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Digital rectal examination to screen for prostatic cancer.
G Waaler1, T C Ludvigsen, T O Runden
1Aust-Agder Central Hospital, Arendal, Norway.
European Urology
|January 1, 1988
Summary
A prostate cancer screening study found one case of cancer in 480 men. Further research is needed to determine the effectiveness of organized screening programs for early prostate cancer detection.
Area of Science:
- Urology
- Oncology
- Public Health
Background:
- Prostate cancer is a significant health concern for aging men.
- Early detection of prostate cancer can improve patient outcomes.
- Occupational health programs offer a platform for routine medical examinations.
Purpose of the Study:
- To evaluate the efficacy of digital rectal examination in screening for early prostate cancer within an occupational health setting.
- To determine the yield of prostate cancer detection through a structured screening protocol.
Main Methods:
- A prospective study involving 480 men aged 45-67 years undergoing routine medical examinations.
- Digital rectal examination was the primary screening tool.
- Referrals for further diagnostics included repeat examinations, transrectal ultrasound, and biopsies for select patients.
Main Results:
- 26 out of 480 men (5.4%) were referred for further urological evaluation.
- Biopsies were performed on 16 patients, and transrectal ultrasound on 9.
- One case of prostate cancer was diagnosed.
Conclusions:
- The study identified one case of prostate cancer, indicating a low detection rate in this specific screening cohort.
- The overall value and cost-effectiveness of organized screening programs for early prostate cancer detection remain subjects for ongoing discussion and research.