PSA Screening Lowers Risk of Prostate Cancer Death According to New Review

September 29, 2017 in Our News & Bulletins by Brio Home Health and Hospice

Prostate cancer is the second most common cancer found in men after skin cancer. According to the National Health Institute statistics, 11.6 percent of men will have it at some point in their lives. As with all cancers, prevention and early detection is key. Prostate-specific antigen (PSA) testing, has been an area of controversy in the medical community. PSA test is a blood test that measures the levels of PSAs in the blood. The higher the level of PSA, the bigger the chance there is of having prostate cancer. The United States Preventative Services Task Force has advised against PSA testing for prostate cancer because of concerns that it can lead to overtreatment. They also argue that it’s not an effective screening method. A new review published in the Annals of Internal Medicine is calling that guideline into review as they are presenting new evidence that PSA testing does, in fact, lower risk of mortality from prostate cancer.

They reviewed two major studies that argue against PSA screening using a new mathematical model. They measured the results against a control group of men who received no screening. With the new mathematical model, they showed that the screening reduced the risk of mortality by 25 to 32 percent. They are now saying that the guidelines about PSA screening should go under review considering the new findings.

One of the senior researchers, Ruth Etzioni, states that, even if the guidelines get revised, the decision about PSA screening will continue to be an individual one for men as the other factors that argue against PSA screening will still exist.

Source: Tsodikov A, Gulati R, Heijnsdijk EA, Pinsky PF, Moss SM, Qiu S, et al. “Reconciling the Effects of Screening on Prostate Cancer Mortality in the ERSPC and PLCO Trials.” Annals of Internal Medicine. doi: 10.7326/M16-2586

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