Table 26:

Recommendations by Urological Societies on PSA Testing for Prostate Cancer

Society, Year	Recommendation Summary
American Urological Association, 2013 (92)	does not recommend routine PSA screening in men age < 40 years. does not recommend routine PSA screening in men age 40–54 years at average risk recommends shared decision-making in men age 55–69 years states that, to reduce harms, a routine screening interval of 2 years or more may be preferred over annual screening in those men who have participated in shared decision-making and decided on screening does not recommend PSA screening in men age > 70 years or in men with life expectancy < 10–15 years
Canadian Urological Association, 2011 (95)	recommends PSA screening be offered to all men age 50 years or older with a life expectancy of at least 10 years states that harms and benefits of PC screening must be explained to each patient so they understand the factors to be considered in the shared decision-making about screening
European Association of Urology, 2013 (93)	does not recommend mass screening for PC but does recommend early detection in well-informed men

Abbreviations: PC, prostate cancer; PSA, prostate specific antigen.