Former President Joe Bidens Aggressive diagnosis of prostate cancer raised questions regarding prevention and detection.
The US Preventive Services Task Force (USPSTF) recommends that men aged 55 to 69 years old discuss the potential benefits and risks of PSA (prostate-specific antigen) screening with healthcare providers and make separate decisions regarding the screening.
They recommend it Men over 70 Skip the screening completely.
While other institutions and associations offer a variety of guidelines, the USPSTF is a “commonly used” resource, but it offers a variety of guidelines, according to Dr. Sean Dason, a urological oncologist at Ohio State University’s Comprehensive Cancer Center.
Dason stressed that it is important for men in their 50s to 60s to meet them. Healthcare provider Make shared decisions about screening.
Experts highlighted how important it is for men in their 50s and 60s to talk to healthcare providers and make decisions to share about screening. (istock)
“They should engage in discussions about the topic of prostate cancer and the role of PSA in screening — and do potential benefits and harm,” he said.
Potential risks of screening and treatment
There is “a little variation” in whether men under the age of 50 need to be screened for potential risks.
In the past decades, “We have never really understood the nuance… when.” Prostate cancer When should it be treated? [it] It should be observed in a protocol called “active surveillance,” he said.
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He said some men could be overtreated after diagnosis.
In certain cases, cancer may not have resulted in death or other clinical problems, but treatment is “sick” urine, sexual, or Intestinal-related side effectssaid Dason.
“Studies have shown that PSA use has probably collapsed in men over 40 as a result of USPSTF recommendations,” one doctor said. (istock)
“You could be diagnosed with prostate cancer that doesn’t actually cause your death or cause other problems for you,” he said.
“You could then be treated for that prostate cancer. Treatment may be worse than the actual effects of the cancer itself.”
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There is “far more limited data” to support screenings over 70 can save human lives from prostate cancer, Dason points out, but said it was “pretty clear.” Prostate cancer treatment It increases with age. ”
However, screening can reduce the likelihood of death in some cases, so according to Dason, it’s important to talk to your doctor.
“You could be diagnosed with prostate cancer that doesn’t actually cause your death or cause other problems for you,” one expert said. (istock)
male There are no symptoms However, he advised that it is considered “average population risk.”
“Having symptoms is a completely different conversation,” he said.
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“In general, when we use the term screening, we talk about people who have no symptoms… they get a medical check-up every year.”
Screening of men over 70
Dr. Marc Siegel, senior medical analyst at Fox News, has revealed that he is “troubled” with guidelines that do not recommend routine prostate cancer screening, particularly because of them. Over 70 years old.
“Studies have shown that USPSTF recommendations have resulted in PSA use collapsed in men over the age of 40,” he writes in a recent OP-ED in Fox News Digital.
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“This is especially bothering considering there are over 300,000 new cases. Prostate cancer It is diagnosed annually in the US, with more than 35,000 deaths, many of which could be preventable with previous diagnosis. ”
“I say that every man over the age of 45 should do this screening, regardless of age.”
Siegel noted that treatment options have progressed over the years and are now more tolerated with fewer side effects in patients of various stages and ages.
“Many critics say that US President “We should do screening for the most aggressive prostate cancer just because he is president,” he said.
“But I say that every man over the age of 45 should do this screening, regardless of age.”
Experts advised that men who are not symptomatic but are considered “average population risk” should be screened. (istock)
Dason agreed that some men over the age of 70 are suitable candidates for screening.
“If you’re there healthand you will have reasonable life expectancy, [a serious] Prostate cancer can have a major impact on extending its life and improving the quality of life. ”
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In contrast, he revealed that men with limited life expectancy rather than great candidates due to health issues face greater harm from screening than profits.
“I encourage men to think about their situation and talk to their healthcare providers.”
