Are Age-Based Criteria the Best Way to Determine Eligibility for Prostate Cancer Screening?
Authors: Badrinath R. Konety, Matthew R. Cooperberg, Peter R. Carroll
Journal: Annals of Internal Medicine (2009)

Letters3 February 2009Are Age-Based Criteria the Best Way to Determine Eligibility for Prostate Cancer Screening?Badrinath R. Konety, MD, MBA, Matthew R. Cooperberg, MD, MPH, and Peter R. Carroll, MD, MPHBadrinath R. Konety, MD, MBAFrom University of California, San Francisco, San Francisco, CA 94143., Matthew R. Cooperberg, MD, MPHFrom University of California, San Francisco, San Francisco, CA 94143., and Peter R. Carroll, MD, MPHFrom University of California, San Francisco, San Francisco, CA 94143.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-150-3-200902030-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The U.S. Preventive Services Task Force (USPSTF) (1) again tackles a difficult subject in updating their recommendations for prostate cancer screening. The most substantial change in the new guideline is the grade D recommendation against screening men age 75 years or older because of a perceived lack of benefit for prostate cancer treatment in these older men. We would argue, however, that rather than adopting rigid age-based stopping criteria for screening, the medical community should pursue a more nuanced approach to screening, diagnosis, and treatment across all age strata.Screening and potential overdiagnosis of prostate cancer are ...References1. U.S. Preventive Services Task Force. Screening for prostate cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;149:185-91. [PMID: 18678845] LinkGoogle Scholar2. Cooperberg MR, Lubeck DP, Meng MV, Mehta SS, Carroll PR. The changing face of low-risk prostate cancer: trends in clinical presentation and primary management. J Clin Oncol. 2004;22:2141-9. [PMID: 15169800] CrossrefMedlineGoogle Scholar3. Konety BR, Cowan JE, Carroll PR; CaPSURE Investigators. Patterns of primary and secondary therapy for prostate cancer in elderly men: analysis of data from CaPSURE. J Urol. 2008;179:1797-803; discussion 1803. [PMID: 18343440] Google Scholar4. Cooperberg MR, Cowan J, Broering JM, Carroll PR. High-risk prostate cancer in the United States, 1990-2007. World J Urol. 2008;26:211-8. [PMID: 18369637] CrossrefMedlineGoogle Scholar5. Konety BR, Sharp VJ, Raut H, Williams RD. Screening and management of prostate cancer in elderly men: the Iowa Prostate Cancer Consensus. Urology. 2008;71:511-4. [PMID: 18342199] CrossrefMedlineGoogle Scholar6. Dall'Era MA, Konety BR, Cowan JE, Shinohara K, Stauf F, Cooperberg MR, et al. Active surveillance for the management of prostate cancer in a contemporary cohort. Cancer. 2008;112:2664-70. [PMID: 18433013] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of California, San Francisco, San Francisco, CA 94143.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Prostate Cancer: U.S. Preventive Services Task Force Recommendation StatementAre Age-Based Criteria the Best Way to Determine Eligibility for Prostate Cancer Screening? Manfred Gogol Are Age-Based Criteria the Best Way to Determine Eligibility for Prostate Cancer Screening? Ned Calonge , Diana B. Petitti , and Kenneth W. Lin Metrics Cited ByThe decision-making process in prostate cancer screening in primary care with a prostate-specific antigen: A systematic reviewProstate-specific antigen screening in elderly menImpact of Age at Diagnosis on Prostate Cancer Treatment and SurvivalProstate-specific Antigen–based Risk-adapted Discontinuation of Prostate Cancer Screening in Elderly African American and Caucasian American MenShould prostate-specific antigen screening be offered to asymptomatic men?Benign Prostatic HyperplasiaVariation in Prostate-Specific Antigen Screening in Men Aged 80 and Older in Fee-for-Service Medicare 3 February 2009Volume 150, Issue 3Page: 220-221KeywordsCancer screeningCancer treatmentConflicts of interestLife expectancyMorbidityProgressive diseasesProstate cancerTreatment guidelines ePublished: 3 February 2009 Issue Published: 3 February 2009 CopyrightCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...