Table 4

Follow-up after abnormal PSA values
Reference number Country PSA Cut off (ng/ml) Referral (%) Repeat test (%) No action (%) PSA > 10 referral (%)
Database studies
[14] USA PSA ≥ 4 51.9 48
Age-specific cut off: 58 42
6.5 (≥ 75 yr)
[24] Spain PSA ≥ 4 31 69
[21] USA PSA ≥ 4 86 56.1 100
Survey studies
[23] UK PSA ≥ 3 18.2 15.7 67 82.7
PSA ≥ 4 30
Mean (calculated) 28.6 71.4
50–59 yr: 6.2
70–84 yr: 13
[18] France NS 10.5
[26] UK Median (calculated)
45 yr: 4.5
55 yr: 5.5
65 yr: 6.5
75 yr: 6.5
85 yr: 7.5
[7] Denmark mean 5 (calculated)
[6] Ireland median 5.4 (calculated) 55
[15]* UK NS 28
[19] USA NS 33 93
[22] UK PSA > 4 85.8
GPs 78.4
General surgeons 85.3
Geriatricians 100
FHSA
[17] Japan PSA > 4 73 20
[16] USA PSA 4-10 Age specific:
50–59 years: 69
60–69 years: 67
70–74 years: 58
75–79 years: 52
≥ 80 years: 45
[20] USA NS Most doctors refer with PSA 4-10 13
[25] USA PSA > 4 67.8

Abbreviations: yr year; NS Not Specified; GP General Practitioner; FHSA Family Health Service Advisor.

* abstract only.

Van der Meer et al.

Van der Meer et al. BMC Family Practice 2012 13:100   doi:10.1186/1471-2296-13-100

Open Data