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Related Experiment Video

Updated: May 16, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
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Published on: November 7, 2025

Prostate-specific antigen (PSA) test for prostate cancer screening.

Juan Va Franco1, Eu Chang Hwang2, Jae Hung Jung3,4

  • 1Cochrane Evidence Synthesis Unit Germany/UK - Düsseldorf Subunit, Institute of General Practice, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.

The Cochrane Database of Systematic Reviews
|May 14, 2026
PubMed
Summary

Prostate cancer screening likely reduces cancer-specific deaths and may reduce overall mortality. However, evidence on harms and newer screening methods like PSA, kallikrein, and MRI remains limited.

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Area of Science:

  • Urology
  • Oncology
  • Preventive Medicine
  • Evidence-Based Medicine

Background:

  • Prostate cancer screening's efficacy and mortality reduction remain debated.
  • Previous reviews indicated no significant mortality benefit from screening.
  • New large trials and extended follow-up data necessitate an updated review.

Purpose of the Study:

  • To evaluate the impact of prostate cancer screening versus no screening on mortality and diagnosis.
  • To assess critical outcomes including prostate cancer-specific mortality, overall mortality, and adverse events.
  • To analyze important outcomes such as quality of life and stage-specific cancer diagnoses.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Inclusion of six RCTs with 789,086 participants aged 45-80.
  • Data synthesis using random-effects models, assessing evidence certainty with GRADE.

Main Results:

  • Prostate-specific antigen (PSA) screening likely reduces prostate cancer-specific mortality (moderate-certainty evidence).
  • Screening may slightly reduce overall mortality (low-certainty evidence) but has little effect on adverse events.
  • Screening significantly increases prostate cancer diagnoses, including localized stages, but has less impact on advanced stages.

Conclusions:

  • Prostate cancer screening, particularly PSA-based, appears to reduce prostate cancer-specific mortality.
  • Evidence on overall mortality reduction is less certain, and harms require further investigation.
  • Emerging screening methods (kallikrein, MRI) show potential but lack sufficient mortality data.