Evidence map›Paper›PMID 23052017›Full record

SynthesisBMC family practice2012

Prostate specific antigen testing policy worldwide varies greatly and seems not to be in accordance with guidelines: a systematic review.

Saskia Van der Meer, Sabine A M Löwik, Willem H Hirdes, Rien M Nijman, Klaas Van der Meer, Josette E H M Hoekstra-Weebers, Marco H Blanker

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Prostate Cancer Screening: Knowledge, Attitudes, and Practices by Medical Doctors in Portugal.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Saskia Van der MeerIsala clinics, Department of Urology, Zwolle, The Netherlands.
Sabine A M Löwik
Willem H Hirdes
Rien M Nijman
Klaas Van der Meer
Josette E H M Hoekstra-Weebers
Marco H Blanker
University Medical Center Groningen · NLIsala · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate specific antigen (PSA) testing is widely used, but guidelines on follow-up are unclear.

methodsWe performed a systematic review of the literature to determine follow-up policy after PSA testing by general practitioners (GPs) and non-urologic hospitalists, the use of a cut-off value for this policy, the reasons for repeating a PSA test after an initial normal result, the existence of a general cut-off value below which a PSA result is considered normal, and the time frame for repeating a test. Data sources. MEDLINE, Embase, PsychInfo and the Cochrane library from January 1950 until May 2011. Study eligibility criteria. Studies describing follow-up policy by GPs or non-urologic hospitalists after a primary PSA test, excluding urologists and patients with prostate cancer. Studies written in Dutch, English, French, German, Italian or Spanish were included. Excluded were studies describing follow-up policy by urologists and follow-up of patients with prostate cancer. The quality of each study was structurally assessed.

resultsFifteen articles met the inclusion criteria. Three studies were of high quality. Follow-up differed greatly both after a normal and an abnormal PSA test result. Only one study described the reasons for not performing follow-up after an abnormal PSA result.

conclusionsBased on the available literature, we cannot adequately assess physicians' follow-up policy after a primary PSA test. Follow-up after a normal or raised PSA test by GPs and non-urologic hospitalists seems to a large extent not in accordance with the guidelines.

Indexed as

Practice Guidelines as TopicGeneral PracticeGuideline AdherenceHospitalistsHumansMaleMass ScreeningPractice Patterns, Physicians'Prostate-Specific AntigenProstatic NeoplasmsReferral and ConsultationProstate-Specific Antigen

Identifiers

PMID23052017
PMCPMC3528621
OpenAlexW2018791142

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.