Prostate cancer screening: guidelines review and laboratory issues

Background: Prostate-specific antigen (PSA) remains as the most used biomarker in the detection of early prostate cancer (PCa). Clinical practice guidelines (CPGs) are produced to facilitate incorporation of evidence into clinical practice. This is particularly useful when PCa screening remains controversial and guidelines diverge among different medical institutions, although opportunistic screening is not recommended. Methods: We performed a systematic review of guidelines about PCa screening using PSA. Guidelines published since 2008 were included in this study. The most updated version of these CPGs was used for the evaluation. Results: Twenty-two guidelines were selected for review. In 59% of these guidelines, recommendations were graded according to level of evidence (n = 13), but only 18% of the guidelines provided clear algorithms (n = 4). Each CPG was assessed using a checklist of laboratory issues, including pre-analytical, analytical, and post-analytical factors. We found that laboratory medicine specialists participate in 9% of the guidelines reviewed (n = 2) and laboratory issues were frequently omitted. We remarked that information concerning the consequences of World Health Organization (WHO) standard in PSA testing was considered by only two of 22 CPGs evaluated in this study. Conclusions: We concluded that the quality of PCa early detection guidelines could be improved properly considering the laboratory issues in their development.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Prostate cancer screening: guidelines review and laboratory issues ; volume:57 ; number:10 ; year:2019 ; pages:1474-1487 ; extent:14 ; Clinical chemistry and laboratory medicine ; 57, Heft 10 (2019), 1474-1487 (gesamt 14)

Contributors, Places and Time

• Creator: Filella, Xavier ; Albaladejo, María Dolores ; Allué, Juan Antonio ; Castaño, Miguel Angel ; Morell-Garcia, Daniel ; Ruiz, Maria Àngels ; Santamaría, María ; Torrejón, María José ; Giménez, Nuria

Further information

• DOI: 10.1515/cclm-2018-1252
• URN: urn:nbn:de:101:1-2022061911270481229032
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:33 AM CEST