Men not being informed about low benefits and high risks of PSA prostate cancer screening

Thursday, October 15, 2009 by: S. L. Baker, features writer
Tags: prostate cancer screening, health news, Natural News

eTrust Pro Certified

Most Viewed Articles
Popular on Facebook
CDC issues flu vaccine apology: this year's vaccine doesn't work!
The five biggest lies about Ebola being pushed by government and mass media
Ultraviolet light robot kills Ebola in two minutes; why doesn't every hospital have one of these?
Tetanus vaccines found spiked with sterilization chemical to carry out race-based genocide against Africans
Biologist explains how marijuana causes tumor cells to commit suicide
Companies begin planting microchips under employees' skin
The best way to help your body protect itself against Ebola (or any virus or bacteria)
NJ cops bust teenagers shoveling snow without a permit
Russia throws down the gauntlet: energy supply to Europe cut off; petrodollar abandoned as currency war escalates
McDonald's in global profit free fall as people everywhere increasingly reject chemically-altered toxic fast food
W.H.O. contradicts CDC, admits Ebola can spread via coughing, sneezing and by touching contaminated surfaces
Top ten things you need to do NOW to protect yourself from an uncontrolled Ebola outbreak
Chemotherapy kills cancer patients faster than no treatment at all
FDA targets Dr. Bronner's Magic Soaps for sharing health benefits of coconut oil
U2's Bono partners with Monsanto to destroy African agriculture with GMOs
Why flu shots are the greatest medical fraud in history
Governments seize colloidal silver being used to treat Ebola patients, says advocate
Flu vaccine kills 13 in Italy; death toll rises

(NaturalNews) Regular readers of NaturalNews know that recent studies have found little if any benefit to prostate cancer screening tests ( What's more, although about one in six men will be diagnosed with the disease during their lifetime, only one in 35 will actually die from prostate cancer -- and the latest research shows that a diagnosis of the disease does not automatically mean any treatment is needed at all ( Unfortunately, most men don't know these facts and are not being told about the risks of prostate-specific antigen (PSA) screening. The result? Many are being pushed into having PSA tests, leading to unnecessary and side effect laden treatments.

A report just published in the September 28 issue of Archives of Internal Medicine concludes the majority of men just don't know the basic facts about PSA testing. They are making decisions about prostate cancer screening based on conversations with their doctors -- and these talks usually don't include information about risks versus benefits of the test. Although most American men 50 or older have been screened with a PSA test, the new report reiterates the fact there's no convincing scientific evidence that screening prevents deaths from prostate cancer. And if men are found through PSA screenings to have early-stage cancers, they are often told treatment is necessary when, in fact, it may not be and may lead to a host of health problems and complications.

"Given the uncertain benefit for screening and known treatment risks, prostate cancer screening decisions should be guided by patient preferences," the authors wrote. "Indeed, most professional organizations recommend that the first step in screening should be a discussion between health care providers and patients about the risks and benefits of early detection and treatment so that patients can make informed decisions about whether to be screened."

No real benefit to PSA screening

Richard M. Hoffman, M.D., of the New Mexico VA Health Care System and the University of New Mexico School of Medicine in Albuquerque, and his research team surveyed 3,010 randomly selected English-speaking adults age 40 and older in 2006 and 2007 by phone. Out of these, the scientists found 375 men who had either undergone or discussed PSA testing with their physicians in the previous two years. The researchers asked the men what their knowledge was concerning prostate cancer, what their talks with their doctors covered, and what factors and information helped them decide to be screened for a prostate malignancy.

The results showed that almost 70 percent of the men had discussed screening with their doctors before making a decision to have the PSA test. Out of these, only 14.4 percent turned down the screening. In the vast majority of cases, almost 65 percent of the time, it was the doctors who brought up the supposed need for PSA tests. In fact, 73.4 percent of physicians recommended the test and this recommendation from a doctor was the only part of the discussion about prostate cancer that was linked to testing.

According to a statement to the media, the researchers said only 47.8 percent of men surveyed could correctly answer any of three basic questions about prostate cancer risk and screening accuracy. "Although respondents generally endorsed shared decision-making process and felt informed, only 69.9 percent actually discussed screening before making a testing decision, few subjects (32 percent) reported having discussed the cons of screening, 45.2 percent said they were not asked for their preference about PSA testing and performance on knowledge testing was poor," the study authors wrote. "Therefore, these discussions -- when held -- did not meet criteria for shared decision making. Our findings suggest that patients need a greater level of involvement in screening discussions and to be better informed about prostate cancer screening issues."

In another study also published in the same edition of Archives of Internal Medicine, Kirsten Howard, Ph.D., of the University of Sydney, Australia, and colleagues constructed a statistical model to predict the benefits and harm of annual PSA screenings. They found yet again that screened men are two to four times more likely to be diagnosed with prostate cancer than unscreened men -- but death rates from prostate cancer and from all causes are not significantly different. Bottom line: the researchers conclude that many men with prostate cancers detected by PSA screening are most likely undergoing treatment for clinically insignificant cancers that pose little if any threat to their lives.

"In conclusion, before undergoing PSA screening, men should be aware of the possible benefits and harms and of their chances of these benefits and harms occurring," they wrote. "Even under optimistic assumptions, the net mortality benefit is small, even when prostate cancer deaths are cumulated to 85 years of age. These quantitative estimates can be used to support the goal of individual informed choices about PSA screening."

For more information:

Join over four million monthly readers. Your privacy is protected. Unsubscribe at any time.
comments powered by Disqus
Take Action: Support by linking back to this article from your website

Permalink to this article:

Embed article link: (copy HTML code below):

Reprinting this article:
Non-commercial use OK, cite with clickable link.

Follow Natural News on Facebook, Twitter, Google Plus, and Pinterest

Colloidal Silver

Advertise with NaturalNews...

Support NaturalNews Sponsors:

Advertise with NaturalNews...


Sign up for the FREE Natural News Email Newsletter

Receive breaking news on GMOs, vaccines, fluoride, radiation protection, natural cures, food safety alerts and interviews with the world's top experts on natural health and more.

Join over 7 million monthly readers of, the internet's No. 1 natural health news site. (Source:

Your email address *

Please enter the code you see above*

No Thanks

Already have it and love it!

Natural News supports and helps fund these organizations:

* Required. Once you click submit, we will send you an email asking you to confirm your free registration. Your privacy is assured and your information is kept confidential. You may unsubscribe at anytime.