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Diagnosis
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}erasmusmc.nl

http://dx.doi.org/10.1136/ebmed-2014-110162

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    Commentary on: Walsh AL, Considine SW, Thomas AZ, et al. Digital rectal examination in primary care is important for early detection of prostate cancer: a retrospective cohort analysis study. Br J Gen Pract 2014;64:e783–7OpenUrlAbstract/FREE Full Text.

    Context

    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.

    Methods

    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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    Footnotes

    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.