Distribution of prostate specific antigen (PSA) and percentage free PSA in a contemporary screening cohort with no evidence of prostate cancer.
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Distribution of prostate specific antigen (PSA) and percentage free PSA in a contemporary screening cohort with no evidence of prostate cancer. / Chun, Felix; Hutterer, Georg C; Perrotte, Paul; Gallina, Andrea; Valiquette, Luc; Benard, Francois; McCormack, Michael; Briganti, Alberto; Ionescu, Constantin; Jeldres, Claudio; Guay, Jean-Pierre; Saad, Fred; Karakiewicz, Pierre I.
In: BJU INT, Vol. 100, No. 1, 1, 2007, p. 37-41.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Distribution of prostate specific antigen (PSA) and percentage free PSA in a contemporary screening cohort with no evidence of prostate cancer.
AU - Chun, Felix
AU - Hutterer, Georg C
AU - Perrotte, Paul
AU - Gallina, Andrea
AU - Valiquette, Luc
AU - Benard, Francois
AU - McCormack, Michael
AU - Briganti, Alberto
AU - Ionescu, Constantin
AU - Jeldres, Claudio
AU - Guay, Jean-Pierre
AU - Saad, Fred
AU - Karakiewicz, Pierre I
PY - 2007
Y1 - 2007
N2 - OBJECTIVE: To explore the distribution of total prostate specific antigen (PSA) and percentage free/total PSA (%f/tPSA) in healthy volunteers with no clinical evidence of prostate cancer, who participated in prostate cancer screening. SUBJECTS AND METHODS: PSA and %f/tPSA values from 2323 men, who participated in one of three annual prostate cancer screening events between 2004 and 2006, were tabulated according to age strata of 40-49, 50-59, 60-69 and 70-79 years. Local regression smoothing plots provided a graphical display of the relation between age and PSA or %f/tPSA, respectively. All PSA and %f/tPSA analyses were repeated for each age category after excluding, respectively, the top and the bottom 10% of PSA and %f/tPSA values. RESULTS: Within the entire cohort, the median PSA level was 1.0 ng/mL and the median %f/tPSA was 25%. According to the age categories the PSA level and %f/tPSA medians within the entire cohort were, respectively, 0.7, 0.9, 1.3, 1.8 ng/mL and 28.0, 26.0, 24.0 and 25.0%. Of the 2323 men, 438 (18.9%) had a PSA level of >2.5 ng/mL and 1172 (50.5%) had a %f/tPSA of 2.5 ng/mL or a %f/tPSA of 2.5 ng/mL or %f/tPSA of <or = 15% was used, 617 (26.6%) were considered abnormal. CONCLUSION: Half of men with no clinical evidence of prostate cancer should have PSA levels of 25%. A PSA level threshold of 2.5 ng/mL would require a biopsy in 20% of men and a %f/tPSA threshold of <or = 25% in half of the men. Alternatively, a %f/tPSA threshold of <or = 15% would decrease the probability to 15%.
AB - OBJECTIVE: To explore the distribution of total prostate specific antigen (PSA) and percentage free/total PSA (%f/tPSA) in healthy volunteers with no clinical evidence of prostate cancer, who participated in prostate cancer screening. SUBJECTS AND METHODS: PSA and %f/tPSA values from 2323 men, who participated in one of three annual prostate cancer screening events between 2004 and 2006, were tabulated according to age strata of 40-49, 50-59, 60-69 and 70-79 years. Local regression smoothing plots provided a graphical display of the relation between age and PSA or %f/tPSA, respectively. All PSA and %f/tPSA analyses were repeated for each age category after excluding, respectively, the top and the bottom 10% of PSA and %f/tPSA values. RESULTS: Within the entire cohort, the median PSA level was 1.0 ng/mL and the median %f/tPSA was 25%. According to the age categories the PSA level and %f/tPSA medians within the entire cohort were, respectively, 0.7, 0.9, 1.3, 1.8 ng/mL and 28.0, 26.0, 24.0 and 25.0%. Of the 2323 men, 438 (18.9%) had a PSA level of >2.5 ng/mL and 1172 (50.5%) had a %f/tPSA of 2.5 ng/mL or a %f/tPSA of 2.5 ng/mL or %f/tPSA of <or = 15% was used, 617 (26.6%) were considered abnormal. CONCLUSION: Half of men with no clinical evidence of prostate cancer should have PSA levels of 25%. A PSA level threshold of 2.5 ng/mL would require a biopsy in 20% of men and a %f/tPSA threshold of <or = 25% in half of the men. Alternatively, a %f/tPSA threshold of <or = 15% would decrease the probability to 15%.
M3 - SCORING: Zeitschriftenaufsatz
VL - 100
SP - 37
EP - 41
JO - BJU INT
JF - BJU INT
SN - 1464-4096
IS - 1
M1 - 1
ER -