Is the Medical Profession Failing Men with Prostate Cancer?

Is the Medical Profession Failing Men with Prostate Cancer?
Diagnosed at age 57, I was shocked when, in 2011, the U.S. Preventive Services Task Force recommended against routinely screening for prostate cancer in all men. Even more shocking is how many doctors stopped screening for prostate cancer. A 2016 study published in JAMA Internal Medicine found that prostate-specific antigen (PSA) testing — a blood test used to screen for prostate cancer — decreased from 2010 to 2012. Testing fell from about 36 percent to 16 percent among primary care physician visits and from about 39 percent to 35 percent among urologist visits. When you read between the lines, only 16 percent of primary care physicians routinely screen for prostate cancer. This leaves 84 percent of men going to their primary doctor without prostate cancer screening. The odds for screening aren't much better when seeing a urologist. Approximately 35 percent of urologists screen for prostate cancer. This leaves 65 percent of men who visit a urologist untested for prostate cancer. Here's the prostate cancer trend among younger men: The number of younger men diagnosed with prostate cancer has increased nearly sixfold in the last 20 years, and the disease is more likely to be aggressive in young men, according to a 2014 analysis by researchers at the University of Michigan's Comprehensive Cancer Center. Here's the trend for older men: According to an article in the Cornell Chronicle, investigators examined data from the Surveillance, Epidemiology and End Results Program, a National Cancer Institute database that tracks cancer incidence rates. They found that the decline in PSA screening has significantly altered the way prostate cancer is now seen: 12 percent of men over 75 were diagnosed with metastatic prostate cancer in 2013, compared with
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One comment

  1. Lawrence Glickman says:

    Let me be quite clear. PSA tests are not perfect but set the stage for further investigation and every man above 40 should have one per year at least. Next most Urologists and even some oncologists are plain ignorant about all the new treatments available. Do not take his word for treatments until you do your own research. Otherwise you may miss the opportunity to have less invasive treatments than Surgery or Radiation.

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