• Saudi Med J · Jul 2019

    Yield of prostate cancer screening at a community based clinic in Saudi Arabia.

    • Abdulaziz A Almutairi, Abdelmoneim M Edali, Shoaib A Khan, Wala A Aldihan, and Abdullah H Alkhenizan.
    • Department of Family Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia. E-mail. dr.azizmotairi@gmail.com.
    • Saudi Med J. 2019 Jul 1; 40 (7): 681-686.

    ObjectivesTo estimate the incidence and prevalence of prostate cancer in Saudi Arabia.MethodsThis is a retrospective cohort study including male patients aged 40 years and over. The prostate-specific antigen screening tests were carried out in a community-based clinic affiliated with King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia between September 2002 and December 2016.ResultsA total of 2,160 male patients were included in the study. Of these, 1,521 (70%) were Saudi nationals and 639 (30%) were non-Saudi nationals. A total of 108 (5%) patients underwent a prostate biopsy. The biopsy results confirmed that 31 (2%) Saudi patients and 6 (0.93%) non-Saudi patients had prostate adenocarcinoma. The age-standardized incidence rate of prostate cancer in the Saudi male population is 70 per 100,000 males. Nearly two-thirds (71%) of the Saudi patients' prostate cancer was found to be in the early stages. Conclusion: The prevalence of prostate cancer in the Saudi male population is higher than that reported by the Saudi Cancer Registry; however, it is low compared with prevalences in developed countries. The mortality rate is also very low. Prostate-specific antigen screening in Saudi Arabia should not be carried out routinely; instead, it should only be carried out on an individual basis.

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