0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Position Papers |

CLINICAL GUIDELINE: PART III: Screening for Prostate Cancer

[+] Article and Author Information

American College of Physicians*. *This paper, written by Christopher M. Coley, MD, Michael J. Barry, MD, and Albert G. Mulley, MD, MPP, was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: George E. Thibault, MD, Chair; John R. Feussner, MD, Co-Chair; Anne-Marie J. Audet, MD; Gottlieb C. Friesinger Jr., MD; Daniel L. Kent, MD; Keith I. Marton, MD; Valerie Anne Palda, MD; John J. Whyte, MD; and Preston L. Winters, MD. This paper was approved by the Board of Regents on 10 February 1996. Note: The Clinical Efficacy Assessment Project (CEAP) of the American College of Physicians is designed to evaluate and inform College members and others about the safety and efficacy of diagnostic and therapeutic modalities. Requests for Reprints: Customer Service Representative, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1997;126(6):480-484. doi:10.7326/0003-4819-126-6-199703150-00011
Text Size: A A A

Prostate cancer, which caused an estimated 40 000 deaths and substantial aggregate illness in 1995, is now the most commonly diagnosed type of cancer among men in the United States [1]. However, whether early detection of this disease generally does more good than harm is a matter of controversy [28]. As a result, conflicting recommendations have been issued by various professional organizations [68]. The debate is fueled by the absence of evidence from controlled studies showing that screening reduces mortality related to prostate cancer. Moreover, the degree to which radical prostatectomy or radiation therapy for clinically localized prostate cancer improves life expectancy, aggregate morbidity, or overall quality of life for the typical patient is uncertain. Several ongoing trials of early detection and treatment should eventually answer these questions [912]. However, because of the slow progression of most cases of prostate cancer, the results of these trials are not expected for at least a decade. In addition, differences among available professional recommendations appear to derive largely from differences in the level of evidence that each group requires to advocate screening [68, 1314].

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)