open access

Vol 72, No 3 (2022)
Review paper
Published online: 2022-04-12
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Assessment of the effectiveness of clinical PSA concentration measurements in early prostate cancer detection

Tomasz Tatara12, Wojciech Miazga2, Jakub Świtalski23, Katarzyna Wnuk24, Magdalena Jabłońska25, Adrian Matera2, Dagmara Karauda2, Agnieszka Zagrobelna2, Sylwia Jopek3
DOI: 10.5603/NJO.a2022.0022
·
Nowotwory. Journal of Oncology 2022;72(3):167-173.
Affiliations
  1. Department of Public Health, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
  2. Department of Health Policy Programs, Department of Health Technology Assessment, Agency for Health Technology Assessment and Tariff System, Warsaw, Poland
  3. Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
  4. Department of Epidemiology and Primary Cancer Prevention, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  5. Department of Prevention of Environmental Hazards, Allergology and Immunology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland

open access

Vol 72, No 3 (2022)
Review article
Published online: 2022-04-12

Abstract

Introduction.Prostate cancer is a malignant neoplasm originating primarily in the peripheral zone of the prostate gland. A patient’s survival depends largely on the stage of the disease and the treatment method used, which is why early detection of the tumour plays an important role. One of the methods used for screening for prostate cancer is the measurement of prostate specific antigen (PSA) concentration.

Material and methods.The analysis was based on the results of the research found in the systematic review. The fol­lowing sources of medical information were searched for secondary research: Medline (via PubMed), Embase (via Ovid), The Cochrane Library. The time range has been set to articles published between July 2011 and July 2021.

Results.The inclusion criteria for a systematic review of the clinical effectiveness of PSA measurements in the early detection of prostate cancer were met by 5 secondary scientific evidence articles. Most of the evidence found showed an increase in the detection of prostate cancer after PSA testing. In case of stage III or IV tumours and the metastatic prostate cancer (CaP) variant, a statistically significant reduction in tumour detection was demonstrated. Most of the scientific evidence indicates a statistically insignificant effect of PSA screening on the risk of death due to CaP (with a diagnostic threshold of ≥4 ng/ml).

Conclusions.Screening in the opportunistic variant aimed at prostate cancer with the use of PSA concentration is justified in men between 50 and 69 years of age, and in men <50 years of age should they have additional risk factors. Conversely, it seems unjustified to conduct population-based screening for prostate cancer.

Abstract

Introduction.Prostate cancer is a malignant neoplasm originating primarily in the peripheral zone of the prostate gland. A patient’s survival depends largely on the stage of the disease and the treatment method used, which is why early detection of the tumour plays an important role. One of the methods used for screening for prostate cancer is the measurement of prostate specific antigen (PSA) concentration.

Material and methods.The analysis was based on the results of the research found in the systematic review. The fol­lowing sources of medical information were searched for secondary research: Medline (via PubMed), Embase (via Ovid), The Cochrane Library. The time range has been set to articles published between July 2011 and July 2021.

Results.The inclusion criteria for a systematic review of the clinical effectiveness of PSA measurements in the early detection of prostate cancer were met by 5 secondary scientific evidence articles. Most of the evidence found showed an increase in the detection of prostate cancer after PSA testing. In case of stage III or IV tumours and the metastatic prostate cancer (CaP) variant, a statistically significant reduction in tumour detection was demonstrated. Most of the scientific evidence indicates a statistically insignificant effect of PSA screening on the risk of death due to CaP (with a diagnostic threshold of ≥4 ng/ml).

Conclusions.Screening in the opportunistic variant aimed at prostate cancer with the use of PSA concentration is justified in men between 50 and 69 years of age, and in men <50 years of age should they have additional risk factors. Conversely, it seems unjustified to conduct population-based screening for prostate cancer.

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Keywords

prostate cancer; prostate-specific antigen; early detection of cancer

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About this article
Title

Assessment of the effectiveness of clinical PSA concentration measurements in early prostate cancer detection

Journal

Nowotwory. Journal of Oncology

Issue

Vol 72, No 3 (2022)

Article type

Review paper

Pages

167-173

Published online

2022-04-12

Page views

90

Article views/downloads

30

DOI

10.5603/NJO.a2022.0022

Bibliographic record

Nowotwory. Journal of Oncology 2022;72(3):167-173.

Keywords

prostate cancer
prostate-specific antigen
early detection of cancer

Authors

Tomasz Tatara
Wojciech Miazga
Jakub Świtalski
Katarzyna Wnuk
Magdalena Jabłońska
Adrian Matera
Dagmara Karauda
Agnieszka Zagrobelna
Sylwia Jopek

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