Using "Age and Total-PSA" as the Main Indicators : The Results of Taizhou Integrated Prostate Screening (No 2)

The aim of the study was to analyze population-based prostate cancer (PCa) screening and the incidence of PCa among males ≥50 years of age residing in the Luqiao district of Taizhou, China. From October to December 2020, male residents ≥50 years of age were screened for serum total prostate-specific antigen (total-PSA). If t-PSA re-test levels persisted above 4 μg/L, subjects underwent further noninvasive examinations, including digital rectal examination or multiparameter magnetic resonance imaging (mpMRI) of the prostate. Subjects underwent prostate biopsy of pathological tissue based on t-PSA and mpMRI results. A total of 3524 (49.1%) residents participated in this PCa screening study. In total, 285 (8.1%) subjects exhibited t-PSA levels ≥4.0 μg/L and 112 (3.2%) underwent noninvasive examinations. Forty-two (1.2%) residents underwent prostate biopsy, of which 16 (0.45%) were diagnosed with PCa. Of those diagnosed with PCa, three (19%) had localized PCa (cT1-cT2N0M0), six (37%) had locally advanced PCa (cT3a- cT4N0-1M0), and seven (44%) had advanced metastatic PCa (M1). Unfortunately, 3477 (48.5%) residents did not participate in the study, mainly due to lack of awareness of PCa based on feedback from local health centers. Age and t-PSA were used as primary screening indicators and, when further combined with mpMRI and prostate biopsy, confirmed the diagnosis of PCa among participating residents. Although this was a relatively economical and convenient screening method, education and knowledge should be further enhanced to increase the participation rate in PCa screening programs.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

American journal of men's health - 17(2023), 2 vom: 01. März, Seite 15579883231161292

Sprache:

Englisch

Beteiligte Personen:

Zhu, Xiao-Liang [VerfasserIn]
Tung, Tao-Hsin [VerfasserIn]
Li, Haipin [VerfasserIn]
Wu, Songjiang [VerfasserIn]
Wang, Xianyou [VerfasserIn]
Wang, Lijun [VerfasserIn]
Zhang, Meixian [VerfasserIn]
Chen, Zhixia [VerfasserIn]
Liu, Dingyi [VerfasserIn]
Li, Feipin [VerfasserIn]

Links:

Volltext

Themen:

EC 3.4.21.77
Early prostate cancer screening
Journal Article
Magnetic resonance imaging
Prostate puncture
Prostate-Specific Antigen
Prostate-specific antigen
Research Support, Non-U.S. Gov't
Taizhou

Anmerkungen:

Date Completed 03.04.2023

Date Revised 25.04.2023

published: Print

Citation Status MEDLINE

doi:

10.1177/15579883231161292

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355030993