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PSA Screening and Elderly Men—Reply
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In Reply: We agree with Dr Singer and colleagues that PSA screening should not be automatically included with other blood work without prior discussion about its potential benefits and harms. The goal is to guide patients to make rational decisions so that they receive medical care that is more likely to help them than harm them.1 Appropriate guidance means that clinicians should not only tell patients about the potential risks and benefits of PSA screening, clinicians should also recommend against PSA screening to elderly men who have limited life expectancies.
Even guideline panels that recommend PSA screening in younger healthier populations do not recommend screening elderly men who have a life expectancy of shorter than 10 years.2-3 For these men, there is little controversy that PSA screening and its follow-up procedures cause more harm than benefit. Therefore, when elderly men with severe comorbidity ask for guidance about PSA screening, clinicians . . . [Full Text of this Article]
Louise C. Walter, MD
louise.walter@ucsf.edu
Division of Geriatrics
San Francisco VA Medical Center
San Francisco, Calif
Badrinath R. Konety, MD
Department of Urology
University of California, San Francisco
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PSA Screening and Elderly Men
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RELATED ARTICLE
PSA Screening Among Elderly Men With Limited Life Expectancies
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JAMA. 2006;296(19):2336-2342.
ABSTRACT
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