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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.

DOI:10.1038/sj.pcan.4500646
PMID:12806375
Abstract

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.

摘要

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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1
PSA testing in general practice.基层医疗中的前列腺特异性抗原检测
Prostate Cancer Prostatic Dis. 2003;6(2):154-8. doi: 10.1038/sj.pcan.4500646.
2
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Has there been a change in practice of screening for prostate cancer with prostate-specific antigen in Ontario?安大略省使用前列腺特异性抗原筛查前列腺癌的做法有变化吗?
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引用本文的文献

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Attitudes Toward and Use of Prostate-Specific Antigen Testing Among Urologists and General Practitioners in Germany: A Survey.德国泌尿科医生和全科医生对前列腺特异性抗原检测的态度及使用情况:一项调查
Front Oncol. 2021 Jun 4;11:691197. doi: 10.3389/fonc.2021.691197. eCollection 2021.
2
General practitioners' approaches to prostate-specific antigen testing in the north-east of the Netherlands.荷兰东北部全科医生对前列腺特异性抗原检测的方法。
BMC Fam Pract. 2020 Dec 17;21(1):270. doi: 10.1186/s12875-020-01350-3.
3
[Rates of prostate-specific antigen testing for early detection of prostate cancer: a first comparison of German results with current international data].
[用于前列腺癌早期检测的前列腺特异性抗原检测率:德国结果与当前国际数据的首次比较]
Urologe A. 2014 May;53(5):715-24. doi: 10.1007/s00120-014-3453-0.
4
Prostate specific antigen testing policy worldwide varies greatly and seems not to be in accordance with guidelines: a systematic review.全球范围内前列腺特异性抗原检测政策差异很大,似乎不符合指南:系统评价。
BMC Fam Pract. 2012 Oct 11;13:100. doi: 10.1186/1471-2296-13-100.
5
Effect of guidelines on primary care physician use of PSA screening: results from the Community Tracking Study Physician Survey.指南对基层医疗医生进行前列腺特异性抗原筛查的影响:社区追踪研究医生调查结果
Med Decis Making. 2008 Sep-Oct;28(5):681-9. doi: 10.1177/0272989X08315243. Epub 2008 Jun 12.