Former President Joe Biden’s aggressive prostate cancer diagnosis raises questions about prevention and testing.
The U.S. Preventive Services Task Force (USPSTF) recommends that men aged 55 to 69 work with their healthcare providers to screen for the potential benefits and risks of PSA and make personal decisions about screening.
They recommend totally 70-year-old men who skip the screening.
Dr. Marc Siegel: Biden's prostate cancer diagnosis reveals dangerous deficits in screening guidelines
Dr. Shawn Dason, a urology oncologist at the Ohio State University Comprehensive Cancer Center, said that while other institutions and associations provide different guidelines, the USPSTF is a “common” resource, although other institutions and associations provide different guidelines.
Dason stressed that it is important to share decisions with men in their 50s and 60s about their health care providers.
One expert stressed how important it is to talk to healthcare providers with men in their 50s and 60s to make a common screening decision. (iStock)
“They should discuss topics about prostate cancer and the role of PSA in screening and the potential benefits and harms,” he said.
Potential risks of screening and treatment
Dusen said that due to the potential risks that should include overtreatment or unnecessary treatment, men over 50 and over 70 should be screened for several points of “variability”.
Over the past few decades, “We really don’t know about the nuance… about when prostate cancer should be treated and when prostate cancer should be treated. [it] He said it should only be observed in a protocol called “active surveillance.”
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He also said some men may be overtreated after diagnosis.
In some cases, cancer may not cause death or other clinical problems, but this treatment can lead to “creepy” side effects of urine, sexuality, or bowel-related, Dason said.
“Study shows that PSA use may fall in men over 40 due to USPSTF recommendations,” said one doctor. (iStock)
“You may have been diagnosed with prostate cancer, which is unlikely to actually cause your death or cause any other problems for you,” he said.
“You might then be treated for that prostate cancer, and treatment may be worse than the actual impact of the cancer itself.”
Joe Biden
Dasen pointed out that supporting screening over the age of 70 can save a man's life, which is “limited data”, although “obvious” and “obvious” the harm of prostate cancer treatment increases with age.
According to Darson, screening can reduce the chance of death in some cases, which is why it is important to have a discussion with a doctor.
“You may have been diagnosed with prostate cancer, which is unlikely to actually cause your death or cause any other problems for you,” one expert said. (iStock)
He suggested that men who have no symptoms but are considered to have “average population risk.”
“The symptoms are completely different conversations,” he said.
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“Usually, when we use the term screening, we are talking about a person who has no symptoms… they are undergoing annual health checks.”
Screening for men over 70 years old
Dr. Marc Siegel, senior medical analyst at Fox News, revealed he was “troubled” by guidelines that do not recommend routine prostate cancer screening, especially for people over the age of 70.
“Study shows that PSA use has fallen out in men over 40 due to USPSTF's recommendations,” he wrote in a recent column for Fox News Digital.
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“This is particularly disturbing considering that there are more than 300,000 new cases of prostate cancer each year, which is a diagnosis of more than 35,000 deaths, many of which can be prevented by earlier diagnosis.”
“I'm talking about this screening, all people over 45 should do this. Regardless of age.”
Siegel noted that treatment options have improved over the years and now have better tolerate side effects at all stages and ages.
“Many critics say the U.S. president should do the most aggressive prostate cancer screening, not just because he is president,” he said.
“But I'm saying that all people over 45 should do this screening. Regardless of age.”
Experts recommend that men who are asymptomatic but are considered to have “average population risk” should be screened. (iStock)
Dasen agrees that some men aged 70 and older are suitable candidates for screening.
“If you are healthy and you will have a reasonable life expectancy [a serious] Prostate cancer may have a significant impact on prolonging this kind of life or improving the quality of life. ”
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In contrast, screening is more harmful than benefit due to health problems and limited life expectancy than excellent candidates.
“I encourage men to think about their situation and have a conversation with their healthcare provider.”
