Prostate cancer screening with prostate-specific antigen: A guide to the guidelines
- PMID: 27995110
- PMCID: PMC5153437
- DOI: 10.1016/j.prnil.2016.09.002
Prostate cancer screening with prostate-specific antigen: A guide to the guidelines
Abstract
Background: Prostate cancer remains the most common non-skin cancer malignancy in men. Prostate-specific antigen (PSA) is recognized as a biomarker for the diagnosis, monitoring, and risk prediction of prostate cancer. Its use in the setting of prostate cancer screening has been controversial due to the risk of over diagnosis and over treatment.
Objective: Within Australia, there are inconsistent recommendations surrounding the use of PSA screening in clinical practice. In light of the 2016 PSA-screening guidelines by the major Australian health authorities, the current review aims to highlight the controversies and objectively outline the current recommendations within Australia.
Discussion: Health-care authorities across Australia have issued conflicting guidelines for prostate cancer screening culminating in confusion amongst health care practitioners and members of the public alike. A general consensus is held by other countries across the globe but differences amongst the specific details in how to best employ a PSA screening program still exist.
Keywords: Guidelines; Prostate cancer; Prostate-specific antigen; Screening.
Figures
Similar articles
-
PSA testing for men at average risk of prostate cancer.Public Health Res Pract. 2017 Jul 26;27(3):2731721. doi: 10.17061/phrp2731721. Public Health Res Pract. 2017. PMID: 28765854
-
[Prostate cancer screening using prostate-specific antigen: The views of general and laboratory physicians].Semergen. 2018 Sep;44(6):409-419. doi: 10.1016/j.semerg.2018.02.001. Epub 2018 Mar 21. Semergen. 2018. PMID: 29574008 Spanish.
-
Screening for prostate cancer: the current evidence and guidelines controversy.Can J Urol. 2011 Oct;18(5):5875-83. Can J Urol. 2011. PMID: 22018148 Review.
-
Prevalence and associations of general practitioners' ordering of "non-symptomatic" prostate-specific antigen tests: A cross-sectional analysis.Int J Clin Pract. 2017 Oct;71(10). doi: 10.1111/ijcp.12998. Epub 2017 Sep 4. Int J Clin Pract. 2017. PMID: 28869684
-
Prostate-specific antigen-based screening for prostate cancer: evidence, controversies and future perspectives.Int J Urol. 2009 May;16(5):458-64. doi: 10.1111/j.1442-2042.2009.02293.x. Epub 2009 Apr 1. Int J Urol. 2009. PMID: 19341365 Review.
Cited by
-
Multiplex plasma protein profiling identifies novel markers to discriminate patients with adenocarcinoma of the lung.BMC Cancer. 2019 Jul 29;19(1):741. doi: 10.1186/s12885-019-5943-3. BMC Cancer. 2019. PMID: 31357969 Free PMC article.
-
Energy Dispersive X-Ray Fluorescence Zn/Fe Ratiometric Determination of Zinc Levels in Expressed Prostatic Fluid: A Direct, Non-Invasive and Highly Accurate Screening for Prostate Cancer.Acta Sci Cancer Biol. 2018 Nov;2(9):20-26. Epub 2018 Oct 10. Acta Sci Cancer Biol. 2018. PMID: 30547158 Free PMC article.
-
Prospective performance of the Prostate Health Index in prostate cancer detection in the first prostate biopsy of men with a total prostatic specific antigen of 4-10 ng/mL and negative digital rectal examination.Prostate Int. 2018 Dec;6(4):136-139. doi: 10.1016/j.prnil.2018.02.002. Epub 2018 Feb 15. Prostate Int. 2018. PMID: 30505815 Free PMC article.
-
What should be done to minimize pain without any sexual function deterioration in transrectal prostate biopsy?Cent European J Urol. 2017;70(4):372-377. doi: 10.5173/ceju.2017.1442. Epub 2017 Oct 9. Cent European J Urol. 2017. PMID: 29410888 Free PMC article.
-
MDA5 autoantibody-another indicator of clinical diversity in dermatomyositis.Ann Transl Med. 2017 Apr;5(7):160. doi: 10.21037/atm.2017.03.94. Ann Transl Med. 2017. PMID: 28480196 Free PMC article. Review.
References
-
- Cancer in Australia 2014: actual incidence data from 1982 to 2011 and mortality data from 1982 to 2012 with projections to 2014. Asia Pac J Clin Oncol. 2015;11:208–220. - PubMed
-
- Prostate Cancer Statistics: Australian Institute of Health and Welfare; 2015 [Internet]. [cited 2016 Feb 24]. Available from: https://prostate-cancer.canceraustralia.gov.au/statistics.
-
- Australian Institute of Health and Welfare . AIHW; Canberra: 2014. Cancer in Australia: an overview.http://www.aihw.gov.au/publication-detail/?id=60129550047 Cancer series no. 90 [Internet] Available from:
-
- Perera M., Manning T., Finelli A., Lawrentschuk N. Management of men with previous negative prostate biopsy. Curr Opin Urol. 2016;26:481–487. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
Miscellaneous