Ralph, actually if you go to the cancer research uk site, it shows that prostate cancer mortality in the UK dropped by about 20% over the past couple of decades. More importantly, if you look at the specific mortality rates between the UK and USA over the past three years they are remarkably similar. The SEER US data shows deaths per 100,000 in 2007 as 24, in 2008 as 22.8 and in 2009 as 22. In the UK the deaths per 100,000 in 2007 were 24.6, in 2008 were 23.9 and in 2009 were 23.7.
In other words, despite decades of PSA testing in the USA the current mortality rates are not significantly different than they are in the UK where PSA testing is rare. I suspect it is examination of data such as these that led the panel to their conclusion that PSA testing does not save lives in significant numbers.
I'm not saying that I totally buy their conclusions, just that the facts indicate that they might have a point.
Jim, you cannot compare mortality data that is adjusted to different age-specific populations as is the data you presented. There is a significant difference in mortality between the two countries. Take the time to read:
Simon M Collin et al
An ecological study of prostate cancer mortality in the USA and UK, 1975-2004: are divergent trends a consequence of treatment, screening or artefact?Lancet Oncol. 2008 May; 9(5): 445–452.
Also look at the mortality data by country at the WHO database and you'll see that while PCa mortality has been reduced in the US, in several EU countries the rates are about
the same or even higher. It might not be totally attributed to the PSA use, but this cannot be ignored as it was by the USPSTF.
Prostate cancer deaths by country
Who database: http://tinyurl.com/7m4szmh[url]
I have been living with prostate cancer since 1992. The views or opinions expressed here are my own and are not endorsed nor supported by any agency or institution. Ask your physician for medical advice.
DX at age 58. RP; Orchiectomy; GS (4 + 2); bilateral seminal vesicle invasion; tumor attached to rectal wall; Stage T4; Last PSA July, 0'11: <0.1 www.pcainaz.org