What happens next after a baseline PSA test?

According to data from a prospective study of prostate cancer outcomes conducted by researchers at the Mayo Clinic, the PSA test is “valuable in predicting which men should have biopsies and which are likely to be diagnosed with low-risk prostate cancer.”

Opinions on the USPSTF recommendation are all over the map — and all “off the money”

As one might expect, there is an extremely diverse (and conflicting) range of reactions to the USPSTF recommendation that routine PSA testing of uninformed men is not supported by good evidence and should no longer be considered as appropriate “standard” practice unless there has been a prior discussion of the risks and benefits of the [...]

What FDA drug approval does and does not mean

If you are among the people in America who agree with one or other of the following two statements, you need an immediate crash course in what approval of a new drug by the U.S. Food & Drug Administration (FDA) does actually mean:

Frequency of PSA testing and immediacy of prostate cancer treatment among men over 70

Two recent publications have offered evidence that, at 10 and 12 years of follow-up, the potential benefits of surgical treatment for low- and intermediate-risk prostate cancer did not include any impact on overall survival for men of 65 years of age or more at the time of surgery.

Is radiation therapy any better than active surveillance for localized prostate cancer?

An updated, systematic review just published in Annals of Internal Medicine states that it is impossible to come to any conclusions about the efficacy of radiation therapy compared with active surveillance or watchful  waiting for the management of localized prostate cancer because of the absence of any high-quality, comparative data.

The initial results of the PIVOT study

So Dr. Timothy Wilt presented the initial results of the Prostate Cancer Intervention Versus Observation Trial (PIVOT) at the annual meeting of the AUA yesterday morning. They showed what many of us may have been expecting.

“Truth” in screening … How many men to screen and treat to “save a life”?

One of the statistical games ongoing since publication of the results of the PLCO and the ERSPC screening trials in the New England Journal of Medicine (nearly 2 years ago) has been the estimation of how many men need to undergo regular PSA-based screening, and how many of those men need immediate treatment, to “save [...]

Full report on the toremifene Phase III fracture prevention trial

Toremifene is a selective estrogen receptor modulator or SERM. Some time ago, its developer (GTx, Inc.) initiated a Phase III clinical trial to investigate whether toremifene at a dose of 80 mg/day lowered risk for new vertebral fractures in prostate cancer patients being treated with androgen deprivation therapy (ADT).

Effect of the Prosdex decision support tool on attitudes to PSA testing

In the UK, a nationally developed, on-line decision support tool known as Prosdex is available and is used by at least some men to help them make decisions about whether they wish to undergo PSA testing.

The prostate cancer screening controversy redux!

In 1996, the U.S. Preventive Services Task Force (U.S. PSTF) first issued a report stating that the benefits of screening for prostate cancer were far outweighed by the risks. This report was updated in 2002. As of today,  Tuesday August 5, 2008, the U.S. PSTF has issued another updated version of their guidelines on this subject … [...]

Follow

Get every new post delivered to your Inbox.

Join 269 other followers