Harold C. Sox, MD, Editor; Cynthia Mulrow, MD, MSc, Deputy Editor
Sox HC, Mulrow C. An Editorial Update: Should Benefits of Radical Prostatectomy Affect the Decision To Screen for Early Prostate Cancer?. Ann Intern Med. 2005;143:232-233. doi: 10.7326/0003-4819-143-3-200508020-00011
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Published: Ann Intern Med. 2005;143(3):232-233.
In 2002, Annals published a systematic review that addressed several issues relevant to prostate cancer screening (1). Based on the review, the U.S. Preventive Services Task Force gave prostate cancer screening a grade I recommendation, which means that the members thought that the evidence about the balance of benefits and harms of screening was insufficient to make a stronger recommendation (2). The Task Force had the following concerns: 1) There was only “mixed and inconclusive” evidence that early treatment of prostate cancer could prevent adverse outcomes and 2) treatment was associated with a high risk for substantial harm, principally urinary incontinence and erectile dysfunction. The Task Force suggested that physicians inform men older than 50 years of age about the uncertainty of the evidence for net benefit and that they help men reach individual, informed decisions about screening.
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Hematology/Oncology, Prostate Cancer.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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