Diagnostic tests in urology: percentage of free prostate‐specific antigen (PSA)

What's known on the subject? and What does the study add? Free to total PSA ratios are commonly used as an adjunct to total PSA levels to better define an individual's risk for prostate cancer; however, its strengths and weaknesses are not well understood. This article illustrates the use...

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Veröffentlicht in:BJU international 2013-04, Vol.111 (4), p.683-685
Hauptverfasser: Yi, Yooni, Breau, Rodney H., Witiuk, Kelsey, Neuberger, Molly M., Dahm, Philipp
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container_end_page 685
container_issue 4
container_start_page 683
container_title BJU international
container_volume 111
creator Yi, Yooni
Breau, Rodney H.
Witiuk, Kelsey
Neuberger, Molly M.
Dahm, Philipp
description What's known on the subject? and What does the study add? Free to total PSA ratios are commonly used as an adjunct to total PSA levels to better define an individual's risk for prostate cancer; however, its strengths and weaknesses are not well understood. This article illustrates the use of likelihood ratios that can be generated from the reported sensitivities and specificities from given free to total PSA thresholds in either increasing or decreasing an individual patient's probability of prostate cancer. Understanding the strengths and limitations of free to total PSA testing will help clinicians anticipate whether its use is indicated or not.
doi_str_mv 10.1111/j.1464-410X.2012.11446.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Biological and medical sciences
Biomarkers, Tumor - blood
Biopsy, Needle
Decision Making
diagnostic test
Diagnostic Tests, Routine - methods
Disease Progression
elevated PSA
Evidence-Based Medicine
Gynecology. Andrology. Obstetrics
Humans
Immunohistochemistry
Likelihood Functions
Male
Male genital diseases
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Patient Education as Topic - methods
percentage of free prostate‐specific antigen
Predictive Value of Tests
prostate cancer
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - therapy
Risk Assessment
Sensitivity and Specificity
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Urology - methods
title Diagnostic tests in urology: percentage of free prostate‐specific antigen (PSA)
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