29000 Men Comment
My thanks to Dr. Dach for commenting on my post concerning the PSA testing controversy, and I encourage everyone to read his excellent article at http://www.jeffreydach.com/2009/10/01/psa-testing-the-failed-medical-experiment-by-jeffrey-dach-md.aspx.
Dr. Dach concludes his article as follows:
“In conclusion, PSA screening for prostate cancer has been a failed medical experiment leaving behind 1 million male victims treated unnecessarily for a type of prostate cancer that was clinically insignificant, providing little or no benefit in terms of lives saved. Leaders in the field are now alerting us to the pitfalls, harms and limitations involved in PSA cancer screening.
Recognizing that there are 30,000 prostate cancer deaths per year, the urgent challenge is to identify and treat the aggressive cancers destined to kill the host, and avoid harming the other 7 million men representing a silent reservoir of biologically insignificant disease. Hopefully, this will be the subject of future NIH funded research, so that another one million men in the future will be spared needless overdiagnosis and overtreatment.”
29000 Men Comment
As a prostate cancer survivor who is alive today because of PSA and Free PSA testing and a determined urologist, it is my deeply held opinion [please note that I am not a physician and can not and do not offer medical advice] that the issue is not with too much diagnosis, as approximately 29,000 men continue to die each year from prostate cancer, but with the treatment decisions made following diagnosis. If the current controversy is successful in convincing men that prostate cancer testing is unnecessary and that men that to do seek treatment are destined to have quality of life degradation, will we not in the future see an increase in prostate cancer deaths? I look forward to a lively discussion on this important issue.