A guide to PSA screening guidelines


For those who would like to have access to a sound summary of the recommendations of groups around the world on screening for prostate cancer, we can recommend a recent, relatively brief, and straightforward review article recently published in BJU International.

This easy to follow, three-page article, by Dr. Stacy Loeb of New York University — a recognized authority on risk for and diagnosis of prostate cancer — is entitled “Guideline of guidelines: prostate cancer screening” and (at least at present) is freely accessible to anyone as a full-text article. It came to our attention through information on the UroToday web site.

Please note that Dr. Loeb does not comment on whether specific sets of guidelines are either “right” or “wrong” in her (or anyone else’s) opinion. She simply provides a straightforward summary of the recommendations of the different guideline-writing groups and the limits to the applicability of the guidelines offered because of how they were compiled.

The article is probably a very useful summary of the current “state of play” on recommendations for and against screening for prostate cancer for people like prostate cancer support group leaders and other cancer educators. It addresses the guidance currently being offered by:

  • The U.S. Preventive Services Task Force (USPSTF)
  • The American Urological Association (AUA)
  • The American College of Physicians (ACP)
  • The European Association of Urology (EAU)
  • The Melbourne Consensus Statement group

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