The effect of the USPSTF PSA screening recommendation on prostate cancer incidence patterns in the USA

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作者
Katherine Fleshner
Sigrid V. Carlsson
Monique J. Roobol
机构
[1] Schulich School of Medicine and Dentistry,Department of Surgery and Department of Epidemiology and Biostatistics
[2] University of Western Ontario,Department of Urology
[3] Memorial Sloan Kettering Cancer Center,Department of Urology
[4] Institute of Clinical Sciences,undefined
[5] Sahlgrenska Academy at the University of Gothenburg,undefined
[6] Erasmus Medical Center,undefined
来源
Nature Reviews Urology | 2017年 / 14卷
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摘要
In 2012, the United States Preventive Services Task Force (USPSTF) issued a Grade D (against screening) recommendation for PSA screening for prostate cancerRates of PSA screening, prostate biopsy and overall prostate cancer incidence declined in the first few years after the recommendation, with a shift towards higher grade and stage of prostate tumours at the time of detectionDespite the recommendation, some physicians report ongoing willingness to screen appropriately selected men, and many men report that they intend to continue to ask for the PSA test from their doctorIncreased follow-up durations are needed in order to understand whether the decreased rates of PSA screening will effect prostate cancer metastasis and mortality
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页码:26 / 37
页数:11
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