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Medical News and Perspectives |

USPSTF Finds Little Evidence to Support Advising PSA Screening in Any Man

Anita Slomski
JAMA. 2011;306(23):2549-2551. doi:10.1001/jama.2011.1804.
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The recommendation by the US Preventive Services Task Force (USPSTF) in October that no man receive prostate-specific antigen (PSA)–based screening for prostate cancer was as welcomed by primary care physicians as it was denounced by many urologists.

Now, “I probably won't be entering a discussion about prostate cancer screening unless my patient has a family history of prostate cancer or he expresses concern,” said general internist Christine Laine, MD, MPH, editor in chief of Annals of Internal Medicine, which published the USPSTF draft recommendation (http://www.annals.org/content/early/2011/10/07/0003-4819-155-11-201112060-00375.1.full). That frees up time to focus on the “million other things we have to cover at each patient visit,” she said.

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Although a recent recommendation against prostate-specific antigen screening has been controversial, clinicians generally agree that risks, benefits, and individual factors such as race and family history should be considered.

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