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What are recommendations for the prostate-specific antigen screening test?

ANSWER

  • The American Cancer Society says: Prostate-specific antigen (PSA) screening in men under age 40 is not recommended.
  • Routine screening in men between ages 40 and 54 at average risk is not recommended.
  • To reduce the harms of screening, a routine screening interval of two years or more may be preferred over annual screening in those men who have decided on screening after a discussion with their doctor. As compared to annual screening, it is expected that screening intervals of two years preserve the majority of the benefits and reduce overdiagnosis and false positives.
  • Routine PSA screening is not recommended for men with less than a 10-year life expectancy.
  • The U.S.Preventive Services Task Force (USPSTF) says that testing may be appropriate for some men age 55 –  69. They recommend that men talk to their doctor to discuss the potential risks and benefits of being tested.  .

SOURCES: 

New England Journal Of Medicine.

American Urological Association. 

National Cancer Institute. 

American Cancer Society.  "Key Statistics for Prostate Cancer."

Medscape. "Prostatitis Treatment & Management."

U.S. Preventive Services Task Force. "Prostate Cancer Screening Final Recommendation."

Mayo Clinic. "Prostatitis."

UpToDate.com. "Chronic prostatitis and chronic pelvic pain syndrome."

Reviewed by Laura J. Martin on July 4, 2019

SOURCES: 

New England Journal Of Medicine.

American Urological Association. 

National Cancer Institute. 

American Cancer Society.  "Key Statistics for Prostate Cancer."

Medscape. "Prostatitis Treatment & Management."

U.S. Preventive Services Task Force. "Prostate Cancer Screening Final Recommendation."

Mayo Clinic. "Prostatitis."

UpToDate.com. "Chronic prostatitis and chronic pelvic pain syndrome."

Reviewed by Laura J. Martin on July 4, 2019

NEXT QUESTION:

What is the next step if your doctor thinks you have prostate cancer based on your prostate-specific antigen results?

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