The U.S. Preventative Services Task Force

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The U.S. Preventative Services Task Force

The U.S. Preventative Services Task Force has prostate screening recommendations. The U.S. Preventative Services Task Force suggests discussing with the patient the benefits and possible harm from obtaining a prostate specific antigen, PSA test (U.S. Preventative Services Task Force). There is a small percent of people for whom this test can correctly identify and thus reduce the risk of mortality from prostate cancer (U.S. Preventative Services Task Force). However, this test can often have false positives, which could result in obtaining an unnecessary biopsy (U.S. Preventative Services Task Force). Invasive procedures, such as biopsies always have risk factors of their own. Consequently, the U.S. Preventative Task Force recommends a PSA screening test for men ages fifty-five to sixty-nine, only if the patient is requesting this screening even after discussing benefits and possible harms from testing and biopsy. (U.S. Preventative Services Task Force).

The American Cancer Society, ACS, recommends that men age fifty and over discuss the benefits and risks of screening in order to make an informed decision with his provider (Wolf, Wender, Etzioni,….& Smith, 2010). ACS also recommends if a man is at a high risk, that this information is presented earlier than fifty (Wolf et al…2010). Those at a higher risk include African American men with a family history of prostate cancer occurring in a family member who is not elderly (Wolf et al…2010). ACS also does not recommend that men whose life expectancy is less than ten years be screened for prostate cancer (Wolf et al…2010). Providers need to provide men with the benefits of early detection and treatment with the risk factors of treatment for prostate cancer. The results of PSA testing are not conclusive and therefore, the ACS reiterates the importance of the patient having the knowledge and information to make an informed decision. The ACS provides educational brochures and handouts on PSA screening to help guide patients to a discussion of this subject with his provider.

References

U.S. Preventative Services Task Force, (Accessed March 2019). Screening Guidelines for Prostate. Retrieved from: https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/prostate-cancer-screening1 (Links to an external site.)Links to an external site.

Wolf, A., Wender, R., Etzioni, R….& Smith, R. (2010). American Cancer Society Guideline for the Early Detection of Prostate Cancer: Update 2010. Retrieved from: https://onlinelibrary.wiley.com/doi/full/10.3322/caac.20066 (Links to an external site.)

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