What to know about new advice on prostate cancer test

The task force made the recommendation, which is still in draft form as it seeks public comment, after determining that the potential benefits and harms of the prostate-specific antigen test are closely balanced in men ages 55 to 69.

An influential physician task force backed by the USA government is softening its opposition to routine prostate cancer screening.

The USPSTF did not change its recommendation against PSA-based screening for prostate cancer in men ages ≥70, finding that the potential benefits did not outweigh the potential harms.

The new recommendations come from the U.S. Preventive Services Task Force, a government-appointed volunteer panel of experts.

So if I opt for PSA screening I'm gambling that I'll be the 1 in 1,000?

The task force chose to adjust its screening recommendations based on new research.

"Increased communication between men and their medical providers will cause them to be more knowledgeable about their health and make more informed choices", said James Morning, advisor to MHN, Vietnam veteran, and a prostate cancer survivor. These recommendations apply to male adults who have not been previously diagnosed with prostate cancer and have no signs or symptoms of the disease, and to male adults with average or increased risk for prostate cancer (eg, African-American, family history of prostate cancer). An elevated level can be due to cancer but also can reflect a benign condition such as an enlarged prostate.

In the study, only about 1 percent of men died of prostate cancer over 10 years, with no significant differences between those who were treated and those who simply kept a watchful eye.

"There are some men who might say, 'You know, I really want to avoid dying of prostate cancer". The harms of screening include frequent false-positive results, which often lead to immediate, additional testing and years of additional close follow-up, including repeated blood tests and biopsies.

"Unfortunately, the C rating is still insufficient and risky for high-risk men or men who - without testing - will develop aggressive or advanced disease", said Bearse.

For men 70 and older, the advisory panel continues to recommend against PSA-based testing, arguing that for this age group, prostate cancer evolves slowly and the 10-year survival rate is relatively high.

"We've been jumping up and down about this for years and years", Dr. Benjamin Davies, an associate professor of urology at the University of Pittsburgh School of Medicine, told CNBC. The task force draft says screening conversations should begin at age 55.

For these men, the task force recommends withholding treatment and monitoring the cancer until it requires treatment.

More than 161,000 men in the United States will be diagnosed with prostate cancer in 2017, according to the cancer society, and nearly 27,000 men will die of the disease.

Dr. Kirsten Bibbins-Domingo, a San Francisco internist believes "this isn't a one-size-fits all" procedure. Treatment for prostate cancer, including removal of the prostate and radiation, is associated with incontinence and erectile dysfunction.

The task force's 2012 advice against screening said there was little evidence that PSA screening was reducing deaths. The final recommendation statement from the task force will be developed after the comment period closes. At the same time, the specialty group took issue with the panel's decision to maintain its recommendation against screening for men 70 and older, saying that healthier older men might benefit from the test. It is a highly respected, highly skilled group of public health experts who review scientific studies and make recommendations on disease prevention and screening. Some men who are concerned about prostate cancer will elect to be screened, and others who are less concerned will not; doctors should support either decision.

PSA-based screen and biopsies can not tell for sure which cancers are likely to be aggressive and spread or to grow so slowly as to never cause symptoms.

  • Garcia dedicates magical Masters win to childhood idol

    He had to take a penalty shot to get out and hit his third shot 89 yards short of the green. There were some holes I could go after.
    Juan Mata out until next season after groin injury

    Juan Mata out until next season after groin injury

    Remarkably, the 28-year-old has never missed a United game through injury since his arrival at the club in January 2014.

    USA Hockey adjusts World Championship training camp amid talks with women's team

    While on the men's side American hockey has grown quite a bit, the national team they put together tends to be pretty mediocre. This is definitely a big opportunity for us to make a big change and have a big impact on our sport and have it grow.
  • Westbrook clinches triple-double average for season

    But a miserable shooting start and an inspired effort from the Phoenix Suns kept him from authoring any further rewrites. With three regular-season games remaining, the 28-year-old is averaging 31.7 points, 10.7 rebounds and 10.4 assists.
    Hundreds march in Amsterdam to support beaten gay couple

    Hundreds march in Amsterdam to support beaten gay couple

    Dutch embassy personnel in New York City join hands against hate against the LGBTQ community. "I think they were Moroccans". Police have since taken the four attackers into custody.
    Verizon to take 'Oath' as new company to run Yahoo, AOL

    Verizon to take 'Oath' as new company to run Yahoo, AOL

    An AOL spokeswoman later added that this summer, "one of the most disruptive brand companies in digital" will be launched. The remaining assets of the organization will be renamed Altaba, although it's unclear if this is a long term plan.
  • Alabama governor to resign

    Alabama governor to resign

    Collier was sacked by Bentley in 2016 when the administration said an internal review uncovered possible misuse of state funds. Special Counsel Jack Sharman said the committee's position was that it is free to proceed with the hearings.
    Cardinals sign Piscotty to long-term contract

    Cardinals sign Piscotty to long-term contract

    Arrieta has won 40 games in the past two seasons for the Cubs in becoming one of the game's most consistent pitchers. Louis right-hander Lance Lynn will make his season debut after missing all of last season because of arm surgery.
    Richmond Fed head Lacker resigns, admits improper disclosure

    Richmond Fed head Lacker resigns, admits improper disclosure

    The Richmond Fed's first vice president, Mark Mullinix, has taken over as the Bank's acting president, it said. We cooperated fully with the independent law enforcement investigation into an unauthorized disclosure in 2012.
  • Lewis Hamilton Beats Sebastian Vettel to win the Chinese GP

    Ferrari's Sebastian Vettel recovered from a mishap-filled start to finish in second place, 6.2 seconds behind the Mercedes driver. He kept the lead off the line ahead of Vettel, who came under investigation for lining up out of position on his grid slot.

    A more peaceful Sergio Garcia rises into lead at the Masters

    The 29-year-old Australian posted a gutsy two-over-par 74 as brutal winds swept across the first round on Thursday (Friday AEST). "All in all, it was a great, successful round of golf and honestly I couldn't play much more solid than I did", Moore said.
    Apple, Inc. Admits to Mac Pro Design Flaws, Promises New Model Coming

    Apple, Inc. Admits to Mac Pro Design Flaws, Promises New Model Coming

    This means that Apple is " completely rethinking " the Mac Pro and an all-new design for the desktop device is now in the works. But sadly, that was the only iteration of the CPU which launched and the shiny dustbin-shaped computer was forgotten by Apple .