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USPSTF Officially Advises Against Routine Prostate Cancer Screening
posted at 22/5/2012 1:31 PM BST
on bmj.com
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Posts: 640
First: 2/2/2011 Last: 18/5/2013 |
USPSTF Officially Advises Against Routine Prostate Cancer Screening
The U.S. Preventive Services Task Force is officially recommending against routine PSA-based screening for prostate cancer in men of all ages (grade D recommendation). The statement, published in the Annals of Internal Medicine, follows the group's much-debated draft recommendation released last October.
One Annals commentator, an oncologist in support of the guidance, writes, "it is my hope that the current USPSTF recommendation ends mass screening," as the "harms are well-proven" and "the evidence of benefit is weak."
On the other side of the debate, a group of specialists and primary care providers say they believe the USPSTF "either overlooked or misinterpreted the effect of significant methodological flaws in the 2 major clinical trials of screening." They suggest that clinicians "review the evidence, follow the continuing dialogue closely, and individualize prostate cancer screening decisions on the basis of informed patient preferences." |
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Re: USPSTF Officially Advises Against Routine Prostate Cancer Screening
posted at 22/5/2012 2:49 PM BST
on bmj.com
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Posts: 220
First: 10/12/2010 Last: 1/6/2012 |
Dear Mukhtar sahib ( we have our own greeting ways) This debate on PSA is quite old. Important for us to remember, in Pakistan, is this fact; This is still a very good diagnostic tool in patients where you suspect CA prostate. Actually before all prostatectomies PSA should be a routine test. You and I know whether this is being practiced or not! Saleem Rana |
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Re: USPSTF Officially Advises Against Routine Prostate Cancer Screening
posted at 22/5/2012 4:00 PM BST
on bmj.com
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Posts: 640
First: 2/2/2011 Last: 18/5/2013 |
Nice to hear from you Sir, just to remind every one that the second important investigation in case of Ca prostate is doTransrectal Ultrasound Guided Biopsy of the Prostate. |
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Re: USPSTF Officially Advises Against Routine Prostate Cancer Screening
posted at 23/5/2012 8:28 AM BST
on bmj.com
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Posts: 220
First: 10/12/2010 Last: 1/6/2012 |
Only if PSA is raised to, let us say beyond any doubt, 50 or 60.Second thing to remember is choice of laboratory. I had recently a patient get tested; collection center gave the report of 5 units while the main laboratory sample gave the report of 105. |
