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Tag Archives: Prostate

Prostate screening update

Gavin LeSueur - May 9, 2018

The US preventative services health guide has updated their recommendation about prostate screening – specifically the PSA (Prostate Specific Antigen) test.

For men aged 55 to 69 years, the decision to undergo periodic prostate-specific antigen (PSA)–based screening for prostate cancer should be an individual one. Before deciding whether to be screened, men should have an opportunity to discuss the potential benefits and harms of screening with their clinician and to incorporate their values and preferences in the decision. Screening offers a small potential benefit of reducing the chance of death from prostate cancer in some men. However, many men will experience potential harms of screening, including false-positive results that require additional testing and possible prostate biopsy; overdiagnosis and overtreatment; and treatment complications, such as incontinence and erectile dysfunction. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of family history, race/ethnicity, comorbid medical conditions, patient values about the benefits and harms of screening and treatment-specific outcomes, and other health needs. Clinicians should not screen men who do not express a preference for screening.

It also recommends against PSA-based screening for prostate cancer in men 70 years and older.

Building the database

Gavin LeSueur - July 5, 2009

this project started in 2008 with a concept to bring quality health advice direct to the public. After a year of reviewing preventative health recommendations and trying to design a format that is patient friendly and undertandable, eDoc.net is now ready to go onto the web. Many of the preventative health and screening protocols are designed in ‘doctor-speak’ and thus make little sense to patients. I am writing the explanations and getting my 16 year old daughter and local tradesman friends to read them before I post them. If they cannot understand what is needed then I re-work the explanation until it is useful.

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