making, in determining diagnostic and therapeutic pathways.

Keywords

Prostate cancer Aged Prostatectomy Risk assessment Surgical care Geriatric care 

Abbreviations

PCa

Prostate cancer

USPSTF

US Preventive Services Task Force

AGS

American Geriatric Society

AUA

American Urological Association

NCC

National Comprehensive Cancer Network

PSA

Prostate-specific antigen

RP

Radical prostatectomy

RT

Radiation therapy

ADT

Androgen deprivation therapy

SIOG

International Society of Geriatric Oncology

EBRT

External beam radiation therapy

AS

Active surveillance

Notes

Compliance with Ethical Standards

Conflict of Interest

Marcus Quek, Kristin Baldea, and Marah Hehemann declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Marah C. Hehemann
    • 1
  • Kristin G. Baldea
    • 1
  • Marcus L. Quek
    • 1
    Email author
  1. 1.Department of UrologyLoyola University Medical CenterMaywoodUSA

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