Early detection of prostate cancer in German urological practice by digital rectal examination and prostate-specific antigen

被引:0
作者
Luboldt, HJ [1 ]
Hüsing, J [1 ]
Rübben, H [1 ]
Altwein, JE [1 ]
Bichler, KH [1 ]
Czaja, D [1 ]
Fornara, P [1 ]
Jöckel, KH [1 ]
Schalkhäuser, K [1 ]
Weissbach, L [1 ]
Wirth, M [1 ]
机构
[1] Univ Essen Gesamthsch, Inst Med Informat Epidemiol & Biometrie, Urol Klin & Poliklin, D-45122 Essen, Germany
来源
UROLOGE A | 2000年 / 39卷 / 04期
关键词
prostate cancer; early detection; PSA; positive predictive value;
D O I
10.1007/s001200050365
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
For the early detection of prostate cancer, a patient should undergo digital rectal examination (DRE) and PSA investigation. Followup of increased PSA levels detects nearly 80% of cancers. Positive predictive value of suspicious DRE and PSA is about 50%. Whereas in the first evaluation of this case-finding trial about 70% of the patients had organ-confined cancers, nearly all of the detected cancers in the follow-up investigation were organ confined. The increased number of organ-confined cancers detected in early periodical examinations can lead to a reduction of mortality and morbidity from prostate cancer.
引用
收藏
页码:330 / 333
页数:4
相关论文
共 12 条
[1]  
ALTWEIN JE, 1999, PROSTATE CANC PRO S2, V2, P15
[2]  
[Anonymous], J UROLOGY
[3]   Prostate-specific antigen testing of older men [J].
Carter, HB ;
Landis, PK ;
Metter, EJ ;
Fleisher, LA ;
Pearson, JD .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1999, 91 (20) :1733-1737
[4]   Recommended prostate-specific antigen testing intervals for the detection of curable prostate cancer [J].
Carter, HB ;
Epstein, JI ;
Chan, DW ;
Fozard, JL ;
Pearson, JD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (18) :1456-1460
[5]   PROSTATE-CANCER DETECTION IN A CLINICAL UROLOGICAL PRACTICE BY ULTRASONOGRAPHY, DIGITAL RECTAL EXAMINATION AND PROSTATE SPECIFIC ANTIGEN [J].
COONER, WH ;
MOSLEY, BR ;
RUTHERFORD, CL ;
BEARD, JH ;
POND, HS ;
TERRY, WJ ;
IGEL, TC ;
KIDD, DD .
JOURNAL OF UROLOGY, 1990, 143 (06) :1146-1154
[6]   Cancer surveillance series: Interpreting trends in prostate cancer - Part II: Cause of death misclassification and the recent rise and fall in prostate cancer mortality [J].
Feuer, EJ ;
Merrill, RM ;
Hankey, BF .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1999, 91 (12) :1025-1032
[7]  
Hoedemaeker RF, 1999, CANCER, V85, P145, DOI 10.1002/(SICI)1097-0142(19990101)85:1<145::AID-CNCR20>3.3.CO
[8]  
2-P
[9]  
HOLZEL D, 1995, 5 30 PROSTATAKARZINO, P361
[10]   Screening for early prostate cancer in Germany.: Preliminary results of a prospective multicenter trial [J].
Luboldt, HJ ;
Altwein, JE ;
Bichler, KH ;
Czaja, D ;
Hüsing, J ;
Fornara, P ;
Jöckel, KH ;
Lübben, G ;
Schalkhäuser, K ;
Weissbach, L ;
Wirth, M ;
Rübben, H .
UROLOGE A, 1999, 38 (02) :114-123