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前列腺癌查指南及其与最新文献的协调

Michael Gerlach¹, Anne Schempp

¹Michael Gerlach is a DMS graduate from Shenandoah University in Winchester, Va., and has practiced urology for more than a decade. Anne Schempp is a member of the Division of Physician Assistant Studies at Shenandoah University. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : official journal of the American Academy of Physician Assistants

|April 24, 2025

概括

美国癌症协会 (ACS) 的前列腺癌查指南最符合最近的研究,可能减少与前列腺特异性抗原 (PSA) 测试相关的过度诊断和过度治疗.

科学领域:

在瘤学瘤学.
泌尿器科泌尿器科泌尿器科泌尿器科
预防医学预防医学

背景情况:

由于过度查,过度诊断和过度治疗,前列腺特异性抗原 (PSA) 检测前列腺癌查受到争议.
目前的查指南在开始,频率和停止方面提出了相互矛盾的建议.
高风险人群有具体的,但不一致的查建议.

研究的目的:

将现有的前列腺癌查指南与最近的研究结果进行比较.
确定最符合最新科学证据的指导方针.
评估不同指南对查结果的潜在影响.

主要方法:

文学评论比较前列腺癌查指南.
对PSA检测和前列腺癌检测相关的最新研究进行分析.
与当前证据对准准则建议的比较评估.

主要成果:

美国泌尿学会和国家综合癌症网络的指导方针可能导致过度或不足的查.
美国癌症协会 (ACS) 的指导方针与最近的研究显示出最强的一致性.
按照ACS指南,可以捕捉出大多数临床显著的前列腺癌,同时最大限度地减少过度查和过度诊断.

结论:

该ACS指南为前列腺癌查提供了一种基于证据的方法.
采用ACS指南可以改善检测重大前列腺癌和避免不必要的干预之间的平衡.
进一步评估遵守指南和患者的结果是有必要的.

关键词:

在PSA测试中进行PSA测试.临床实践指南临床实践指南基于证据的实践实践.过度治疗过度治疗前列腺癌是前列腺癌.查检查查检查查检查查检查

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