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. 2023 Jul;210(1):46-53.
doi: 10.1097/JU.0000000000003491. Epub 2023 Apr 25.

Early Detection of Prostate Cancer: AUA/SUO Guideline Part I: Prostate Cancer Screening

John T Wei  1 , Daniel Barocas  2 , Sigrid Carlsson  3 , Fergus Coakley  4 , Scott Eggener  5 , Ruth Etzioni  6 , Samson W Fine  3 , Misop Han  7 , Sennett K Kim  8 , Erin Kirkby  8 , Badrinath R Konety  9 , Martin Miner  10 , Kelvin Moses  2 , Merel G Nissenberg  11 , Peter A Pinto  12 , Simpa S Salami  1 , Lesley Souter  13 , Ian M Thompson  14 , Daniel W Lin  15
Affiliations

Early Detection of Prostate Cancer: AUA/SUO Guideline Part I: Prostate Cancer Screening

John T Wei et al. J Urol. 2023 Jul.

Abstract

Purpose: The summary presented herein covers recommendations on the early detection of prostate cancer and provides a framework to facilitate clinical decision-making in the implementation of prostate cancer screening, biopsy, and follow-up. This is Part I of a two-part series that focuses on prostate cancer screening. Please refer to Part II for discussion of initial and repeat biopsies as well as biopsy technique.

Materials and methods: The systematic review utilized to inform this guideline was conducted by an independent methodological consultant. The systematic review was based on searches in Ovid MEDLINE and Embase and Cochrane Database of Systematic Reviews (January 1, 2000-November 21, 2022). Searches were supplemented by reviewing reference lists of relevant articles.

Results: The Early Detection of Prostate Cancer Panel developed evidence- and consensus-based guideline statements to provide guidance in prostate cancer screening, initial and repeat biopsy, and biopsy technique.

Conclusions: Prostate-specific antigen (PSA)-based prostate cancer screening in combination with shared decision-making (SDM) is recommended. Current data regarding risk from population-based cohorts provide a basis for longer screening intervals and tailored screening, and the use of available online risk calculators is encouraged.

Keywords: DRE; PSA; biopsy; early detection of prostate cancer; imaging; prostate cancer; prostate cancer screening; risk calculator; screening interval; shared decision-making.

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Figures

FIGURE 1:
FIGURE 1:
INITIAL SCREENING FOR PROSTATE CANCER
See this image and copyright information in PMC

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