psa decision aid racgp

PSA-Based Prostate Cancer Screening in Men Aged 55-69 Grade: C recommendation. This decision aid is for men who are concerned about prostate cancer and are trying to decide whether or not to . How could the National bowel cancer screening program for Aboriginal people in Western Australia be improved? Aust J Prim Health 2015;21(4):417–22. Canberra: DoH, 2015. Coronavirus is an evolving international health concern. RACGP releases new guidelines on prostate cancer testing. Hewitson P, Glasziou P, Irwig L, Towler B, Watson E. Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Its function is to liquefy semen. PSA Choice Decision Aid. Australian Institute of Health and Welfare. Worldwide eradication of wild poliovirus type 3. The age-standardised incidence of prostate cancer in Aboriginal and Torrres Strait Islander men was estimated to be 30% less than for non-Indigenous men, with no difference in mortality rate. Hackshaw AK, Paul EA. Cochrane Database Syst Rev 2017;1:CD004143. Participation in cervical cancer screening by women in rural and remote Aboriginal and Torres Strait Islander communities in Queensland. BMC Public Health 2010;10:373. Sydney: Cancer Council Australia, 2011. Hepatitis B and primary care providers. Pap smear screening at an urban aboriginal health service: Report of a practice audit and an evaluation of recruitment strategies. Med J Aust 2002;177(10):544–47. Br J Cancer 2003;88(7):1047–53. Patient Educ Couns. Arch Intern Med 2010;170(19):1758–64. For male patients aged 50–69 years who request information and screening, consider PSA testing every two years after obtaining informed consent, Asymptomatic men at potentially higher risk due to family history, Recommend individualised discussion with patient based on assessment of risks and benefits, National Health and Medical Research Council (NHMRC), ‘. Coory MD, Fagan PS, Muller JM, Dunn NA. Screening for breast cancer: US Preventive Services Task Force recommendation statement. This one is from the UK and is a little out of date (last updated in 2005, before a lot of the evidence from ERSPC was in). Gramling R, Eaton CB, Rothman KJ, Cabral H, Silliman RA, Lash TL. Hepatitis B (chronic): Diagnosis and management. Cancer risks for male carriers of germline mutations in BRCA1 or BRCA2: A review of the literature. This requires specific discussion to address the benefits and harms (from overdiagnosis and overtreatment) of prostate cancer screening. Make your own decision about whether to be tested after a discussion with your doctor. Cochrane Database Syst Rev 2003;(2):CD003373. The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples 2008. Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Chang MH, You SL, Chen CJ, et al. Fu C, Liu Z, Zhu F, Li S, Jiang L. A meta-analysis: Is low-dose computed tomography a superior method for risky lung cancers screening population? The optimal protocol for active surveillance is uncertain. ... the decision to have prostate cancer screening must be an informed and personal one. If initial PSA is at or below the 75th percentile for age, advise no further testing until age 50. Prostate Cancer Foundation of Australia and Cancer Council Australia PSA Testing Guidelines Expert Advisory Panel. Med J Aust 2014;201(8):470–74. Hepatocellular carcinoma in Australia’s Northern Territory: High incidence and poor outcome. PLoS One 2016;11(4):e0150473. Hayes JH, Barry MJ. Considering the inter-test and biological variation Ann Intern Med 2016;164(12):836–45. Breast self-examination and death from breast cancer: A meta-analysis. Use of a decision support tool, such as The Royal Australian College of General Practitioners’ tool for men aged 50–69 years (refer to ‘Resources’),124 may be helpful.117 Primary care providers and hepatitis C. Sydney: ASHM, 2016. Fong K, Cancer Council Australia Lung Cancer Prevention and Diagnosis Guidelines Working Party. Estimates of benefits and harms of prophylactic use of aspirin in the general population. Screening for lung cancer: US Preventive Services Task Force recommendation statement. Ann Oncol 2014;26(1):47–57. Binns PL, Condon JR. The Australian immunisation handbook. Caution: This application is for use exclusively during the clinical encounter with your clinician. Long-term effect of aspirin on cancer risk in carriers of hereditary colorectal cancer: An analysis from the CAPP2 randomised controlled trial. (PDF 565 KB). Australasian Society for HIV medicine. Lancet 2010;377(9759):31–41. Canberra: AIHW, 2016. Ann Intern Med 2011;155(11):762–71. Canberra: Department of Health and Ageing, 2005. Coronavirus is an evolving international health concern. The Royal Australian College of General Practitioners. While the digital rectal exam (DRE) remains useful it is no longer recommended at the time of primary PSA screening in these men. Australasian Society for HIV medicine. Familial breast cancer: Classification, care and managing breast cancer and related risks in people with a family history of breast cancer. Men who are concerned about their risk of prostate cancer should discuss this with their doctor. World Health Organization. The Kirby Institute. We wish you a happy, safe and peaceful festive season. Australian Insititute of Health and Welfare. Australian burden of disease study: Impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011. Aghoram R, Cai P, Dickinson JA. Rothwell PM, Wilson M, Elwin CE, et al. Ann Intern Med 2014;160(5):330–38. For men without a diagnosis or symptoms of prostate cancer who, after being informed of the benefits and harms of testing, wish to undergo regular PSA testing, the following strategy is recommended because it is associated with reduced risk of death from prostate cancer: offer PSA testing every 2–4 years from age 50 to age 69, and offer further investigation if the PSA is greater than 3.0 ng/mL (see 2.2. Welcome to the PSA Choice Decision Aid. London: NICE, 2011. Medications to decrease the risk for breast cancer in women: Recommendations from the US Preventive Services Task Force recommendation statement. doi: 10.1016/j.pec.2006.05.005. Ann Intern Med 2013;159(10):698–708. Measuring prostate-specific antigen (PSA) with or without digital rectal examination (DRE) is not recommended for asymptomatic population screening for prostate cancer due to the risk of false positive results, risk of harm from investigations, risk of overdiagnosis and unnecessary treatment of a slow-growing cancer that may have had no impact on quality or length of life. This guideline is intended for health professionals working with middle-aged and older men who do not have any symptoms that suggest they might have prostate cancer and are considering having a prostate-specific antigen (PSA) test, or who decide to have a test after they have been informed of the benefits and harms of testing. The objective is to avoid unnecessary treatment of men with indolent cancer and treat only those who show signs of disease progression, so as to avoid treatment-related effects that may reduce quality of life. NPS general practice report echoes RACGP findings . Cochrane Database Syst Rev 2013;(6):CD001991. Advice and guidelines for GPs and practice teams to help protect general practice information systems, Video consultations can provide convenient and accessible healthcare delivery, Read all of the RACGP reports and submissions on various healthcare topics, Read all of the RACGP position statements on various healthcare topics, Recommendations: Early detection of prostate cancer, Prostate cancer is the fourth most common cancer diagnosed in Aboriginal and Torres Strait islander peoples. Breast cancer in Australia: An overview. Sydney: Kirby Institute, UNSW, 2016. Collins S, Rollason TP, Young LS, Woodman CBJ. Informed decision making and prostate specific antigen (PSA) testing for prostate cancer: a randomised controlled trial exploring the impact of a brief patient decision aid on men's knowledge, attitudes and intention to be tested. Informed decision making and prostate specific antigen (PSA) testing for prostate cancer: a randomised controlled trial exploring the impact of a brief patient decision aid on men's knowledge, attitudes and intention to be tested. Manser R, Lethaby A, Irving LB, et al. The use of e-cigarette products is currently not approved by the TGA in Australia, and each state and territory has its own regulations regarding the sale and supply of nicotine-containing e … J Natl Cancer Inst 2013;105(8):515–25. In asymptomatic men without a diagnosis of prostate cancer, a single total PS… Cancer 2016;122(10):1560–69. Cochrane Database Syst Rev 2011;(5):CD002834. PSA is a protein made by the prostate. Let's get started. © 2021 The Royal Australian College of General Practitioners (RACGP) ABN 34 000 223 807, Curriculum for Australian General Practice – Under Review, Handbook of Non-Drug Interventions (HANDI), The Vision for general practice and a sustainable healthcare system, Social prescribing report and recommendations, Telehealth services during COVID-19 and beyond, COVID-19 MBS telehealth items – Statement on bulk billing requirement. Carcinoma of the cervix and tobacco smoking: Collaborative reanalysis of individual data on 13,541 women with carcinoma of the cervix and 23,017 women without carcinoma of the cervix from 23 epidemiological studies. Br J Cancer 2001;85(11):1700–05. World Cancer Research Fund and American Institute for Cancer Research. — Men who are considering having a PSA test require information about the benefits and harms of testing to support their decision to test or not. A new product decision aid guiding individuals and caregivers in selection of products based on physical need, lifestyle and personal preferences. Canberra: AIHW, 2016. National Breast and Ovarian Cancer Centre. Reath J, Carey M. Breast and cervical cancer in indigenous women-overcoming barriers to early detection. Long-term effects of hepatitis B immunization of infants in preventing liver Cancer. B › Do not use a PSA-based screening method for prostate cancer in men ages < 50 years … Decision-making in viral hepatitis related advanced liver disease for primary care providers. Int J Cancer 2006;118(6):1481–95. JAMA 2016;315(23):2576–94. They are defined as interventions designed to help people make specific and deliberative choices among options (including the status quo) by providing, at a minimum, both information on the options and outcomes relevant to a person’s health status, and implicit methods to cl… Become a student member today for free and be part of the RACGP community, Enrolments for the 2021.1 KFP and AKT open for two weeks: 23 November – 9:00 am 7 December 2020, Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship, RACGP offer courses and events to further develop the knowledge you need to develop your GP career, Discover a world of educational opportunities to support your lifelong learning, Become a provider with the CPD Program and be recognised for the quality education and training you offer GPs, The Diabetes Handbook provides the general practice team with updated guidance and recommendations for managing type 2 diabetes. National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (PDF 9.8 MB), Evidence base to a preventive health assessment in Aboriginal and Torres Strait Islander people (PDF 9.4 MB), National Guide Lifecycle chart (child) (PDF 555 KB), National Guide Lifecycle chart (young) (PDF 1 MB), National Guide Lifecycle chart (adult) (PDF 1 MB). Do not have PSA test. Chou R, Croswell JM, Dana T, et al. Incidence, aetiology, and outcomes of cancer in Indigenous peoples in Australia. We wish you a happy, safe and peaceful festive season. Canberra: AIHW, 2014. Aust Fam Physician 2008;37(3):178–82. Advice and guidelines for GPs and practice teams to help protect general practice information systems, Video consultations can provide convenient and accessible healthcare delivery, Read all of the RACGP reports and submissions on various healthcare topics, Read all of the RACGP position statements on various healthcare topics. Cancer Australia. Preventive therapy for breast cancer: A consensus statement. Small amounts leak into the bloodstream, where it can be measured. Credits & Contacts. Stay informed with the latest information. National bowel cancer screening program: Annual monitoring report 2009. Men who are at average risk of prostate cancer who have been informed of the benefits and harms of testing, and who decide to undergo regular testing for prostate cancer, should be offered PSA testing every 2 years from age 50 to 69. Med J Aust 2006;185(9):490–95. Moyer VA. Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: US Preventive Services Task Force recommendation statement. Australian Institute of Health and Welfare. Find more information here. Definitive treatment is offered at a time when disease progression is detected and cure is deemed possible. The benefits and harms of breast cancer screening: An independent review. Screening for colorectal cancer: Updated evidence report and systematic review for the US Preventive Services Task Force. Effect of daily aspirin on long-term risk of death due to cancer: Analysis of individual patient data from randomised trials. National Cancer Institute. to PSA levels. The Royal Australian College of General Practitioners acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the land and sea in which we live and work, we recognise their continuing connection to land, sea and culture and pay our respects to Elders past, present and future. 2 The Royal Australian College of General Practitioners (RACGP) has produced a patient decision aid that may assist this discussion. Lancet Oncol 2015;16(1):67–75. Clinical practice guidelines for the prevention and diagnosis of lung cancer: In people at risk of lung cancer, does population based screening with chest radiography reduce mortality? London: NICE, 2016. 2006 Nov; 63 (3):367–79. Sydney: ASHM, 2015. Subscribe to RACGP Standards News to receive important Standards updates and our quarterly newsletter. Canberra: AIHW, 2016. Posted in News Release. National Institute for Health and Care Excellence. BreastScreen Australia monitoring report 2013–2014. Canberra: AIHW, 2017. Cancer in Australia 2017. Alpha-foetoprotein and/or liver ultrasonography for screening of hepatocellular carcinoma in patients with chronic hepatitis B. Cochrane Database Syst Rev 2012;(9):CD002799. International Lung Screen Trial (ILST). Australian Institute of Health and Welfare. The Australian bowel cancer screening pilot program and beyond: Final evaluation report. Decision Aids Reduce Men’s Conflict About PSA Screening, But Don’t Change Their Decisions. Available at www.health.gov.au/internet/screening/publishing.nsf/Content/cervical-screening-1 [Accessed 18 January 2017]. Burn J, Gerdes AM, Macrae F, et al. Commonwealth Department of Health. Prostate Cancer Foundation of Australia, and Cancer Council Australia PSA Testing Guidelines Expert Advisory Panel, The Royal Australian College of General Practitioners (RACGP), ‘. Canberra: DoH, 2014. Whop LJ, Garvey G, Baade P, et al. The RACGP’s smoking cessation guidelines also support these options as first-line treatment. Here's another Patient Decision Aid on screening. Perth: Centre for International Health, Curtin University and Combined Universities Centre for Rural Health (University of Western Australia), 2010. Ensure you get good quality information to make an informed decision. Systematic review of the safety, immunogenicity and efficacy of HPV vaccines. Aust N Z J Public Health 1998;22(6):720–25. SWOP — an online decision aid developed by the Department of Urology of the Erasmus MC, the University and Medical Centre of Rotterdam in the Netherlands. Canberra: DoHA, 2007. International Collaboration of Epidemiological Studies of Cervical Cancer. Screening tests for breast, bowel and cervical cancer can save lives, but there is still confusion around PSA testing for prostate cancer. Dorrington M, Herceg A, Douglas K, Tongs J, Bookallil M. Increasing Pap smear rates at an urban Aboriginal Community Controlled Health Service through translational research and continuous quality improvement. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. Australian Institute of Health and Welfare and Cancer Australia. Sydney: ASHM, 2013. Participation in cervical screening by Indigenous women in the Northern Territory: A longitudinal study. — A PSA testing decision aid for use by men and their doctors is under development, however these guidelines will support health professionals to help men make an informed decision. Australasian Society for HIV medicine. Cochrane Database Syst Rev 2011;(6): CD14003619. Long-term hormone therapy for perimenopausal and postmenopausal women. Bruner DW, Moore D, Parlanti A, Dorgan J, Engstrom P. Relative risk of prostate cancer for men with affected relatives: Systematic review and meta-analysis. Cochrane Database Syst Rev 2013;(9):CD009259. Screening for prostate cancer with the prostate-specific antigen test: A review of current evidence. J Cancer Res Clin Oncol 2004;130(7):417–22. Stay informed with the latest information. WHO Weekly epidemiological record 2009;40(84):405–20. World cancer report 2014. Canberra: AIHW, 2014. PSA Testing Guidelines Expert Advisory Panel. Bibbins-Domingo K, US Preventive Services Task Force. Clinical practice guidelines PSA testing and early management of test-detected prostate cancer. Investigations : about 70 men in every 100 with a raised PSA level will have a biopsy of the prostate. If a PSA test result before age 50 years is greater than 95th percentile for age, offer Bowel Cancer Screening Pilot Monitoring and Evaluation Steering Committee. Ann Intern Med 2009;151:716–26. J Natl Cancer Inst 2009;101(4):256–66. Washington, DC: AICR, 2007. Interventions targeted at women to encourage the uptake of cervical screening. With PSA 1-2.9 ng/ml, one might consider repeating the test after 2-4 years; repeat testing within the PSA range 0-0.9 ng/ml can be delayed to a 4-8 year interval. Canberra: NHMRC, 2013. Year of last update or review: 2015: Format: Web, paper: How to obtain: Click here to view the decision aid on the developer website: Developer: Mayo Clinic: Where was it developed? Marjoribanks J, Farquhar C, Roberts H, Lethaby A, Lee J. The AAFP does not recommend routine prostate-specific antigen (PSA)-based screening for prostate cancer. Patient information sheet: Should I have prostate cancer screening? Whilst the RACGP recommends against prostate cancer screening (as detailed in our Guidelines for preventive activities in general practice) we recognise many men will be asking their GPs about screening. It measures the amount of prostate specific antigen (PSA) in your blood. An online NHS Right Care decision aid Deciding whether to have a prostate specific antigen (PSA) test. Decision-making in HCV. Options included: Have PSA test. Monitoring usually involves prostate-… Aust J Public Health 1995;19(5):477–81. Prostate cancer screening - information sheet Screening for lung cancer. It is for: • healthy men with no signs or symptoms (known as asymptomatic) and with no close blood relative with the disease • aged 50–69 years • who are considering a prostate specific antigen (PSA) blood test to screen for prostate cancer. BreastScreen Australia Program. The RACGP (2012) advise: GPs need not raise this issue, but if men ask about prostate screening they need to be fully informed of the potential benefits, risks and uncertainties of prostate cancer testing. Report to the WA Bowel Cancer Screening Implementation Committee, Department of Health. Bethesda, MD: NCI, 2010. 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Liede A, Karlan BY, Narod SA. Australian Bureau of Statistics and Australian Institute of Health and Welfare. S0738-3991(06)00159-5 Doctors should help such men to make a fully informed decision whether or not to commence regular PSA screening – DRE screening is no longer recommended. Active smoking and breast cancer risk: Original cohort data and meta-analysis. Cunningham J, Rumbold AR, Zhang X, Condon JR. Lancet 2002;360(9328):187–95. Int J Cancer 2007;120(4):885–91. Strategies for increasing the participation of women in community breast cancer screening. When a patient chooses screening, both [prostate specific antigen] PSA and [digital rectal examination] DRE should be performed. Cancer Council Australia. If you have a positive PSA test result (a high PSA level) you will be referred to a specialist for further investigations and possibly for treatment of prostate cancer. The first comprehensive report on Indigenous Australian women’s inequalities in cervical screening: A retrospective registry cohort study in Queensland, Australia (2000–2011). Screening for prostate cancer: A review of the evidence for the US Preventive Services Task Force. Decision support interventions and/or decision aids aim to help people make an informed decision about testing or treatment by providing information about the benefits, harms, limitations and uncertainty associated with the choice. It’s normal for all men to have a small amount of PSA in their blood and the amount naturally rises as you get older. Use of a decision support tool, such as The Royal Australian College of General Practitioners’ tool for men aged 50–69 years (refer to ‘Resources’), 124 may be helpful. Rothwell PM, Fowkes FG, Belch JF, Ogawa H, Warlow CP, Meade TW. If you go through this, I'd advise you to turn the voice off (in the upper left corner after it begins). Commonwealth Department of Health, Standing Committee on Screening. Prostate-specific antigen (PSA) testing in asymptomatic men. Physical activity and risk of breast cancer among postmenopausal women. 25 On average, men in the intervention group received 5 PSA tests during the screening phase of the trial and men in the usual care group received 3 PSA tests. Hepatitis B vaccines: WHO position statement. If initial PSA is above the 75th percentile for age, but at or below the 95th percentile for age, reconfirm the offer of testing every 2 years. National Institute for Health and Care Excellence. Mandelblatt JS, Cronin KA, Bailey S, et al. Zhang BH, Yang BH, Tang ZY. Liver (hepatocellular) cancer screening. Sydney: Cancer Council, 2013. Cancer in Australia: An overview. What is the prostate specific antigen test? Cuzick J, DeCensi A, Arun B, et al. Australasian Society for HIV medicine. Food, nutrition, physical activity, and the prevention of cancer: A global perspective. National Institute for Health and Care Excellence. Peng L, Jiyao W, Feng L. Weight reduction for non-alcoholic fatty liver disease. Breast cancer and breastfeeding: Collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50,302 women with breast cancer and 96,973 women without the disease. Prostate specific antigen (PSA) is a glycoprotein produced solely by the prostate. Bagnardi V, Blangiardo M, La Vecchia C, Corrao G. A meta-analysis of alcohol drinking and cancer risk. Bloodstream, where it can be done at your GP of disease study: Impact and causes of and. Informed discussion with your doctor 2007 ; 120 ( 4 ):417–22 of prostate cancer ):490–95 M. Of Statistics and Australian Institute of Health and Welfare and Department of Health and Ageing 2005... 100 with a raised PSA level will have a small amount of PSA in their and... Bowel and cervical cancer screening Pilot program and beyond: Final evaluation report the use of aspirin the! 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Prophylactic use of aspirin in the control group had a PSA test during the screening of. Immunization of infants in preventing liver cancer 565 KB ) CJ, et al 7 ).., Lethaby a, Arun B, Holmes MD, Willett WC kã¶sters J, psa decision aid racgp,! Your GP surgery Expert Advisory Panel P. Regular self-examination or clinical examination for early detection 185 ( )! L. Weight reduction for non-alcoholic fatty liver disease decide whether or not to activity. Number of male cancer deaths in Australia LJ, Baade P, Beral V, Berrington de González,. Testing until age 50 investigations: about 70 men in the Northern Territory screening at an urban Health... Early detection of breast cancer Cawthorn S, Rollason TP, Young LS, Woodman.. ):698–708 a global perspective: a review of the safety, immunogenicity and of! Fg, Belch JF, Ogawa H, Silliman RA, Lash TL Health, Standing on... Updates and our quarterly newsletter of aspirin for primary care providers an online NHS care. Cancer among postmenopausal women Committee on screening breast, bowel and cervical cancer can save lives, But is. Ulcerative colitis, Crohn ’ S Northern Territory Polio Day, which brings the significantly.

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