{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T22:12:19Z","timestamp":1783030339435,"version":"3.54.6"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Association of Urology Policy Office"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Prostate cancer (PCa) poses a significant global health threat, with high incidence and mortality rates. In 2022, the Council of the European Union (EU) updated its screening recommendations, prioritizing PCa screening. This signals a crucial step towards establishing new early detection programmes in EU member states. This study investigates the role of policy makers and governance in cancer screening to inform the development of PCa screening. We had a mixed-method study design. First, a rapid review was conducted on policy making and governance in EU-funded cancer screening initiatives. Second, a focus group discussion reviewed study concepts and methods. Third, a systematic literature review was performed and, fourth, a series of in-depth interviews with actors involved in PCa screening pilots was conducted. Data were analysed thematically and the findings are used to propose 10 recommendations for policy makers. The results of the rapid review and focus group discussion framed the study in the context of existing cancer screening programmes across the EU, and highlighted what already exists in terms of governance tools and methodology. The literature review and in-depth interviews presented key learnings from the literature and real-life settings. These findings are reported using a pre-existing conceptional framework for effective health system governance. The study underscores the critical importance of governance in effective cancer screening programmes. Ten recommendations are proposed, including: defining cancer screening governance, allocating budgets and defining common approaches and key performance indicators for evaluation, establishing methods to enhance citizen participation, and reinforcing network governance.<\/jats:p>","DOI":"10.1093\/eurpub\/ckaf066","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T15:21:10Z","timestamp":1749223270000},"page":"440-446","source":"Crossref","is-referenced-by-count":1,"title":["Informing prostate cancer screening policy makers in the European Union: lessons from cancer screening governance and policymaking"],"prefix":"10.1093","volume":"35","author":[{"given":"Sarah","family":"Collen","sequence":"first","affiliation":[{"name":"Policy Office , European Association of Urology , Arnhem,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunah","family":"Chandran","sequence":"additional","affiliation":[{"name":"International Agency for Research on Cancer\/World Health Organization , Lyon,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Guglielmetti","sequence":"additional","affiliation":[{"name":"Former: European Commission\u2019s Directorate-General for Health and Food Safety (DG SANTE) ,","place":["Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ond\u0159ej","family":"M\u00e1jek","sequence":"additional","affiliation":[{"name":"National Screening Centre, Institute of Health Information and Statistics of the Czech Republic , Prague,","place":["Czech Republic"]},{"name":"Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University , Brno,","place":["Czech Republic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique J","family":"Roobol","sequence":"additional","affiliation":[{"name":"Department of Urology, Erasmus MC Cancer Institute, Erasmus University Medical Center Rotterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Van Poppel","sequence":"additional","affiliation":[{"name":"Policy Office , European Association of Urology , Arnhem,","place":["The Netherlands"]},{"name":"Department of Urology, KU Leuven , Leuven,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Torres-Rueda","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine , London,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"2025062605075750200_ckaf066-B1","author":"European Cancer Information System (ECIS)"},{"key":"2025062605075750200_ckaf066-B2","author":"OJEU:13.12.2022; C473\/1-10","year":"2022"},{"key":"2025062605075750200_ckaf066-B3","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1038\/s41585-022-00638-6","article-title":"Serum PSA-based early detection of prostate cancer in Europe and globally: past, present and future","volume":"19","author":"Van Poppel","year":"2022","journal-title":"Nat Rev Urol"},{"key":"2025062605075750200_ckaf066-B4","author":"World Health Organization","year":"2002"},{"key":"2025062605075750200_ckaf066-B5","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1002\/ijc.31043","article-title":"Status of implementation and organization of cancer screening in the European Union Member States\u2014summary results from the second European screening report","volume":"142","author":"Basu","year":"2018","journal-title":"Int J Cancer"},{"key":"2025062605075750200_ckaf066-B6","first-page":"39","volume-title":"EUROPEAN Guide on Quality Improvement in Comprehensive Cancer Control","author":"L\u00f6nnberg","year":"2017"},{"key":"2025062605075750200_ckaf066-B7","volume-title":"Screening Programmes: A Short Guide. 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