Experts Propose Changes To Prostate Cancer Screening Guidelines

7 2017 Dr. Kirsten Bibbins Domingo poses by a mural in the lobby of her office in San Francisco. Draft recommendations from the US Preventive Services Task Force ditch the old advice against

CHICAGO (AP) — An influential US government health panel is dropping its opposition to routine prostate cancer screening in favor of letting men decide for themselves after talking with their doctor. But there is confusion over conflicting advice about whom should get tested for the disease.

One specialist views the new recommendation as a correction of an error the task force made in 2012.

Here's where some of the confusion started. About 36 percent of men chatted with their doctors only about the benefits of screening.

The task force's initial recommendation generated political heat, and in 2015 Reps. After examining the latest crop of studies published up through October 2016, the task force concluded that the answer would depend on whether a man placed a higher priority on avoiding prostate cancer or on avoiding unnecessary medical procedures that could affect his quality of life. What's the evidence behind your recommendation? The key here is that men should have this discussion.

"But the right decision is not a one-size-fits-all decision".

As an oncologist who cares for cancer patients, I have no desire to trivialize cancer, and I know that prostate cancer is far worse than losing a tooth.

There are new recommendations regarding screening for prostate cancer.

Dr. Dan Merenstein, a family medicine physician at Georgetown University, doesn't think the new evidence warrants a change.

The new USPSTF guideline gives PSA testing a grade of C, which essentially means that there are risks and benefits and a doctor should have a discussion with a patient to help reach a decision regarding whether or not the PSA should be checked.

The PSA test is a simple test that allows for researchers to identify a particular protein. A re-evaluation of the evidence is behind the update. The task force says the increasing use of watchful waiting is helping to spare more men the side effects of over-aggressive treatment.

For men between the ages of 55 and 69, getting screened for prostate cancer is a mixed bag of possible, down-the-road benefits and just-as-possible immediate harms. When it appears in middle-aged men, it frequently develops so slowly that it's rarely the cause of death, so treating it with invasive and toxic therapies like surgery, chemotherapy and radiation often exposes men to more side effects and harms without protecting them from dying from that cancer.

Salute to Chuck Berry opens Rock Hall ceremony
Covering Prince is a hard proposition, and his take on the Purple Rain classic didn't entirely land. The band has always been heavily involved in the process when it comes to album covers.

"I do think you'll see a change with primary care doctors".

Instead of treatment, many men with low-risk prostate cancer can opt for active surveillance, which may reduce the chance of overtreatment.

The European Association of Urology says screening should be offered to well-informed men over 50 or over 45 for blacks and those with a family history.

Editor's note: Otis Brawley is chief medical officer of the American Cancer Society. They are very happy with your new guidelines. "The most important thing is for doctors and patients together to have a conversation", says Bibbins-Domingo, "so that men can make the best decision for themselves".

You can weigh in, too. This is a complex decision.

At the same time, no one denies that screening really does save lives every day. Adults have 32 (or 28 if your wisdom teeth are gone), and most of us want to keep every last one. Right now, the new guidelines are a draft.

Bibbins-Domingo said that more research is needed to figure out whether to screen these men more aggressively than the general population.

WILLIAM BRANGHAM: So, the recommendations are, 55 to 69, strongly consider the test, talk to your doctor about it, men over 70, not necessary. It is rare in men younger than 40.

The U.S. National Cancer Institute provides more information on prostate cancer screening.

In 2012, 63 percent of men underwent PSA tests. Prostate cancer is the most common cancer in American men; the American Cancer Society projects more than 161,000 new cases this year in the USA, with about 26,730 deaths. So do men with a family history. For these men, hunting for prostate cancer risked pain, worry and expense without saving lives or even warding off metastasis. "This is not a recommendation that says men should go get screened".

The risk of potential harm of over-diagnosis has led to confusing recommendations for screening.

Related News:

  • Simone Biles heartwarming tribute on 'DWTS'

    Simone Biles heartwarming tribute on 'DWTS'

    Judges were impressed by Bonner's ability to show fluidity and control in each of his movements and awarded them 32/40. Bonner Bolton, the bull rider who almost died a year ago, got the waterworks going with a very clean foxtrot.
    OMG: Bradley Cooper and Irina Shayk Are Officially Parents!

    OMG: Bradley Cooper and Irina Shayk Are Officially Parents!

    See a list of celebrities who posed naked and pregnant for magazines and more scandalous nude celeb baby bump photos . News: 'Irina and Bradley are doing really well. "They share those moments when the baby kicks and they can't wait".
    Few on late missed call: 'Just the way it goes'

    Few on late missed call: 'Just the way it goes'

    From there, as the teams continued to trade points, the officials couldn't stop blowing the whistle. Jackson was 0-for-9 from beyond the arc but finished with 16 points, while Isaiah Hicks added 13.
  • Sergio Garcia wins the Masters in sudden-death playoff

    Rose regrouped quickly, however, and has established himself as one of the game's leading players, now ranked 14th in the world. Championship, at the age of just nineteen, Sergio Garcia reached the eighteenth hole one shot behind the leader, Tiger Woods.
    Conte relishing the pressure from Spurs and Chelsea's response to it

    Conte relishing the pressure from Spurs and Chelsea's response to it

    The Baggies manager Tony Pulis has a very organised team at his disposal and they have had a fantastic season so far. I'm very happy to face this type of situation, to play with only four points above our opponent.
    'I Think' Susan Rice May Have Committed A Crime

    'I Think' Susan Rice May Have Committed A Crime

    Rice has come under fire this week amid reports that she was responsible for the unmasking of the identities of Trump associates . Certain government officials such as Rice may request names to be revealed to help them understand the intelligence reports.
  • Gun theft suspect threatens schools, sent 'manifesto' to Trump

    Thursday morning, reports of a man with a gun who appeared to be drunk at Lincoln Elementary School prompted a lockdown. He can be seen buying stamps at the Janesville Post Office before crossing the street and mailing the manifesto.

    Curry Doubtful For Durant's Likely Return To Action

    However, two-time reigning MVP Stephen Curry is listed as doubtful to face the Pelicans on Saturday because of a bruised knee. At 65-14, the team is now 4.5 games clear of the San Antonio Spurs, who are going to play as the No. 2 seed in the playoffs.
    President Trump may fire Preibus and Bannon

    President Trump may fire Preibus and Bannon

    Trump is weighing a decision to replace loyalists and his promise to drain the swamp with the very creatures who profit there. Kushner was meeting with worldwide coalition forces in Iraq as Bannon was bumped down the NSC ladder.
  • LG sees best first quarter for almost  eight years

    LG sees best first quarter for almost eight years

    Samsung has denied any wrongdoing and Lee, who was arrested in February , has pleaded not guilty. Revenue for the quarter likely rose 9.7 percent to 14.7 trillion won, the firm said .

    Jared Kushner omits some foreign contacts on security form

    Still, the source, as well as other Trump officials, told Axios that its only a matter of time before Trump makes major changes. House Majority Leader Kevin McCarthy (R-Calif.) is reportedly in the running.
    McConnell reaches out to Romney about possible Senate bid

    McConnell reaches out to Romney about possible Senate bid

    Several high-profile Utah Republicans have been touted as potential challengers for Hatch in 2018, including form Republican Gov. Jon Huntsman of Utah, Sutherland Institute president Boyd Matheson, World Trade Center Utah CEO Derek Miller and Republican Rep.


Most liked

Yankees worth big league-high $3.7 billion
The Yankees are the second-highest valued sports franchise in the United States behind only the Dallas Cowboys. On the west coast, the Los Angeles Dodgers are the next most valuable franchise with a value of $2.75 billion.

An extra spoke out about appearing in that Kendall Jenner Pepsi advert
In the sketch that aired on last night's episode (April 8), cast member Beck Bennett plays the writer behind the advert. Despite considerable backlash to the ad on social media, Pepsi is standing by the commercial.

Dodge Challenger SRT Demon Releases Final Video Teaser 'Judgement Day'
With the new bits plugged in, the Demon's V8 can adjust its spark timing to take advantage of the higher-octane fuel. This in turn will create more impressive elapsed times for drag racers behind the wheel of the Dodge Demon.

UK PM Theresa May triggers Brexit process
There is no way around it", Tusk said, "The EU27 [the remaining member states] does not and will not pursue a punitive approach. He said: "Starting parallel talks on all issues at the same time as suggested by some in the United Kingdom will not happen.

North Korea says Syria airstrikes prove its nukes justified
The launches are considered to be in violation with the corresponding resolution adopted by the United Nations. It has conducted five nuclear tests, two since the beginning of previous year , and scores of missile tests.

Venezuelans pour into Caracas' streets for anti-government protest
The collapse in prices for Venezuela's crucial oil exports has sapped the country's revenues. After this week's demonstrations, Maduro dismissed Capriles as "politically finished".

Sun block takes sting out of Westbrook's record quest
The Pistons used a 12-1 spurt, capped by four points from Marjanovic, to cut the lead to 94-93 midway through the fourth quarter. Westbrook, meanwhile, finished with 23 points, 12 rebounds and eight assists plus eight turnovers in 36 minutes.

New ISIS tactic in Iraq fight: Gather Mosul's civilians, then lure airstrike
Iraqi forces are fighting IS in western Mosul , where some 2,000 IS fighters are launching fierce counterattacks. Eyewitnesses have said a strike may have hit a massive truck bomb parked by the building.

Trucking adds 4700 jobs, sets record high in March
Observers had expected at least double the jobs growth in March, which would have held steady with the trends of recent months. In a note to investors, BMO chief economist Douglas Porter described last month's numbers as a "hearty rise".

South Korea Test Fires 800 Kilometre-Range Missile
South Korea's Joint Chiefs of Staff issued a similar assessment, saying the missile flew about 60 kilometers (37 miles). South Korea and the USA confirm North Korea launched a single ballistic missile at a facility near Sinpo at 6:42 a.m.

Michigan boy, 11, hangs himself after social media prank
She said she hopes the devastating incident sends the message that parents have to be aware of the dark side of social media. Goss says the accused girl was Tysen's girlfriend, who allegedly faked her own suicide on various social media sites.

100 years ago, US entered World War I
After the offer became public, the USA declared war. "Conflicts such as the Balkan wars increased tensions, and it kept building". Next, on February 1, Germany resumed unrestricted submarine warfare, sinking merchant ships without warning in worldwide waters.

As KFC changes policy, Yum shareholders pull proposal on cutting antibiotics
For one thing, KFC is a big buyer - it's the largest chicken-on-the-bone quick-service chain in the country. The move is a response to changing customer preferences, said KFC U.S.

Gambler tied to Phil Mickelson convicted of insider trading
Be proactive - Use the "Flag as Inappropriate" link at the upper right corner of each comment to let us know of abusive posts. Davis, who was Walters's friend, business partner and golfing pal of more than 20 years, was the government's star witness.

Amazon Launches Fire TV Media Streamer With Alexa Remote in the UK
Those of you who don't own a voice remote can also use Alexa, but only with the help of the Fire TV app for Android devices. It features a new quad-core processor that makes it 30 percent faster than the previous version, according to the company.