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Cohort study
Digital rectal examination can detect early prostate cancer
  1. Monique J Roobol
  1. Department of Urology, Erasmus University Medical Centre, Rotterdam, The Netherlands
  1. Correspondence to : Dr Monique J Roobol, Department of Urology, Erasmus University Medical Centre, Room Na-1706, P.O. Box 2040, Rotterdam 3000 CA, The Netherlands; m.roobol{at}

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Population-based screening for prostate cancer (PCa) is not yet recommended. Despite the fact that the European Randomised study of Screening for PCa has repeatedly reported on a significant PCa mortality reduction in favour of prostate-specific antigen (PSA)-based screening,1 ,2 the harm–benefit ratio is far from optimal. This study assessed the accuracy of digital rectal examination (DRE) in men referred for to a specialty clinic for PCa evaluation.


The Rapid Access Prostate Clinic (RAPC) in Ireland was established to provide general practitioners (GPs) with a direct pathway for evaluation of men considered to be …

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  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.