Tony, because my son has family history! You know that.
You are not being forthcoming.
The quthor of that quote is criticizing the AUA and their recommendations.
They are different which is why Ralph started this thread (part 1) by saying"finally a common sense approach" there wa s no sense in the AUA guidelines vis-a-vis men 40-54
For men 40-54 the AUA DID NOT state the following:
" Consensus Statement 4: Baseline PSA testing for men in their 40s is useful for predicting the future risk of prostate cancer. Although these men were not included in the two main randomized trials, there is strong evidence that this is a group of men who may benefit from the use of PSA testing as a baseline to aid risk stratification for their likely future risk for developing prostate cancer , including clinically significant prostate cancer. Studies have shown the value of PSA testing in this cohort for predicting the increased likelihood of developing prostate cancer 25 years later for men whose baseline PSA is in the highest centiles above the median "www.bjuinternational.com/bjui-blog/the-melbourne-consensus-statement-on-prostate-cancer-testing/
I think your argument is unraveling and we should allow the thread to get back on course.
"Therefore, it appears that the only circumstances under which the AUA currently recommend a PSA test be performed is for men between the age of 55 and 69 following a weekend seminar so they can be adequately informed (or thoroughly confused).
These statements have led to headlines such as these in the mass media today:
Urology Group Stops Recommending Routine PSA Test (USA Today)
Looser Guidelines Issued on Prostate Cancer Screening (New York Times)
Urologists No Longer Support Routine Prostate Cancer Screening (Minn Post)
Most men don’t need PSA test (Arizona Star)
AUA No Longer Recommend Routine PSA Testing For Prostate Cancer (Huff Post)
I think it is reasonable to say that this AUA document adds more confusion than clarity to the debate around prostate cancer testing. It has certainly provoked some anger among prominent members of the AUA who voiced their displeasure to the Committee during the plenary and also through social media. Dr Catalona was first to the microphone asking why AUA members were not more widely consulted prior to publication and in particular, challenging the guidance around men aged 40-54 (reported on Twitter):"
Post Edited (davidg) : 8/12/2013 6:43:14 PM (GMT-6)