Prostate Cancer Screening Guidelines

Prostate cancer screening

Elizabeth Kessler, MD

October 19, 2017

The ¡°stats¡±

SEER.

The advent of PSA

Hoffman, N Engl J Med 2011

Screening principles

¨C Disease should have a high incidence ¡Ì

¨C Biological behavior and natural history of the disease

should be known ¡Ì

¨C Test should have high sensitivity, specificity, and positive

predictive value ?

¨C Test should be rapid, inexpensive, noninvasive, and

acceptable to patients ¡Ì

¨C Acceptable and efficacious method of treatment must exist

for patients diagnosed with disease ¡Ì

¨C Screening should lower the disease-specific morbidity and

increase survival ?

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