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PSA Screening Controversy: FAQ
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Caprice_WebMD_Staff posted:
Don't get the PSA prostate -cancer screening test, a U.S. expert panel says. Do get it, many urologists and patient advocates say.

What's a man supposed to do? To provide clarity amid the controversy, here's WebMD's FAQ.
Treat people as if they were what they ought to be, and you'll help them to become what they are capable of becoming. ~Goethe
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rrw1949 responded:
My God what ever you do get the PSA test, It will save you life. It's all about the money is why they don't want you to get it. Hell it's only a blood test... That's how I found out that I had prostate cancer to begin with, it just kept going up and up, finally had a biospy and there it was, Thank GOD for the PSA test or I would still not know that I had it.. GUYS get the test...........
 
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ThankfulSurvivor responded:
Save your life - get the PSA screening from a great doctor. It worked for me. BTW - there were no urologists on that "expert" panel.
 
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billh99 responded:
The American Society of Clinical Oncology (ASCO) has come up with an updated recommendation based on the latest research.

Results: In one randomized trial, PSA testing in menwho would not otherwise have been screened resulted in reduced death rates from prostate cancer, but it is uncertain whether the size of the effect was worth the harms associated with screening and subsequent unnecessary treatment. Although there are limitations to the existing data, there is evidence to suggest that men with longer life expectancy may benefit from PSA testing. Adverse events associated with prostate biopsy are low for the majority of men; however, several population-based studies have shown increasing rates of infectious complications after prostate biopsy, which is a concern.
Provisional Clinical Opinion: On the basis of identified evidence and the expert opinion of the panel:
  • In men with a life expectancy<10 years,* it is recommended that general screening for prostate cancer with total PSA be discouraged, because harms seem to outweigh potential benefits.
  • In men with a life expectancy>10 years,* it is recommended that physicians discuss with their patients whether PSA testing for prostate cancer screening is appropriate for them. PSA testing may save lives but is associated with harms, including complications, from unnecessary biopsy, surgery, or radiation treatment.
  • It is recommended that information written in lay language be available to clinicians and their patients to facilitate the discussion of the benefits and harms associated with PSA testing before the routine ordering of a PSA test.
http://www.asco.org/ASCOv2/Practice %26 Guidelines/Guidelines/Clinical Practice Guidelines/Screening for Prostate Cancer with Prostate-Specific Antigen %28PSA%29 Testing%3A American Society of Clinical Oncology Provisional Clinical Opinion

It includes links to the full journal report (free) and also a Information for Patients.




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