By rray, 2 August, 2024 USPSTF 2 Counsel pts 70 yo who request screening of its darr likelihood of benefit uarr risk of false positive test results and potential dx and tx complications
By rray, 2 August, 2024 NCCN 12 Testing after 75 yo should be done only in very healthy people w little or no comorbidity esp if they ve never had PSA testing or their PSA is rising 2B to detect the small number of aggressive CAs that would pose significant risk if left undetect
By rray, 2 August, 2024 Consider individual risks benefits race FHx comorbidities risks of dx tx 9 etc nbsp nbsp High risk if age 50 yo 6 10 prostate CAs are found in pts 65 yo 11 African American or Caribbean of African ancestry 2A 8 11 12 FHx of prostate CA esp sibling11 even
By rray, 2 August, 2024 Tests can cause anxiety risks of pain infxn bleeding time cost assoc w dx of inconsequential dz 9 10
By rray, 2 August, 2024 Over tx Tx has many negative side effects9 10 urinary incontinence bowel erectile dysfxn that darr QOL
By rray, 2 August, 2024 Over dx Many prostate CAs grow so slowly that they won t cause problems during pt s lifetime 9