walkitout (walkitout) wrote,
walkitout
walkitout

a sane voice in the wilderness: stop the PSA testing madness at 75

http://www.nytimes.com/2008/08/05/health/research/05prostate.html

I've complained about PSA screening in general (if you're symptomatic, that's a whole other thing). Finally, someone (US Preventive Services Task Force) has finally had the guts to say, stop with the silliness. If you _want_ to be screened, whatever; but we're not going to tell anyone over 75 they should be screened with this never-to-be-sufficiently-damned test (altho we don't blame the creator of the test, because he's said he's sorry already).

Nice quote at the end of the article:

“Taking an 80-year-old and telling him he has cancer and telling him he needs radiotherapy or surgery uses up medical resources and puts him at risk. It’s a step toward rational thinking.” Kudos to Dr. Derek Raghavan, director of the Cleveland Clinic Taussig Cancer Institute.

ETA: So, the _next_ time I run across someone who got really horrible medical care due to some form of cascade -- whether it's going to the hospital while in prelabor, or getting an epidural too early or something like PSA screening or mammography while 75+ -- who is all happy about it happening to them because in _their special bright and shiny case_, the intervention was totally justified and they were Saved! By their Heroic Medical Team, remind me to just say quietly to myself: I support Assisted Suicide. This is No Different. I support Assisted Suicide. This is No Different. The comments on this blog entry are bone-chilling. A scattering of sensible guys who know the score, a bunch of people posting their PSA and Gleason scores, and then a whole _lot_ of people looking for a conspiracy on the part of USPSTF. Yeah. Right. I don't think they have it in them. If you think there's a conspiracy somewhere, it's not there. A lot of people asking, but how can a blood test cause all these problems? Just you _wait_ until you sign up for some inadequately sensitive and/or specific blood test and find yourself agreeing to all kinds of additional crap to get a Real Answer. Which may kill you.
Subscribe
  • Post a new comment

    Error

    default userpic

    Your reply will be screened

    Your IP address will be recorded 

    When you submit the form an invisible reCAPTCHA check will be performed.
    You must follow the Privacy Policy and Google Terms of use.
  • 0 comments