Prostate cancer screening: guidelines review and laboratory issues.


Journal

Clinical chemistry and laboratory medicine
ISSN: 1437-4331
Titre abrégé: Clin Chem Lab Med
Pays: Germany
ID NLM: 9806306

Informations de publication

Date de publication:
25 Sep 2019
Historique:
received: 22 11 2018
accepted: 21 04 2019
pubmed: 24 5 2019
medline: 18 8 2020
entrez: 24 5 2019
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 31120856
doi: 10.1515/cclm-2018-1252
pii: cclm-2018-1252
doi:

Substances chimiques

Prostate-Specific Antigen EC 3.4.21.77

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1474-1487

Références

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Auteurs

Xavier Filella (X)

Evidence Based Laboratory Medicine Commission and Biological Markers of Cancer Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Biochemistry and Molecular Genetics (CDB), Hospital Clinic, IDIBAPS, Barcelona, Spain.

María Dolores Albaladejo (MD)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Clinical Analysis and Biochemistry, Hospital General Universitario Santa Lucía, Cartagena, Spain.

Juan Antonio Allué (JA)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Synlab Diagnosticos Globales, Sevilla, Spain.

Miguel Angel Castaño (MA)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Biochemistry, Hospital Clínico Universitario Juan Ramón Jiménez, Huelva, Spain.

Daniel Morell-Garcia (D)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma de Mallorca, Spain.

Maria Àngels Ruiz (MÀ)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Laboratory Medicine, Fundació Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Barcelona, Spain.

María Santamaría (M)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Department of Biochemistry, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.

María José Torrejón (MJ)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
UGC of Clinical Analysis, Hospital Clínico San Carlos, Madrid, Spain.

Nuria Giménez (N)

Evidence Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Committee of Evidence-Based Laboratory Medicine (C-EBLM), International Federation of Clinical Chemistry and Laboratory Medicine (IFCC), Milano, Italy.
Research Unit, Research Foundation Mútua Terrassa, Universitat de Barcelona, Barcelona, Spain.
Laboratory of Toxicology, Universitat Autònoma de Barcelona, Barcelona, Spain.

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