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Tuesday, Apr 11 2017

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Task Force: Decision To Get Prostate Screening Should Be 'An Individual One'

The draft guidance issued by the US Preventive Services Task Force is a shift from its 2012 stance that the harms of the screening outweighed the benefits.

An influential federal task force has dropped its controversial opposition to routine screening for prostate cancer and now says that men between the ages of 55 and 69 should discuss the test鈥檚 potential benefits and harms with their doctors and make decisions based on their own 鈥渧alues and preferences.鈥 鈥淭he decision about whether to be screened for prostate cancer should be an individual one,鈥 the U.S. Preventive Services Task Force said in a draft recommendation issued Tuesday. (McGinley, 4/11)

The task force has proposed issuing a 鈥淐鈥 grade for prostate cancer screening in men ages 55 to 69 who show no signs of the disease, while maintaining its current 鈥淒鈥 grade for this screening in men age 70 and older. A 鈥淒鈥 grade is the panel鈥檚 toughest mark, meant to discourage routine use of a test. A 鈥淐鈥 grade indicates that people should weigh the potential risks and benefits of a test with their doctors, while 鈥淎鈥 and 鈥淏鈥 grades represent the task force鈥檚 endorsements. (Young, 4/11)

What was emphatic before is wishy-washy now. The last time the US Preventive Services Task Force weighed in on prostate cancer screening via blood tests, in 2012, it issued unambiguous advice to physicians: discourage men of all ages from getting tested for levels of prostate-specific antigen (PSA). That鈥檚 still the advice for men older than 70 or younger than 55. But for those aged 55 to 69, the task force, a panel of independent experts who advise the federal government, is punting. (Begley, 4/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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