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[Screening for prostate cancer in Yahata, Kitakyushu]
Naohiro Fujimoto1, Shuji Harada, Hideki Sato
1Department of Urology, School of Medicine, University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu 807-8555, Japan.
Journal of UOEH
|July 13, 2004
Summary
Early prostate cancer detection in Japan is crucial due to rising incidence. A 10-year screening program found 0.64% of men had prostate cancer, with most cases localized, highlighting the need for improved screening strategies.
Area of Science:
- Oncology
- Public Health
- Urology
Context:
- Increasing prostate cancer incidence globally and in Japan necessitates effective early detection.
- Mass screening programs are vital for identifying prostate cancer in asymptomatic individuals.
- The Yahata area initiated a prostate cancer screening program in 1993.
Purpose:
- To evaluate the effectiveness of a 10-year prostate cancer screening program in the Yahata area.
- To assess the detection rate of prostate cancer and the stage at diagnosis.
- To identify areas for improvement in prostate cancer screening strategies.
Summary:
- The screening program evolved from including digital rectal examination and transrectal ultrasonography to solely interview and prostate-specific antigen (PSA) measurement.
- Over 10 years, 903 men were screened, detecting prostate cancer in 6 individuals (0.64%).
- Five of the six detected prostate cancers were in early, localized stages.
Impact:
- The study underscores the need to increase participation and specialist referral rates in screening programs.
- Further research is required to optimize diagnostic strategies, including the role of prostate biopsy in follow-up screenings.
- Elucidating the overall effectiveness of the screening program is essential for future public health initiatives.