The aggressive prostate cancer diagnosis of former President Joe Biden has raised questions about prevention and detection.
The U.S. Preventive Services Force (USPSTF) recommends that men aged 55 to 69 discuss the potential benefits and risks of PSA screening (specific antigen for the prostate) with their healthcare provider and make an individual decision on screening.
They recommend that men over the age of 70 jump their projections completely.
Dr. Marc Siegel: The diagnosis of Biden’s prostate cancer reveals a dangerous defect in screening guidelines
The USPSTF is a “common use” resource, although other agencies and associations offer different guidelines, according to Dr. Shawn Dason, urological oncologist at the Center for Integral Cancer at the University of Ohio.
Dason emphasized that it is important for men to be 50 and 60 years old with their healthcare suppliers to make shared decisions about screening.
An expert emphasized the importance of men and 60 years old to talk to their healthcare suppliers to make shared decisions about screening. (Istock)
“They should participate in a discussion on the subject of prostate cancer and the role of PSA in screening and potential benefits and harm,” he said.
Potential risks of screening and treatment
There is “little variability” in whether men under the age of 50 and over 70 must be analyzed due to possible risks, which may include excessive treatment or unnecessary treatment, said Dason.
In recent decades, “we really did not understand the nuances … about when the prostate cancer should be treated and when [it] It should only be observed in a protocol called “active surveillance,” he said.
Gleason score for prostate cancer: What to know about Biden’s diagnosis
Some men may be treated too much after a diagnosis, he also said.
In certain cases, cancer may not have caused death or other clinical problems, but treatment may cause urinary, sexual or intestine side effects, Dason said.
“Studies have shown that the use of the PSA has probably dropped in men over 40 as a result of USPSTF recommendation,” a doctor said. (Istock)
“Prostate cancer can be diagnosed that is not likely to cause his death or believe any other problem,” he said.
“You could receive treatment for this prostate cancer, and treatment can be worse than the actual impact of cancer itself.”
Joe Biden diagnosed an “aggressive” form of prostate cancer with bone metastasis
There is “much more limited data” to support that screening over 70 years could save the lives of a prostate cancer man, Dason said, while “quite clear” that the damage to prostate cancer treatment is increasing with age. “
Screening could reduce the possibility of death in some cases, but that is why it is important to have a discussion with a doctor, according to Dason.
“Prostate cancer can be diagnosed, which is likely to not cause his death or believe any other problem,” an expert said. (Istock)
Men who do not have symptoms should be analyzed but considered “average population risk.”
“Having symptoms is a totally different conversation,” he said.
Click here to register -you are in our health newsletter
“Generally, when we use the term screening, we are talking about someone who has no symptom … they have an annual health review.”
Projections for men over 70
Fox News’s main medical analyst, Dr. Marc Siegel, revealed that guidelines have not recommended routine prostate cancer screening, especially for those over 70.
“Studies have shown that the use of the PSA has fallen in men over 40 as a result of USPSTF recommendation,” he wrote in a recent Op-Ed for Fox News Digital.
For more health items, visit www.foxnews.com/health
“This is especially disturbing considering that there are more than 300,000 new cases of prostate cancer in the United States diagnosed each year, with more than 35,000 deaths, many of which can be prevented with previous diagnosis.”
“I am saying that all men over 45 should have this screening. Period. Regardless of age.”
Siegel said that treatment options have been advanced over the years and that they are now better tolerated with less side effects for patients in various stages and ages.
“Many critics say that a United States President should have the most aggressive prostate cancer screening, regardless of being president,” he said.
“But I’m saying that all men over 45 should have this screening. Period. Regardless of age.”
Men who do not have symptoms, but are considered to be the “average population risk” should have projections, an expert advised. (Istock)
Dason agreed that some 70 -year -old men are appropriate for the projection.
“If you have good health and you will have reasonable life expectancy, the diagnosis of [a serious] Prostate cancer could have a great impact on expanding this life or improve your quality of life. “
Click here to get the Fox News app
In contrast, men who are not large candidates due to limited life health and expectation problems face greater prejudice to a screening than the benefit, he clarified.
“He would encourage men to think about their situation and to have a conversation with their medical supplier.”
#Prostate #cancer #screening #years #experts #question #guidance #Biden #diagnosis
Image Source : www.foxnews.com