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Screening for prostate cancer.

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Journal of medical screening 2026 p. 9691413261440207 OA Prostate Cancer Diagnosis and Treatm
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PubMed DOI OpenAlex 마지막 보강 2026-04-30
OpenAlex 토픽 · Prostate Cancer Diagnosis and Treatment Global Cancer Incidence and Screening Urologic and reproductive health conditions

Bestwick JP, Wald NJ

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Prostate cancer is the most commonly diagnosed cancer in UK men excluding non-melanoma skin cancer, with over 64,000 new cases and 12,000 deaths annually.

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↓ .bib ↓ .ris
APA Jonathan P. Bestwick, Nicholas Wald (2026). Screening for prostate cancer.. Journal of medical screening, 9691413261440207. https://doi.org/10.1177/09691413261440207
MLA Jonathan P. Bestwick, et al.. "Screening for prostate cancer.." Journal of medical screening, 2026, pp. 9691413261440207.
PMID 41972986 ↗

Abstract

Prostate cancer is the most commonly diagnosed cancer in UK men excluding non-melanoma skin cancer, with over 64,000 new cases and 12,000 deaths annually. This disparity between incidence and mortality has fuelled debate about over-diagnosis and the value of screening. The UK National Screening Committee has advised against population prostate-specific antigen (PSA) screening, citing uncertainty regarding benefit and harm. However, a risk-based PSA screening algorithm that adjusts PSA levels to multiples of the median for the same age and incorporates age-specific risk demonstrated good screening performance (detection rate of 90% for a false-positive rate of 2%). The European Randomized Study of Screening for Prostate Cancer shows a 16% reduction in prostate cancer mortality with PSA screening, comparable to reductions achieved in bowel cancer screening. The addition of pre-biopsy multi-parametric magnetic resonance imaging (MRI) screening reduces unnecessary biopsies and over-diagnosis while maintaining detection of clinically significant disease. Together, risk-based PSA testing combined with multi-parametric MRI would prevent an estimated 13 prostate cancer deaths per 1000 men screened every 5 years from age 55, with 9 deaths prevented for every man treated unnecessarily.

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