Excellent rebuttal ~ Don't test after 75? Think again...with experience!

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Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 8/26/2008 10:58 PM (GMT -6)   
Dr. William Catalona responds the U.S. Preventive Services Task Force.  This group, as David (FLHW) pointed out had absolutely no specialists in prostate cancer when they posted their "report" that testing after 75 was not warranted.  Catalona responds sharply.  The advocacies are PO'd by this very poor study, and are quite supportive of this article.  My thought is that we need to encourage our government to employ experts in the specialty when assembling a task force. IMHO this was very irresponsible of this task force.  My biggest gripe with when to test for PSA is the lack of counterpoints in the documentation that is released.  I am a proponant of testing 40/35, and never stopping.  I will blog a message about the 40/35 proposal soon!  This is a great rebuttal to this recent government cranial gas release. 

Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
And at:

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 8/27/2008 7:45 AM (GMT -6)   

“The task force reasoned that screening might harm more men than it helps and that in men over 75 there was moderate certainty that the harm outweighs the benefits.”


Guess maybe they were thinking about the average life expectancy for men in the USA is what, about 77 years old…If we all automatically kicked the bucket at 77, then I’d agree with the statement.


On the other hand, I look at my 73 year old long term friend. His parents are 97 & 99 years old. So it sure made sense to him to get treatment.

Age 53   - 5'11'   205lbs
Overall Heath Condition - Good
PSA - July 07 & Jan 08 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy

Regular Member

Date Joined Dec 2007
Total Posts : 56
   Posted 8/27/2008 7:52 AM (GMT -6)   
Yes, nice to see that rebuttal... thanks for posting it, Tony. Since my PC was diagnosed, I've become a proponent of early screening with my friends and acquaintances, and as Dr. Catalona pointed out, I worry that too many will use that Task Force study as an excuse to delay testing. I'll be interested to follow this 40/35 proposal, that sounds a lot more proactive for controlling this #%$& disease!

Diagnosed Sep 2007 Age 54 Gleason 6 (3+3)
DaVinci Surgery 11/8/07 University of Minnesota
2/22/08, 8/15/08 PSA Undetectable

Veteran Member

Date Joined May 2008
Total Posts : 1010
   Posted 8/27/2008 8:37 AM (GMT -6)   

I was talking with a friend shortly after my own diagnosis and start of IMRT. She mentioned that her father had radiation treatment for prostate cancer at age 70 over 28 years ago. I asked if that is what he died from. She said he was still going and living on his own. Her mother is 96. I am sure that he would disagree with limiting his prospects for longevity to the average. She did say he has slowed down a bit after falling off of the roof while making some repairs at 92.


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.

Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 8/27/2008 7:13 PM (GMT -6)   

It was a great article by Dr. Catalona. Some people just don't get it. I owe my life to regular PSA checks, and I really hate needles, but after all of this, I can at least tolerate them now.

age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
Tossed the pads this spring
ED still a problem
first year PSA less than zero

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