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Prostate Cancer Screening Recommendations for Older Adults

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Prostate cancer is one of the most commonly diagnosed cancers and a leading cause of cancer-related deaths among men.

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Prostate Cancer Screening Recommendations for Older Adults

What is prostate cancer?

Prostate cancer is one of the most commonly diagnosed cancers and a leading cause of cancer-related deaths among men. The risk of developing prostate cancer increases with age.

This type of cancer usually grows slowly and can often be removed entirely or effectively managed if detected and treated early.

Currently, there is no standard test available for screening prostate cancer. However, two tests commonly utilized for this purpose are outlined below.

PSA Screening Test

The PSA test is a blood test used to screen for prostate cancer. It measures the level of prostate-specific antigen (PSA), a protein produced by the prostate gland, in the blood. There is ongoing debate about the benefits of using PSA testing for prostate cancer screening. One concern is that PSA testing can result in false-positive results and lead to overdiagnosis, causing potential harms associated with subsequent biopsies or treatments, such as bleeding, infection, urinary incontinence, and erectile dysfunction. There is no explicit cutoff for normal versus abnormal PSA results, as no specific level definitively indicates prostate cancer. However, higher PSA levels increase the likelihood of cancer being present.

Digital rectal examination (DRE)

Digital rectal examination (DRE) is when a health care provider inserts a gloved, lubricated finger into a man's rectum to feel the prostate for anything abnormal, such as cancer.

Prostate Cancer Screening Recommendations from the Canadian Task Force on Preventative Health Care (2014):  

  • For men aged less than 55 years, we recommend not screening for prostate cancer with the prostate-specific antigen test. (Strong recommendation; low-quality evidence)
  • For men aged 55-69 years, we recommend not screening for prostate cancer with the prostate-specific antigen test. (Weak recommendation; moderate quality evidence)
  • For men 70 years of age and older, we recommend not screening for prostate cancer with the prostate-specific antigen test. (Strong recommendation; low-quality evidence).
  • Digital rectal examination (DRE) is not recommended.

The "weak" recommendation for men aged 55 to 69 encourages clinicians to discuss the risks and benefits of screening and its potential consequences with each man based on his preferences.

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older man getting a prostate cancer screening test

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Last Updated:
January 23, 2025

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