In 2013, Prostate Cancer Canada (PCC) published a paper directed at doctors and other healthcare professionals about the use of the PSA test for detection of prostate cancer in Canadian men.17 This paper was accompanied by a public education program encouraging men to “Know Your Number”. The key recommendation is that Canadian men should have a PSA test done when they’re in their 40s, to establish what normal is for them and to help their doctors plan future tests. The recommendation to establish the “normal” PSA number is based on the fact that prostate cancer, when detected early, is associated with very high survival rates, and on findings from a study that suggested that PSA testing beginning in the mid-to-late 40s can help predict future risk of prostate cancer.18
Some people who are at higher risk for prostate cancer have different needs for prostate cancer testing and should talk to their doctors about it. Some of the groups who are at higher risk are men of African or Caribbean ancestry and those with a family history of prostate cancer.
The Prostate Cancer Canada recommendations also say that the decision of when to stop PSA testing should be made on a person-by-person basis after the age of 70 years.
Click here to see a video report on the PCC recommendations.