Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population

Introduction: We sought to determine the distribution of serum prostate specific antigen (PSA) levels in a community-based population in the state of Gujarat in India. Materials and Methods: Community screening of subjects residing in Kheda and Anand districts of Gujarat was done with digital rec...

Full description

Bibliographic Details
Main Authors: Arvind P Ganpule, Mahesh R Desai, T Manohar, Sharad Bapat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=2;spage=122;epage=125;aulast=Ganpule
_version_ 1819243674175799296
author Arvind P Ganpule
Mahesh R Desai
T Manohar
Sharad Bapat
author_facet Arvind P Ganpule
Mahesh R Desai
T Manohar
Sharad Bapat
author_sort Arvind P Ganpule
collection DOAJ
description Introduction: We sought to determine the distribution of serum prostate specific antigen (PSA) levels in a community-based population in the state of Gujarat in India. Materials and Methods: Community screening of subjects residing in Kheda and Anand districts of Gujarat was done with digital rectal examination (DRE), uroflowmetry and transabdominal sonography and serum PSA. In three villages transrectal sonography was done in addition to transabdominal sonography. All patients with a PSA of more than 4 ng/ml and / or abnormal DRE were evaluated. Biopsy-proven prostatic malignancy was detected in 20 patients. Subjects who did not follow up and who had biopsy-proven malignancy were excluded from the analysis, 1899 subjects were analyzed. Results: One thousand seven hundred and eighty-seven (89.17%) had a PSA of < 4 ngml, 180 (8.9%) had a PSA between 4-10 ng/ml, while 37 (1.8 %) had a PSA more than 10ng/ml. There was a statistically significant correlation between age and prostate volume (correlation coefficient 0.33) and between prostate volume and PSA (correlation coefficient 0.50). The age-specific PSA values derived as the 95th percentile value were as follows, 40-49 years (0-2.1), 50-59 years (0-3.4), 60-69 years (0-4.2) and more than 70 years (0-5.0). The 95th percentile value for PSAD was 0.19. Conclusion: Indians need to have separate PSA reference ranges. The age-specific PSA ranges for men in the present study population are on the lower side and the prostate specific antigen density on the higher side.
first_indexed 2024-12-23T14:59:27Z
format Article
id doaj.art-3d27f454030e44b7be9a62d5192c598f
institution Directory Open Access Journal
issn 0970-1591
1998-3824
language English
last_indexed 2024-12-23T14:59:27Z
publishDate 2007-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Urology
spelling doaj.art-3d27f454030e44b7be9a62d5192c598f2022-12-21T17:42:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242007-01-0123212212510.4103/0970-1591.32060Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian populationArvind P GanpuleMahesh R DesaiT ManoharSharad BapatIntroduction: We sought to determine the distribution of serum prostate specific antigen (PSA) levels in a community-based population in the state of Gujarat in India. Materials and Methods: Community screening of subjects residing in Kheda and Anand districts of Gujarat was done with digital rectal examination (DRE), uroflowmetry and transabdominal sonography and serum PSA. In three villages transrectal sonography was done in addition to transabdominal sonography. All patients with a PSA of more than 4 ng/ml and / or abnormal DRE were evaluated. Biopsy-proven prostatic malignancy was detected in 20 patients. Subjects who did not follow up and who had biopsy-proven malignancy were excluded from the analysis, 1899 subjects were analyzed. Results: One thousand seven hundred and eighty-seven (89.17%) had a PSA of < 4 ngml, 180 (8.9%) had a PSA between 4-10 ng/ml, while 37 (1.8 %) had a PSA more than 10ng/ml. There was a statistically significant correlation between age and prostate volume (correlation coefficient 0.33) and between prostate volume and PSA (correlation coefficient 0.50). The age-specific PSA values derived as the 95th percentile value were as follows, 40-49 years (0-2.1), 50-59 years (0-3.4), 60-69 years (0-4.2) and more than 70 years (0-5.0). The 95th percentile value for PSAD was 0.19. Conclusion: Indians need to have separate PSA reference ranges. The age-specific PSA ranges for men in the present study population are on the lower side and the prostate specific antigen density on the higher side.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=2;spage=122;epage=125;aulast=GanpuleCommunity studyprostate specific antigen density ranges
spellingShingle Arvind P Ganpule
Mahesh R Desai
T Manohar
Sharad Bapat
Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
Indian Journal of Urology
Community study
prostate specific antigen density ranges
title Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
title_full Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
title_fullStr Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
title_full_unstemmed Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
title_short Age-specific prostate specific antigen and prostate specific antigen density values in a community-based Indian population
title_sort age specific prostate specific antigen and prostate specific antigen density values in a community based indian population
topic Community study
prostate specific antigen density ranges
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=2;spage=122;epage=125;aulast=Ganpule
work_keys_str_mv AT arvindpganpule agespecificprostatespecificantigenandprostatespecificantigendensityvaluesinacommunitybasedindianpopulation
AT maheshrdesai agespecificprostatespecificantigenandprostatespecificantigendensityvaluesinacommunitybasedindianpopulation
AT tmanohar agespecificprostatespecificantigenandprostatespecificantigendensityvaluesinacommunitybasedindianpopulation
AT sharadbapat agespecificprostatespecificantigenandprostatespecificantigendensityvaluesinacommunitybasedindianpopulation