The Role of the Digital Rectal Examination in Subsequent Screening Visits in the European Randomized Study of Screening for Prostate Cancer (ERSPC), Rotterdam

Gosselaar, Claartje; Roobol, Monique J.; Roemeling, Stijn; Schröder, Fritz H.

doi:10.1016/j.eururo.2008.03.104

Cited by 116 publications

(54 citation statements)

References 35 publications

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“…5), and the difference between the cT1c and cT2a/b groups was statistically significant according to the log-rank test (P<0.0001). An abnormal DRE was recently reported to be associated with an increased risk of detecting high-grade (Gleason score >7) prostate cancer lesions in a screened population (31)(32)(33)(34). These descriptions are consistent with the observations obtained in the present study.…”

Section: Discussionsupporting

confidence: 83%

Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate-risk group are prone to PSA recurrence

et al. 2016

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Abstract. The present study aimed to evaluate the possibility of performing radical prostatectomy (RP) alone to achieve a radical cure for prostate cancer in the intermediate-risk group. Samples were collected from 638 Japanese patients who underwent antegrade RP between August 1998 and May 2013; subsequently, 157 patients were excluded. According to the D' Amico criteria, the low-, intermediate-and high-risk groups comprised 107, 222 and 152 patients, respectively. The 5-year prostate-specific antigen (PSA) failure-free survival rates in the low-, intermediate-, and high-risk groups were 96.5, 88.9 and 72.6%, respectively (P<0.001; degrees of freedom=2). In the intermediate-risk group, the difference in PSA failure-free survival between the 0

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Section: Discussionsupporting

confidence: 83%

Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate-risk group are prone to PSA recurrence

et al. 2016

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“…As prostate cancers are normally localized in the peripheral zone, DRE is very important for cancer diagnosis. As palpable masses on rectal examinations can result in high Gleason scores, they are a clear indication for prostate biopsy [7]. Of participants in the survey, 85% had seen male patients with lower urinary tract symptoms and stated they prescribed alpha blockers; however, only 1 in 5 stated they performed digital rectal examinations.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 350 family physicians in 42 cities fully completed the survey. The mean time to complete the survey by participants was identified as 6 minutes [3][4][5][6][7][8][9][10]. The mean years of experience were 12.7 years (ranging from 1-34 years).…”

Section: Resultsmentioning

confidence: 99%

The Approaches Taken by Family Physicians in Turkey Regarding Prostate Patients and Prostate Specific Antigen

Akbaş¹,

Tekïn²,

Verim³

et al. 2016

Ann Clin Anal Med

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Anahtar KelimelerAlt Üriner Sistem Semptomları; Hekim; Aile; Prostat; Prostat Spesifik Antijen Abstract Aim: This survey study questioned family physicians about their approaches to lower urinary tract symptoms (LUTS) and about the clinical application of total and free prostate-specific antigens (tPSA and fPSA). Material and Method: The survey link was prepared online and sent to an email group for family physicians. The survey had 14 questions, none of which identified the respondents, concerning approaches to male patients with LUTS. Some questions were multiple choice and others allowed multiple answers to be chosen. The results were graphed and interpreted. Results: A total of 350 family physicians responded online. While 250 (72%) were family physician assistants or experts, 214 (61%) worked in family health centers. Of the 300 (85%) family physicians who had seen male patients with LUTS, only 64 (20%) stated that they performed a prostate examination. While 298 (99%) of the physicians prescribed alpha blockers, 234 (78%) physicians stated they requested a tPSA, and 134 (44%) answered that they requested an fPSA. Of the 134 physicians, 104 requested an fPSA without regard to the tPSA value. Discussion: The study identified differences in the approaches of family physicians to male patients with LUTS. DRE was not performed for the majority of patients and, as a result, unnecessary requests for fPSA were made. Increased awareness of approaches to LUTS patients can be provided for family physicians at events such as in-service training and scientific congresses.

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“…Ayrıca anormal PRM bulgusu yüksek Gleason skor ile de ilişkilidir (19,20). Çalışmamızda da PKa tespit edilen hastaların %34.1'inde anormal PRM bulgusu mevcut olup istatistiksel olarak anlamlı görüldü.…”

Section: Introductionunclassified

Prostat biyopsisi yapılan hastalardaki histopatolojik bulgular: Tek merkez sonuçları

Türk¹,

Ün²,

Karabıçak³

et al. 2016

Ege Tıp Dergisi

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Amaç: Prostat kanseri (PKa), Avrupa'da yaşlı erkeklerde en sık görülen kanser türüdür. Tanı prostat spesifik antijen (PSA), rektal muayene ve biyopsi ile konulmaktadır. Bu çalışmada; prostat biyopsisi yapılan hastalardaki histopatolojik sonuçlar ile PSA, anormal rektal muayene bulgusu ve yaş arasındaki ilişki değerlendirilmesi amaçlandı. Gereç ve Yöntem:Haziran 2010 ile Aralık 2014 arasında PSA 2.5 ng/mL değerinden yüksek veya anormal rektal muayene bulgusu nedeniyle prostat biyopsisi yapılan 1181 hasta retrospektif olarak incelendi.Bulgular: 1181 hastaya transrektal prostat biyopsisi yapıldı. Ortalama yaş 63.9 (37-90), ortalama PSA değeri 13.4 (1.63-371) ng/mL idi. Üç yüz doksan yedi hastada PKa tespit edildi. PKa tespit edilen grupta ortalama yaş (p=0.001), ortalama PSA ve anormal rektal muayene bulgusu (p=0.001) istatistiksel olarak anlamlı yüksek bulundu.Sonuç: PKa ile PSA değerleri ve diğer bulgular, free/total PSA dışında, mevcut literatür ile uyumlu saptanmıştır. PKa saptama yaşı, literatüre kıyasla daha düşük bulunmuştur. 63.9 (37-90), the median PSA level was 13.4 (1.63-371)

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The Role of the Digital Rectal Examination in Subsequent Screening Visits in the European Randomized Study of Screening for Prostate Cancer (ERSPC), Rotterdam

Cited by 116 publications

References 35 publications

Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate-risk group are prone to PSA recurrence

Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate-risk group are prone to PSA recurrence

The Approaches Taken by Family Physicians in Turkey Regarding Prostate Patients and Prostate Specific Antigen

Prostat biyopsisi yapılan hastalardaki histopatolojik bulgular: Tek merkez sonuçları

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