Informed Decision Making About Prostate Cancer Screening
Authors: Michael E. O'Callaghan, Ganessan Kichenadasse, Sina Vatandoust, Kim Moretti
Journal: Annals of Internal Medicine (2015)

Letters17 March 2015Informed Decision Making About Prostate Cancer ScreeningMichael E. O'Callaghan, BSc(Hons), PhD, Ganessan Kichenadasse, MBBS, Sina Vatandoust, MD, and Kim Moretti, MBBSMichael E. O'Callaghan, BSc(Hons), PhDFrom Repatriation General Hospital, Flinders University, and The University of Adelaide, Adelaide, South Australia, Australia.Search for more papers by this author, Ganessan Kichenadasse, MBBSFrom Repatriation General Hospital, Flinders University, and The University of Adelaide, Adelaide, South Australia, Australia.Search for more papers by this author, Sina Vatandoust, MDFrom Repatriation General Hospital, Flinders University, and The University of Adelaide, Adelaide, South Australia, Australia.Search for more papers by this author, and Kim Moretti, MBBSFrom Repatriation General Hospital, Flinders University, and The University of Adelaide, Adelaide, South Australia, Australia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5063 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:One of the key facts that Vickers and colleagues (1) suggest presenting to patients to help them make an informed decision about prostate-specific antigen (PSA) screening is that “only a small proportion of men with prostate cancer die of the disease.” We do not believe that this statement accurately conveys the proportion of deaths attributable to prostate cancer in the context of counseling men considering PSA screening. Prostate cancer is the second most common cause of cancer death in men in Australia, the United States, the United Kingdom, and many countries in the European Union. Several countries ...References1. Vickers AJ, Edwards K, Cooperberg MR, Mushlin AI. A simple schema for informed decision making about prostate cancer screening. Ann Intern Med. 2014;161:441-2. [PMID: 25222389] doi:10.7326/M14-0151 LinkGoogle Scholar2. Sammon JD, Pucheril D, Diaz M, Kibel AS, Kantoff PW, Menon M, et al. Contemporary nationwide patterns of self-reported prostate-specific antigen screening. JAMA Intern Med. 2014;174:1839-41. [PMID: 25179266] doi:10.1001/jamainternmed.2014.4117 CrossrefMedlineGoogle Scholar3. Abdollah F, Sun M, Thuret R, Jeldres C, Tian Z, Briganti A, et al. A competing-risks analysis of survival after alternative treatment modalities for prostate cancer patients: 1988-2006. Eur Urol. 2011;59:88-95. [PMID: 20965646] doi:10.1016/j.eururo.2010.10.003 CrossrefMedlineGoogle Scholar4. Chowdhury S, Robinson D, Cahill D, Rodriguez-Vida A, Holmberg L, Møller H. Causes of death in men with prostate cancer: an analysis of 50,000 men from the Thames Cancer Registry. BJU Int. 2013;112:182-9. [PMID: 23795786] doi:10.1111/bju.12212 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Michael E. O'Callaghan, BSc(Hons), PhD; Ganessan Kichenadasse, MBBS; Sina Vatandoust, MD; Kim Moretti, MBBSAffiliations: From Repatriation General Hospital, Flinders University, and The University of Adelaide, Adelaide, South Australia, Australia.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOf InterestForms.do?msNum=L14-0552. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Simple Schema for Informed Decision Making About Prostate Cancer Screening Andrew J. Vickers , Kelly Edwards , Matthew R. Cooperberg , and Alvin I. Mushlin Informed Decision Making About Prostate Cancer Screening Andrew J. Vickers Metrics 17 March 2015Volume 162, Issue 6 Page: 457 Keywords Cancer treatment Conflicts of interest Death rates Decision making Disclosure Mortality Population statistics Prostate cancer Prostate diseases Surveillance Epidemiology and End Results ePublished: 17 March 2015 Issue Published: 17 March 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...