Are Prostate Cancer Screenings Performed in Compliance with Cancer Guidelines?

Authors : İsmail NALBANT, Erdal BENLİ, Abullah ÇIRAKOĞLU, Mevlüt KELEŞ, İbrahim YAZICI, Ahmet Anıl ACET

Pages : 41-49

Doi:10.19127/mbsjohs.1184893

View : 22 | Download : 10

Publication Date : 2023-02-28

Article Type : Research Paper

Abstract :Objective: This study aims to examine whether our region\`s Prostate Cancer insert ignore into journalissuearticles values(PCa); screening programs comply with the European Association of Urology insert ignore into journalissuearticles values(EAU); Guidelines. Method: This study was conducted as a retrospective, cross-sectional study between April 2014 and July 2022. Two hundred seventy patients who applied to our clinic for various reasons and were diagnosed with PCa were included in the study. Characteristics of the patients, such as age at diagnosis, comorbidities, age at first PSA examination, and PSA values, were recorded. Results: The mean age of the patients at the time of cancer diagnosis was 67.42±8.64 insert ignore into journalissuearticles values(43-91); years. PSA value insert ignore into journalissuearticles values(median±IQR); at the diagnosis was 9.58±19.43 insert ignore into journalissuearticles values(1.83-3437); ng/ml. When the distribution of cancer according to different decades of life was examined, there were 5 insert ignore into journalissuearticles values(%1.8); patients in the 40-50 age range, 44 insert ignore into journalissuearticles values(16.1%); in the 50-60 age range, 111 insert ignore into journalissuearticles values(40.7%); in the 60-70 age range, 86 insert ignore into journalissuearticles values(31.5%); in the 70-80 age range, and 24 insert ignore into journalissuearticles values(8.8%); after the age of 80. While 138 patients insert ignore into journalissuearticles values(51.1%); had local and benign tumor features, 59 insert ignore into journalissuearticles values(21.9%); patients were diagnosed with metastatic findings. Only 31.3% insert ignore into journalissuearticles values(61/195); of the patients were under regular follow-up by a specific urology doctor. Conclusion: It was found that the screening of prostate cancer, the most common type of cancer in men, was not performed by the guidelines, and as a result, diagnosis and treatment were delayed. It was determined that many patients lost the chance of curative treatment. In this disease, where early diagnosis is vital for effective treatment and preservation of quality of life, it is essential to follow up with aging men in accordance with the guidelines. It may be beneficial to periodically train and follow up with all health professionals interested in this issue.
Keywords : EAU Guidelines, Prostate cancer, Age, Prostate Cancer Screening Programs