What to do with the PSA results?

PSA results should be interpreted based on the risk of the patient.

The infographic below is the flow of management depending on the risk of the patient and the level of PSA results. You can click or zoom in to magnify the image to learn about:

1. Risk assessment
2. PSA level
3. Next step of action
4. When to stop screening.

First, the assessment starts with family history to categorise patients’ risk group. Then, the PSA value should be interpreted differently based on the risk group. The management plans for patients follow different PSA values for average risk vs moderate/high risk.

NOTE:
Zoom in to magnify the image.

References

• Prostate Cancer Foundation of Australia and Cancer Council Australia PSA Testing Guidelines Expert Advisory Panel. Draft clinical practice guidelines for PSA testing and early management of test-detected prostate cancer. Prostate Cancer Foundation of Australia and Cancer Council Australia, Sydney (2016). Prostate Cancer Foundation of Australia and Cancer Council Australia. 

• Babjuk M, Burger M, Compérat E, Gontero P, Mostafid AH, Palou J. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam 2020. EAU Guidelines Office, Arnhem, The Netherlands. 2020.

• Oesterling JE, Jacobsen SJ, Chute CG, et al. Serum prostate-specific antigen in a community-based population of healthy men. Establishment of age-specific reference ranges. JAMA. 1993;270(7):860-864.