Medium-term follow up of active surveillance for early prostate cancer at a non-academic institution.

Metastases in men on active surveillance at a non-academic institution are as rare as those reported in established international cohorts. Men followed without stringent inclusion criteria should be counselled of higher incidence of reclassification, and reassured they can expect rates of adverse pathologic findings comparable to those fulfilling all criteria. Therefore, active surveillance should be proposed to all men with low-grade prostate cancer regardless of whether they are followed at academic institutions or smaller community hospitals.