What are the AUA prostate cancer screening guidelines?

Updated: Jul 31, 2017
  • Author: Bagi RP Jana, MD; more...
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Answer

Answer

The current recommendations of the AUA date from 2013 and update the Association’s 2009 Best Practice Statement on Prostate-Specific Antigen (PSA). [2] The guidelines do not recommend routine screening for the following groups:

  • Any man with a life expectancy less than 10-15 years

  • Men under 40 years

  • Men between ages 40 to 54 years at average risk

  • Men over age 70

For men 55 to 69 years of age, the decision to undergo PSA screening involves weighing the benefits and risks. The guidelines strongly recommend:

  • Shared decision-making for men age 55-69 years who are considering PSA screening, and proceeding based on patients’ values and preferences

  • A routine screening interval of two years or more in those men who have participated in shared decision-making and decided on screening.


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