계명대학교 의학도서관 Repository

The national-wide incidence of prostate-specific antigen testing trend for a decade in Korea by age group

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Author(s)
Young Hwii KoKwon-Chan RohByung Hoon Kim
Keimyung Author(s)
Kim, Byung Hoon
Department
Dept. of Urology (비뇨의학)
Journal Title
Investig Clin Urol
Issued Date
2022
Volume
63
Issue
2
Keyword
Prostate cancerProstate-specific antigenScreening
Abstract
Purpose:
To document nationwide serum prostate-specific antigen (PSA) testing trends over the past decade and to investigate the impact of testing on prostate cancer (PCa) detection.

Materials and Methods:
Using annual National Health Insurance Service of Korea data for the period 2006 to 2016, PSA testing rates were investigated for men aged ≥40 years by decade, and associations between test rates and registered PCa cases were analyzed.

Results:
During the study period, the incidence of PCa increased about threefold (4,415 in 2006 to 15,046 in 2016). PCa incidences increased with age (p<0.001) and about 60% of cases were over 70 years old. Despite a fourfold increase in PSA testing (246,911 in 2006 to 937,548 in 2016), the average exposure rate among all men was only 7.27% in 2016, and the mean number of repeat tests for those that did not develop PCa during the study period was 2.9. PSA test rates increased with age and in 2016 were 1.65% for those in their 40s, 4.90% for those in their 50s, 12.0% for those in their 60s, 19.2% for those in their 70s, and 21.6% for those aged ≥80. Regardless of the age groups, a significant association was found between PSA test numbers and the detection of PCas.

Conclusions:
In contrast to the soaring incidence of PCa especially in those aged over 70 years who have a more frequent chance for PSA testing triggered by concomitant voiding symptoms, low exposure in general and among relatively younger men favors a countrywide screening policy.
Keimyung Author(s)(Kor)
김병훈
Publisher
School of Medicine (의과대학)
Citation
Young Hwii Ko et al. (2022). The national-wide incidence of prostate-specific antigen testing trend for a decade in Korea by age group. Investig Clin Urol, 63(2), 184–191. doi: 10.4111/icu.20210463
Type
Article
ISSN
2466-054X
Source
https://www.icurology.org/DOIx.php?id=10.4111/icu.20210463
DOI
10.4111/icu.20210463
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44077
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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