直肠指检作为前列腺癌筛查测试效果如何？ - Suppr

Is the digital rectal exam any good as a prostate cancer screening test?

作者信息

Kirby Mike, Merriel Samuel Wd, Olajide Oluwabunmi, Norman Alexander, Vasdev Nikhil, Hanchanale Vishwanath, Cain Michelle, Wilkinson Malcolm, Stephens Harley, Victor Deborah, Kinnaird William, Tree Alison, Challapalli Amarnath, Rylance Amy

机构信息

Trends in Urology and Men's Health; president elect, British Society of Sexual Medicine.

Centre for Primary Care and Health Services Research, University of Manchester, Manchester.

出版信息

Br J Gen Pract. 2024 Feb 29;74(740):137-139. doi: 10.3399/bjgp24X736677. Print 2024 Mar.

DOI:10.3399/bjgp24X736677

PMID:39222422

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10904122/

Abstract

摘要

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1c5/10904122/ccdc78f87772/bjgpmar-2024-74-740-137.jpg

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Is the digital rectal exam any good as a prostate cancer screening test?直肠指检作为前列腺癌筛查测试效果如何？

Br J Gen Pract. 2024 Feb 29;74(740):137-139. doi: 10.3399/bjgp24X736677. Print 2024 Mar.

Re: prostate cancer screening in the randomized prostate, lung, colorectal, and ovarian cancer screening trial: mortality results after 13 years of follow-up.关于：在随机化前列腺、肺、结肠直肠和卵巢癌筛查试验中的前列腺癌筛查：13年随访后的死亡率结果

J Natl Cancer Inst. 2012 May 16;104(10):793; author reply 793-4. doi: 10.1093/jnci/djs205. Epub 2012 Apr 5.

[Prostate cancer screening: Reasons of controversy].[前列腺癌筛查：争议的原因]

Bull Cancer. 2018 Dec;105(12):1111-1118. doi: 10.1016/j.bulcan.2018.09.007. Epub 2018 Nov 17.

Use of Digital Rectal Examination as an Adjunct to Prostate Specific Antigen in the Detection of Clinically Significant Prostate Cancer.数字直肠检查作为前列腺特异性抗原检测的辅助手段在临床上显著前列腺癌的检测中的应用。

J Urol. 2018 Apr;199(4):947-953. doi: 10.1016/j.juro.2017.10.021. Epub 2017 Oct 20.

Guideline of guidelines: prostate cancer screening.指南之指南：前列腺癌筛查

BJU Int. 2014 Sep;114(3):323-5. doi: 10.1111/bju.12854.

[The revival of the digital rectal exam?].[直肠指检的复兴？]

Rev Med Suisse. 2012 Apr 18;8(337):866-7.

Decline in Prostate Cancer Screening by Primary Care Physicians: An Analysis of Trends in the Use of Digital Rectal Examination and Prostate Specific Antigen Testing.初级保健医生中前列腺癌筛查的下降：数字直肠检查和前列腺特异性抗原检测使用趋势分析。

J Urol. 2016 Oct;196(4):1047-52. doi: 10.1016/j.juro.2016.03.171. Epub 2016 Apr 6.

The Cuban Institute of Oncology and Radiobiology experience on the beliefs and opinions about digital rectal exam in urological patients.古巴肿瘤与放射生物学研究所关于泌尿外科患者对直肠指检的信念和看法的经验。

Medwave. 2016 Jul 22;16(6):e6501. doi: 10.5867/medwave.2016.06.6501.

Prostate cancer: Melbourne consensus-noble but misguided.前列腺癌：墨尔本共识——崇高但有误导性。

Nat Rev Urol. 2014 May;11(5):250-1. doi: 10.1038/nrurol.2014.65. Epub 2014 Mar 25.

Clinical decisions. Prostate cancer screening--polling results.临床决策。前列腺癌筛查——民意调查结果。

N Engl J Med. 2012 Oct 25;367(17):e25. doi: 10.1056/NEJMclde1212034.

引用本文的文献

Ten-Year Trends in Digital Rectal Exam Results and Prostate Cancer Detection: Insights from the PLCO Trial.直肠指检结果及前列腺癌检测的十年趋势：来自前列腺、肺癌、结直肠癌和卵巢癌筛查试验（PLCO）的见解

Res Rep Urol. 2025 Aug 29;17:309-320. doi: 10.2147/RRU.S542550. eCollection 2025.

Assessment of Knowledge, Practices, and Attitudes Toward Prostate Cancer and Its Screening Among Men Aged 40 Years and Older in the United Arab Emirates: A Cross-Sectional Study.阿拉伯联合酋长国40岁及以上男性对前列腺癌及其筛查的知识、实践和态度评估：一项横断面研究。

Cureus. 2024 Dec 4;16(12):e75108. doi: 10.7759/cureus.75108. eCollection 2024 Dec.

Optimising the use of the prostate- specific antigen blood test in asymptomatic men for early prostate cancer detection in primary care: report from a UK clinical consensus.优化在无症状男性中使用前列腺特异性抗原血液检测进行早期前列腺癌筛查的策略：来自英国临床共识的报告。

Br J Gen Pract. 2024 Jul 25;74(745):e534-e543. doi: 10.3399/BJGP.2023.0586. Print 2024 Aug.

本文引用的文献

Digital Rectal Examination Is Not a Useful Screening Test for Prostate Cancer.直肠指检对前列腺癌不是一种有用的筛查试验。

Eur Urol Oncol. 2023 Dec;6(6):566-573. doi: 10.1016/j.euo.2023.09.008. Epub 2023 Oct 6.

Is there still a role for digital rectal examination in the prostate cancer diagnostic pathway in the COVID-19 and post COVID-19 era?在 COVID-19 及后 COVID-19 时代，数字直肠检查在前列腺癌诊断路径中是否仍有作用？

Aging Male. 2021 Dec;24(1):92-94. doi: 10.1080/13685538.2020.1786047.

Negative Predictive Value of Multiparametric Magnetic Resonance Imaging in the Detection of Clinically Significant Prostate Cancer in the Prostate Imaging Reporting and Data System Era: A Systematic Review and Meta-analysis.前列腺影像报告和数据系统时代多参数磁共振成像在检测临床显著性前列腺癌中的阴性预测值：一项系统评价和荟萃分析

Eur Urol. 2020 Sep;78(3):402-414. doi: 10.1016/j.eururo.2020.03.048. Epub 2020 May 20.

Quality of life among symptomatic compared to PSA-detected prostate cancer survivors - results from a UK wide patient-reported outcomes study.与 PSA 检测发现的前列腺癌幸存者相比，有症状的前列腺癌幸存者的生活质量 - 来自英国范围内患者报告结局研究的结果。

BMC Cancer. 2019 Oct 15;19(1):947. doi: 10.1186/s12885-019-6164-5.

The diagnostic test accuracy of rectal examination for prostate cancer diagnosis in symptomatic patients: a systematic review.有症状患者中直肠指检对前列腺癌诊断的诊断试验准确性：一项系统评价。

BMC Fam Pract. 2018 Jun 2;19(1):79. doi: 10.1186/s12875-018-0765-y.

J Urol. 2018 Apr;199(4):947-953. doi: 10.1016/j.juro.2017.10.021. Epub 2017 Oct 20.

Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study.多参数 MRI 和 TRUS 活检在前列腺癌（PROMIS）中的诊断准确性：一项配对验证性研究。

Lancet. 2017 Feb 25;389(10071):815-822. doi: 10.1016/S0140-6736(16)32401-1. Epub 2017 Jan 20.

Lifetime risk of being diagnosed with, or dying from, prostate cancer by major ethnic group in England 2008-2010.2008 - 2010年英格兰主要种族群体被诊断患有前列腺癌或死于前列腺癌的终生风险。

BMC Med. 2015 Jul 30;13:171. doi: 10.1186/s12916-015-0405-5.

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Is the digital rectal exam any good as a prostate cancer screening test?

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