Is there still a role for digital rectal examination in the prostate cancer diagnostic pathway in the COVID-19 and post COVID-19 era?

IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Wei Shen Tan, Anton Wong, Wasim Mahmalji, Asif Raza
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引用次数: 5

Abstract

Digital rectal examination (DRE) is routinely performed as part of a urology clinical assessment in patients with a clinical suspicion of prostate cancer. An abnormal DRE or a raised prostate specific antigen (PSA) level are part of the criteria for primary care referral to secondary care due to a suspicion of prostate cancer. The current Coronavirus-19 (COVID-19) pandemic has resulted in the rapid adoption of virtual consultations in the form of telephone or video consultations making clinical examination difficult. In the case of prostate cancer diagnostic pathways, often clinicians now rely on PSA measurements and MRI, where radiological services are available, without the requirement for a DRE. We discuss the limited role DRE has in the modern prostate cancer diagnostic pathway due to the widespread adoption of MRI particularly in the COVID-19 era.

在新冠肺炎和后新冠肺炎时代,直肠指检在前列腺癌诊断通路中是否还有作用?
直肠指检(DRE)是临床怀疑前列腺癌患者泌尿科临床评估的常规检查。异常DRE或前列腺特异性抗原(PSA)水平升高是怀疑前列腺癌的初级保健转介到二级保健的标准之一。当前的冠状病毒-19 (COVID-19)大流行导致迅速采用电话或视频会诊形式的虚拟会诊,这给临床检查带来了困难。在前列腺癌诊断途径的情况下,临床医生现在通常依赖于PSA测量和MRI,这些放射学服务是可用的,而不需要DRE。我们讨论了由于MRI的广泛采用,特别是在COVID-19时代,DRE在现代前列腺癌诊断途径中的作用有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Aging Male
Aging Male 医学-泌尿学与肾脏学
CiteScore
6.40
自引率
3.80%
发文量
33
审稿时长
>12 weeks
期刊介绍: The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.
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