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Gepubliceerd in: Bijblijven 7/2009

01-07-2009 | Artikel

Bevolkingsonderzoek naar prostaatkanker

Auteurs: C. H. Bangma, Mevr. M. Roobol

Gepubliceerd in: Bijblijven | Uitgave 7/2009

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samenvatting

Screening met PSA (prostaatspecifiek antigeen) van de algemene populatie verlaagt de sterfte aan prostaatkanker met minimaal 20%. De European Randomised Study for Screening of Prostate Cancer (ERSPC) toont dit aan na gemiddeld 9 jaar follow-up van ruim 162.000 mannen van 55 tot 69 jaar oud. Om 1 sterftegeval aan prostaatkanker te kunnen voorkomen, moesten er 1410 mannen gescreend worden, waarbij een additionele 48 mannen in vergelijking met de controlepopulatie de diagnose prostaatkanker verkregen. Bij een overweging van de overheden of bevolkingsonderzoek geïndiceerd is, zullen ook andere elementen een rol spelen, zoals de kosteneffectiviteit en de kwaliteit van leven van de gewonnen jaren als gevolg van screening. Screening brengt overdiagnose van indolente tumoren en het risico van overbehandeling met zich mee. Voor de begeleiding van de individuele vraag naar vroege detectie staat een risico-indicator ter beschikking.
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Metagegevens
Titel
Bevolkingsonderzoek naar prostaatkanker
Auteurs
C. H. Bangma
Mevr. M. Roobol
Publicatiedatum
01-07-2009
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Bijblijven / Uitgave 7/2009
Print ISSN: 0168-9428
Elektronisch ISSN: 1876-4916
DOI
https://doi.org/10.1007/BF03087671

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