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Does Prostate Cancer Screening Reduce Mortality Rates?
Date:4/14/2011

/robotic-prostate-surgery/">robotic prostatectomy surgery." said Samadi. "Robotic surgery, which derives its best results from the early detection of prostate cancer, wasn't available for the first two thirds of the BMJ study.  This fact, along with the lack of early PSA screening during the trial, makes its relevance to the current state of prostate cancer screening and treatment questionable."

In addition to being the second leading cause of cancer death in men, prostate cancer can result in serious health problems in men who might die from other causes.  Such problems include painful metastases, blockage of the urinary tract, and bone fractures. Dr. Samadi feels that due to these other conditions, assessing the worth of screening based on overall survival numbers alone is not advisable.

"Curing the patient of cancer is not the purpose of screening; it is the purpose of treatment.  The mark of effective screening is the percentage of found instances of prostate cancer and how advanced the cancer is at the time of diagnosis," states Samadi, who then concluded, "The BMJ study does state that those men who received regular screening were discovered to have smaller tumors which were less likely to have spread.  The detection of prostate cancer before it has metastasized plays a large role in the successful treatment of the disease and the prevention of non-fatal health concerns, such as painful metastases or spine fractures.  This study, despite its conclusions about mortality rates, proves that regular PSA screening gives patients the best chance of detecting the disease while it is still curable. While there have been recent studies that call PSA testing into question, it's my opinion that it's currently one of the best tools that we have for a proper diagnosis of prostate cancer." - A position backed by information presented in the NEJM.


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SOURCE Smart-surgery.com
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