Environmental Scan April 2017 Background The Canadian Partnership Against Cancer collects information annually on national provincial and territorial prostate cancer screening guidelines strategies and activities ID: 779347
Download The PPT/PDF document "Prostate Cancer Screening in Canada" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Prostate Cancer Screening in Canada
Environmental Scan
April 2017
Slide2BackgroundThe Canadian Partnership Against Cancer collects information annually on national, provincial and territorial
prostate cancer screening guidelines, strategies, and activities.
This scan summarizes the data collected
and
is intended to provide information on policy and practice.
April 2017
2
Slide3OutlineProstate Cancer Screening Guidelines and Strategies
Canadian Task Force on Preventive Health Care Guidelines
Prostate-Specific Antigen (PSA) Testing: Strategies Across Canada
Funding Availability for Prostate-Specific Antigen
Testing
April 2017
3
Slide4April 2017
Prostate Cancer
Screening
Guidelines and Strategies
There are currently no organized prostate cancer screening programs in Canada; however,
s
ome provinces have prostate cancer screening policies. Opportunistic screening for prostate cancer may be offered by primary care providers.
4
Slide5Prostate Cancer Screening Guidelines and Strategies - HighlightsProstate-Specific Antigen (PSA) Testing: Strategies Across Canada (refer to slides #7-9)
There are no organized prostate cancer screening programs in Canada. Five provinces and territories have a strategy for population-based prostate cancer screening, which
is defined as
guidelines
, policies and/or recommendations for screening men for prostate cancer.
Prostate-Specific Antigen (PSA) Testing: Funding Availability Across
Canada (refer to slides #10-11)
PSA testing is funded in twelve provinces and territories.
April 2017
5
Slide6Canadian Task Force on Preventive Health Care Guidelines (2014)The Canadian Task Force on Preventive Health Care (2014) does not
recommend prostate cancer screening with the prostate-specific antigen test for men of any age.
For more information please visit:
http://canadiantaskforce.ca/
April 2017
6
Slide7Prostate-Specific Antigen (PSA) Testing: Strategies Across Canada
Province/
Territory
Does your province/territory have a
strategy*
for population-based prostate cancer screening? (Yes/No)
Details of strategy (who is eligible, what is recommended
)
Alberta
No
No organized provincial program
however a strategy for prostate cancer risk management is being planned.
PSA testing for prostate cancer screening is done opportunistically.
British ColumbiaNoThe BC Cancer Agency and the Vancouver Prostate Centre recommend that asymptomatic men 50-55 years of age or older, with an estimated life expectancy of more than 10 years, who are well informed about the risks of over-diagnosis and over-treatment, consider PSA testing for the early diagnosis of prostate cancer. Unselected, population-wide PSA screening is not supported because of the potential for over-diagnosis, over-treatment and detriment to quality adjusted survival.
A recommendation to create a Prostate Cancer Risk Management Taskforce has been proposed to the Ministry of Health.
Manitoba
No
No provincial policies or program. PSA testing is done upon doctor referral.
New
Brunswick
No
No provincial policies or program. PSA testing is done at hospitals upon
physician/nurse
practitioner
referral.Newfoundland & LabradorNoNo provincial policies or program. PSA testing is done at hospitals upon doctor referral.Northwest TerritoriesYesThere is no population based prostate cancer screening program in place.In March 2002, the Department of Health and Social Services provided guidelines: Use of Free PSA Ratio and Total PSA in screening for prostate cancer (developed by the Lab Advisory Committee); providing recommendations for PSA testing. PSA testing by itself is not used as a general screening test for prostate cancer.
* “Strategy” refers to guidelines, policies and/or recommendations for screening men for prostate cancer.
April 2017
Slide8Prostate-Specific Antigen (PSA) Testing: Strategies Across Canada Cont’d
Does your province/territory have a
strategy*
for population-based prostate cancer screening? (Yes/No)
Details of strategy (who is targeted, what is recommended
)
Nova
Scotia
Yes
There is a 2012 position statement
. There is no organized, population-based screening for prostate cancer in Nova Scotia. Screening is an individual decision between the patient and their health care provider. Cancer Care Nova Scotia's 2012 position statement is available at:
http://www.cancercare.ns.ca/en/home/preventionscreening/prostate.aspx
Nunavut
NoNo organized screening program in place but opportunistic screening/testing is available if requested by designated health professional.OntarioYes
No program, but government has policies for funding of PSA test. PSA testing is
not insured for routine screening.
For more information, visit:
http://www.health.gov.on.ca/en/pro/programs/ohip/bulletins/4000/bul4488.pdf
Cancer Care Ontario position
statement on prostate cancer screening and key messages for primary care providers available at:
https://www.cancercare.on.ca/pcs/primcare/pcresources/
.
April 2017
* “Strategy” refers to guidelines, policies and/or recommendations for screening men for prostate
cancer.
8
Slide9Prostate-Specific Antigen (PSA) Testing: Strategies Across Canada Cont’d
Does your province/territory have a strategy*
for population-based prostate cancer screening? (Yes/No)
Details of strategy (who is targeted, what is recommended
)
Prince
Edward Island
No
No program but testing
is available if requested by physician or nurse practitioner at no cost to the patient. A prostate cancer study was completed in 2016-17 with the support from CPAC. This was to examine the high
rate
of
low risk prostate cancers in PEI. The study examined and reported disease surveillance statistics, use of PSA testing in the province and management strategies of those diagnosed in PEI. The reports will be made available shortly to clinicians and public. Provincial clinical practice guidelines and decision aids for clinicians and patients are under development.
QuebecYesNo program, but there is a policy to fund PSA testing when requested by a physician. The College of Physicians in Quebec, in collaboration with the Institut national d’excellence en santé et en services sociaux (INESSS), has prepared a flyer with information for the public. Its content is based on the recommendations of a group of experts in addition to some public consultation
.
http://www.cmq.org/fr/RSSFeeds/~/media/Files/Depliants/Depliant-depistage-cancer-prostate-2013.pdf
A revision of these recommendations by
the INESSS
is currently under way.
Saskatchewan
Yes
PSA
test is available free of charge to all men in Saskatchewan and government covers cost. Current practice is ad hoc, widely spread and unorganized.
No official screening guidelines are in place, but an expert panel has been established to develop guidelines for Saskatchewan. The expert panel has been meeting regularly to review possible options. As a result of this work, a proposal has been developed and ready to be shared with the Ministry of Health to explore possible options to implement a risk management program.
Yukon
No----* Strategy refers to guidelines, policies and/or recommendations for screening men for prostate cancer.---- No information was provided at the time the data was collected 9
Slide10Prostate-Specific Antigen (PSA) Testing: Funding Availability Across Canada
Is the PSA test funded by your province/territory?
(Yes/No)
If
funding for PSA testing is available, please explain the funding details:
When can the test be ordered (e.g. opportunistic screening in asymptomatic, symptomatic males, risk factors)
Through which mechanism (e.g. physician referral, lab etc.)
Source of funding (e.g. insurance coverage)
Alberta
Yes
The Alberta Health Insurance Plan does cover it for “screening” i.e. testing of asymptomatic individuals.
British
Columbia
YesPSA tests are funded for diagnostic purposes when ordered by a clinician but not for population-based screening.
Manitoba
Yes
PSA testing is an insured service when ordered by a clinician.
New
Brunswick
Yes
PSA testing is an insured service when ordered by a physician or Nurse Practitioner.
Newfoundland
& Labrador
Yes
The cost for a PSA test is an insured service when ordered by a physician
Northwest TerritoriesYesThe cost for a PSA test is an insured service when ordered by a clinician.Appropriate use for PSA testing is for the following scenarios: follow-up for prostate cancer, prostatism or an abnormal digital rectal exam. Patients at higher risk for prostate cancer or those who express concern for developing prostate cancer should discuss risk: benefits with the clinician.April 201710
Slide11Prostate-Specific Antigen (PSA) Testing: Funding Availability Across Canada
Is the PSA test funded by your province/territory?
(Yes/No)
If
funding for PSA testing is available, please explain the funding details:
When can the test be ordered (e.g. opportunistic screening in asymptomatic, symptomatic males, risk factors)
Through which mechanism (e.g. physician referral, lab etc.)
Source of funding (e.g. insurance coverage)
Nova
Scotia
Yes
The cost for a PSA test is an insured service when ordered by a Physician
or Nurse Practitioner.
NunavutYesPSA test is an insured service in Nunavut.OntarioYes
Government has policies for funding of PSA test; PSA
testing is not insured for routine screening.
Prince
Edward Island
Yes
If ordered by clinician.
Quebec
Yes
It is funded if the test is requested by a urologist
or a treating physician.
Saskatchewan
YesThe PSA test, no matter how it is used is fully funded.YukonYes-------- No information was provided at the time the data was collectedApril 201711
Slide12ReferenceApril 2017Please use the following reference when citing information from this presentation:
Canadian Partnership Against Cancer.
Prostate Cancer
Screening in Canada: Environmental Scan [Internet]. Toronto (ON): Canadian Partnership Against Cancer; 2017 [cited (Enter Date Accessed – formatted as YYYY MM)]. Available from: (Enter Link)
12
Slide13AcknowledgementsApril 2017
Production of this environmental scan has been made possible through financial support from
Health Canada
through the
Canadian Partnership Against Cancer
.
13