基层医疗中的前列腺特异性抗原检测
PSA testing in general practice.
作者信息
Little B, Ho K J, Gormley G, Young M
机构信息
Department of Urology, Ward 2 South, Craigavon Area Hospital Group Trust, Craigavon, Northern Ireland, UK.
出版信息
Prostate Cancer Prostatic Dis. 2003;6(2):154-8. doi: 10.1038/sj.pcan.4500646.
A questionnaire was sent to 400 general practitioners (GPs), concerning prostate-specific antigen (PSA) screening. Regarding the indications for PSA testing, 80% of GPs test men with urinary tract symptoms, 65% test men with a positive family history, 62% test on patient request, and 21% test men with unrelated symptoms. When PSA is measured, 91% of GPs inform their patient, and 71% discuss the significance of an abnormal result. The mean age range for PSA testing was from 50 years, without an upper age limit. The mode PSA threshold for referral was 6.6 ng/ml. De facto PSA screening appears to be widely practised.
一份关于前列腺特异性抗原（PSA）筛查的问卷被发送给了400名全科医生（GP）。关于PSA检测的适应症，80%的全科医生会对有泌尿系统症状的男性进行检测，65%会对有家族史阳性的男性进行检测，62%应患者要求进行检测，21%会对有无关症状的男性进行检测。在进行PSA检测时，91%的全科医生会告知患者，71%会讨论异常结果的意义。PSA检测的平均年龄范围是从50岁开始，没有年龄上限。转诊的PSA阈值中位数为6.6纳克/毫升。事实上，PSA筛查似乎得到了广泛应用。
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