{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:38:24Z","timestamp":1768005504567,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA042014"],"award-info":[{"award-number":["P30CA042014"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010638","name":"Huntsman Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010638","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Prostate"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Guidelines for germline testing in patients with prostate cancer (PCa) are identifying family members who require additional surveillance given pathogenic variants (PVs) that confer increased PCa risk. We established an interdisciplinary clinic for cancer surveillance in high\u2010risk individuals aimed to implement screening recommendations. This study aimed to characterize the clinical features of this cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>The Prostate Cancer Risk Clinic (PCRC) was established for unaffected individuals with germline PVs or a strong PCa family history. PCa screening, urine labs, and questionnaires were included in the visit. Individuals with <jats:italic>BRCA1\/2<\/jats:italic> PVs underwent clinical breast exam as well. Data from the initial visit were abstracted from the medical record and questionnaires for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five individuals with increased PCa risk were followed by the PCRC with a median age of 47 years of age. Twenty individuals (57%) had a family history of PCa, and 34 (97%) had a germline PV associated with an increased risk for developing PCa. Four individuals underwent biopsy due to care in the PCRC, with one PCa identified in an individual with <jats:italic>TP53<\/jats:italic> PV. Median patient response scores indicated mild symptoms of an enlarged prostate (AUASS), normal erectile function (SHIM), and relatively low anxiety about developing PCa (MAX\u2010PC). However, there were notable \u201coutlier\u201d scores on each questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Individuals with prostates and <jats:italic>BRCA1\/2<\/jats:italic> PVs, among other germline PVs, can benefit from a comprehensive interdisciplinary approach to high\u2010risk management. PCa was identified in an individual with a non\u2010<jats:italic>BRCA<\/jats:italic> PV, emphasizing the importance and need for high\u2010risk screening guidelines across all genes with increased risk for PCa. \u201cOutlier\u201d patient response scores demonstrate that some participants experienced worse symptoms or anxiety than was indicated by median scores alone.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pros.24447","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T04:03:58Z","timestamp":1665201838000},"page":"151-157","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Initial outcomes and insights from a novel high\u2010risk prostate cancer screening clinic"],"prefix":"10.1002","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4215-6428","authenticated-orcid":false,"given":"Jonathan B.","family":"Harper","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology, Huntsman Cancer Institute University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4994-4793","authenticated-orcid":false,"given":"Samantha E.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Genetic Counseling Shared Resource, Huntsman Cancer Institute University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor C.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Huntsman Cancer Institute University of Utah Salt Lake City Utah USA"},{"name":"Department of Urology University of Rochester Medical Center Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen A.","family":"Cooney","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine and the Duke Cancer Institute Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brock B.","family":"O'Neil","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Huntsman Cancer Institute University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/PO.20.00432"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2018.6760"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1158\/1940-6207.CAPR-20-0448"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2012.146"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1603144"},{"key":"e_1_2_9_7_1","unstructured":"Network National Comprehensive Cancer. 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