The continuing importance of the digital rectal exam

Many men dislike digital rectal examinations (DREs) — for all sorts of reasons. However, a new study has again pointed out the value of the DRE in helping to establish clinical risk and the potential aggressiveness of a specific prostate cancer diagnosis in each individual patient. … READ MORE …

“To DRE or not to DRE, that is the question”

With apologies to the Bard of Avon and his character Hamlet, the above-misquoted Prince of Denmark, we bring to your attention the most recent article by our good friend Howard Wolinsky on issues related to prostate cancer. … READ MORE …

The role of the digital rectal examination in prostate cancer today

The question of whether digital rectal examinations (DREs) retain value in testing men for risk for prostate cancer (individual “screening”) has been controversial for many years now. Some men flatly refuse to have DREs for socio-cultural reasons. Others will put up with them, but they don’t like the idea. This is utterly unsurprising. … READ MORE …

Declining use of the DRE at a large VA medical center: is this a national trend?

Once upon a time (not so very long ago) the digital rectal examination or DRE was the only non-invasive test that a physician could use to assess whether a patient was at risk for localized prostate cancer and/or other prostate problems. Alas, the use of this test appears to be falling out of favor, which is probably not a good thing. … READ MORE …

DRE is still a key diagnostic tool in assessing risk for prostate cancer

A new study just published in the Canadian Journal of Urology has reminded us of the importance of the digital rectal emamination (DRE) in the initial diagnosis of prostate cancer. … READ MORE …

Should the DRE really be “optional” today?

Until very recently, all available guidelines for the early assessment of risk for prostate cancer clearly recommended the use of a physical examination (a digital rectal exam or DRE) in addition to a prostate-specific antigen (PSA) test. … READ MORE …

The Norrkoping prostate cancer screening trial — with 20-year follow-up

A new report just published as an open access, full-text article at BMJ.com is going to further confuse the issue of whether mass, population-based screening for prostate cancer is or isn’t a good idea. … READ MORE …

Dutch urologists say prostate cancer screening “cannot be justified”

A new review by specialists from Erasmus University Medical Center, just published in Prostate Cancer and Prostatic Diseases, states categorically that mass, population-based screening  for prostate cancer “cannot be justified yet in the context of a public health policy.” … READ MORE …

Some common sense about prostate cancer screening … from Australia

A new article in the Australian Medical Journal is titled, “It’s time to depolarise the unhelpful PSA-testing debate and put into practice lessons from the two major international screening trials.” We think this article makes a lot of sense. … READ MORE …

Prostate cancer news reports: Thursday, October, 2009

In today’s news reports we cover items on:

  • Risks for prostate cancer from  smoking and increased adipose tissue
  • The role of religious activities in prostate cancer testing among African Americans
  • Blood loss at the time of surgery and risk for progressive disease … READ MORE …

Prostate cancer news reports: Tuesday, June 16, 2009

This morning’s news reports address:

  • Patterns of use of PSA and DRE testing in the USA
  • The value of ADT in men receiving combined brachytherapy + EBRT
  • Skeletal and cardiovascular adverse effects of ADT
  • LHRH agonist treatment and effects on LHRH agonist receptors … READ MORE …

Do PCPs actually hold pre-testing discussions with patients about prostate cancer risk?

Even though many medical organizations recommend discussions between patients and their doctors before testing of individuals for risk of prostate cancer, there are few hard data about how primary care physicians (PCPs) actually apply thee guidelines to promote informed decision making for prostate cancer testing. … READ MORE …

And to add to the confusion about annual prostate cancer screening …

… a paper from the University of Texas Health Sciences Center in San Antonio has provided a detailed analysis of the spectrum of variation of PSA and DRE data among men in an earlier screening program. … READ MORE …

What Johns Hopkins has to say about the screening controversy

Many readers may be interested in seeing what Johns Hopkins has to say about the two studies published just over a week ago in the New England Journal of Medicine.

This topic is addressed under the heading “Recent PSA Studies: What You Need To Know” in the latest issue of Health Alerts. Interestingly, in this article, Dr. H. Ballentine Carter seems to come down fairly firmly in the same camp as editorialist Michael J. Barry, MD, in his comments on these studies in the New England Journal of Medicine itself.

The screening discussion: what are others saying?

We thought it might be wise to make sure that readers of The “New” Prostate Cancer InfoLink didn’t just hear what we thought about today’s two NEJM articles, but also got a cross-section of perspectives from others.

Where relevant we have taken the liberty of giving our opinion on the articles we think you might like to look at, but we have tried hard not to pick articles that necessarily agree with us. … READ MORE …