John T said...
No one is suggesting stopping psa screening. I think the propsosal screens all those who are at risk and recommends that the doctor discuss screeinings benefits and reprecussions with a patient who is about to be screened. My largest issues is not the screening recommendations per se, but whether the insurance companies will use this to stop paying for screening.
If a doctors feels his patient should get a psa test and the patient is aware of the downstream restults of that test he should be screened.
Everyone is not automatically given an Xray for lung cancer screening or a colonestopy once a year. We should not just automatically give psa tests to every man that comes into a dr's office, especially without his knowledge.
You better read the proposed recommendation. Here is the meat of the current proposal:
"Summary of Recommendation and Evidence
The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer. This is a grade D recommendation.
This recommendation applies to men in the U.S. population that do not have symptoms that are highly suspicious for prostate cancer, regardless of age, race, or family history. The Task Force did not evaluate the use of the PSA test as part of a diagnostic strategy in men with symptoms that are highly suspicious for prostate cancer. This recommendation also does not consider the use of the PSA test for surveillance after diagnosis and/or treatment of prostate cancer."
In other words, if the men are asymptomatic (which is very typical of prostate cancer) the task force recommends not to test with PSA. This is equal to stopping PSA screening for those men. No discussion irrelevant of risk. In the recent past, they also recommended not screening men of age 75 and older.
Read the whole thing and understand in what they base their recommendation. They very conveniently ignore the 40% reduction in PCa mortality in this country since the commercialization of the PSA test. Ain't that cute?