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Association between family history of prostate cancer and positive biopsies in a Brazilian screening program

Purpose To test the association between family history of prostate cancer (FH) and prostate cancer (PCa) risk in a large screening program in Brazil, as no conclusive study has yet investigated this. Methods Between 2004 and 2007, 17,569 men were screened in 231 small municipalities using mobile scr...

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Bibliographic Details
Published in:World journal of urology 2013-10, Vol.31 (5), p.1273-1278
Main Authors: Muller, Roberto L., Faria, Eliney F., Carvalhal, Gustavo F., Reis, Rodolfo B., Mauad, Edmundo C., Carvalho, Andre L., Freedland, Stephen J.
Format: Article
Language:English
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Summary:Purpose To test the association between family history of prostate cancer (FH) and prostate cancer (PCa) risk in a large screening program in Brazil, as no conclusive study has yet investigated this. Methods Between 2004 and 2007, 17,569 men were screened in 231 small municipalities using mobile screening units. Positive FH was defined as any relative having PCa among screened men. Men were biopsied if they had digital rectal examination suggestive of PCa or PSA >4.0 ng/mL or PSA of 2.5–4 ng/mL with percent free PSA ≤15 %. We analyzed the association between FH and PCa using multivariable logistic regression in the first screening round of the program. Results Positive FH was present in 735 men (4.2 % of total), and they were younger, better educated and more likely to have had previous PCa screening (41.5 vs. 28.5 %; P  
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-012-0904-3