Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Prostate- Specific Antigen (PSA) Significance in Frail Men

Version 1 : Received: 15 August 2023 / Approved: 16 August 2023 / Online: 17 August 2023 (08:49:01 CEST)
Version 2 : Received: 8 January 2024 / Approved: 9 January 2024 / Online: 9 January 2024 (15:45:05 CET)

How to cite: Kostakopoulos, N.; Bellos, T.; Katsimperis, S.; Malovrouvas, E.; Papatsoris, A. Prostate- Specific Antigen (PSA) Significance in Frail Men. Preprints 2023, 2023081224. https://doi.org/10.20944/preprints202308.1224.v1 Kostakopoulos, N.; Bellos, T.; Katsimperis, S.; Malovrouvas, E.; Papatsoris, A. Prostate- Specific Antigen (PSA) Significance in Frail Men. Preprints 2023, 2023081224. https://doi.org/10.20944/preprints202308.1224.v1

Abstract

Objectives With this study we present, for the first time to the best of our knowledge, the implications of PSA tests on the lives of frail men. Methods We searched the available literature for studies analyzing the role of PSA as a screening and prognostic tool for prostatic diseases in frail men, using keywords: Prostate-specific antigen, Frailty, Prostate cancer screening, Hypogonadism and Benign Prostatic Obstruction (BPO). Results PSA in frail men with more than 15 years life expectancy can detect prostate cancer in curable stages, while it enables monitoring response to different prostate cancer treatments and follow-up of testosterone replacement for hypogonadism. PSA also predicts clinical progression of patients with BPO. However, PSA is widely being offered, without personalized patient evaluation, adding to the financial burden of healthcare systems. Conclusion A frailty assessment of men for the potential benefit of PSA tests on their quality of life can reduce unnecessary costs.

Keywords

Prostate Specific Antigen; Frailty; Prostate cancer screening; Hypogonadism; Benign Prostatic Obstruction

Subject

Medicine and Pharmacology, Urology and Nephrology

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