The data analysis of the study suggested that the U.S. study was skewed - the patient population had been tested previously and some of the patients that had already chosen treatment were not included while those that tested clear up to that point were included. The differing European "20%" result was attributed to the fact that few if any of the population studied had tests before the study.
I visited my Urology/Surgeon yesterday (to be told I only need my micro-PSA done annually now!) and I asked him about this study and how deadly such talk could be to some men. He offered that the real need is to differentiate between an "old-age-non-aggressive-prostate-cancer" and more aggressive cancer in men expecting to live more than ten years.
This type-of-cancer aspect of the study's data was not published. The Sloan-Kettering Physician - that Selmer mentioned - said in a TV interview that
... interpretation of this fairly complex data is such a gray area and that he felt the meaningful results from the data thus far collected will "shake out" something a bit different in the next couple of years - as the reason for the difference in the two continents is addressed.
Of course they will continue to collect more data and filter out the population bias.
And hopefully it won't be an accountant whose job is on the line to save money that interprets data and decides
... that "only" 2% stage-four-disease death is acceptable....
I still vote that every male gets a PSA test annually beginning at age 40.
This inexpensive test can track both change from a baseline & momentum
- while other tests and decision trees can determine treatment.
Only an accountant-ostrich would use such data to suggest ignorence is money-saving-bli$$...
I can't check in to this site very often due to access restrictions at work.
Still, I think about you here often.
This fight becomes so personal and intense. One of my sisters had a procedure done at M.D. Anderson, yesterday (Raphael Pollock, M.D. - Chair of Oncology Surgery leading the surgical team.) (So far, so good.)
My primary thought/prayer for everyone: A cheap, easy, no-side-effect, cure for all cancer - now.