The task force says many men can live with prostate cancer without it causing serious illness or death.
While PSA tests can detect prostate tumors at their smallest, most treatable stage, the testing has some risks, she says.
"While we're pleased to see that the USPSTF has acknowledged the value of PSA testing, the recommendation leaves gaps in how to effectively address screening - especially in high-risk populations that also include military veterans exposed to Agent Orange", said Us TOO International CEO Chuck Strand. This trial showed no benefit from screening but - thanks to data sharing - we know the trial wasn't ideal. "In many cases, these groups may not access the healthcare system and have dialogue with their medical professionals about PSA test among other issues".
The task force's recommendations influence USA government policy and are widely followed by primary care physicians. Screening saves an estimated one or two lives out of every 1,000 men who get screened.
The proposed guidelines do not specify how often men might want to screen their PSA levels, if they choose to do so. The task force says the median age of death is 80.
WILLIAM BRANGHAM: So, the recommendations are, 55 to 69, strongly consider the test, talk to your doctor about it, men over 70, not necessary. The task force is charged with making "evidence-based" recommendations about clinical preventive services, including health screenings, counseling services and preventive medications. "This recommendation applies to African American men, but we remain particularly concerned about the striking absence of evidence to guide these high-risk men specifically as they make decisions about screening".
The PSA test is a simple test that allows for researchers to identify a particular protein.
And if someone has a slow-growing prostate cancer that doesn't necessarily need treatment, the emotional distress of a cancer diagnosis shouldn't be underestimated, Turini said. When a man has an elevated PSA, it may be caused by prostate cancer, but it could also be caused by other conditions, such as an enlarged prostate or an inflammation of the prostate. It may also delay treatment and its complications, or avoid treatment completely, Bibbins-Domingo said. At the same time, the specialty group took issue with the panel's decision to maintain its recommendation against screening for men 70 and older, saying that healthier older men might benefit from the test. The advice would bring the influential panel more in line with other major doctor groups. The latest data show that over 180,000 men were diagnosed with prostate cancer in 2016, but there were only 26,000 deaths from it. Prostate cancer accounted for 4.4 percent of all cancer deaths in the United States past year.
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Taylor, who is on the board of a nonprofit called Zero dedicated to ending prostate cancer, said he understands the task force's concerns about false positives and unnecessary treatment.
According to Bibbins- Domingo, several studies have proved PSA tests being very positive for the patients of most ages.
The revised guidance is based on the findings of the European Randomized Study of Screening for Prostate Cancer. Read the new advice here. "Patients should have a discussion with their primary care physicians about the pros and cons of screening". For at-risk men, including men who are African-American, have a family history of prostate cancer, family history of breast cancer or the BRCA gene, and those who have been exposed to certain chemicals like fireman and veterans, as well as men over the age of 65 further assessment, is required.
"Screening offers a small potential benefit of reducing the chance of dying of prostate cancer".
Dr. John Meigs, president of the American Academy of Family Physicians, often thinks of two former patients who were screened when the PSA test was used more liberally.
William Nelson, director of the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, said the guideline shift reflects the increased use of active surveillance for low-risk prostate cancer. Among men who died in their 70s, more than a third had prostate cancer.
Right now these guidelines are a draft and final recommendations could be decided in the coming months.