What consequences will result from healthy men skipping PSA screening?
Oncologist Robert Princenthal Transcript
Opening Title: What will be the consequences of no regular PSA screening for healthy men?
And I can’t stress enough that the US Task Force guidelines refuting of the value of PSA is going to create big harms in the next four or five years. The people that I have spoken to have already seen a big drop in the men getting PSA screening. The inadvertent consequence of that is fewer men are being referred to urologists for biopsy. The pathologists aren’t making the diagnosis. The hospitals are telling us their volumes of radical prostatectomy are going way down and the health insurance business people are saying, look this is a good thing, we’re lowering costs. But we all know what’s going to happen. The incidence of prostate cancer hasn’t changed. There’s still 250,000 men who should be diagnosed each year with prostate cancer, and 28,000 men have died. For these men who are not getting screened, they’re going to be presenting with T-3 disease or extracapsular disease, or metastastic disease and we’re going to be dealing with a whole host of different problems due to the lack of screening now.
Closing Title: The US Task Force guidelines do not apply to men already diagnosed