mattam said...
Breast cancer screenings for women have been entrenched for decades. Prostate cancer screenings I think were getting strong traction in the decade of the 2000s. Then around 2012 the USPSTF stepped in to recommend reduced screening for PCa. So, that's where we are now. I don't think things will change any time soon, if ever.
A brief history for those who were not forced to live thru this, as Matt and I were (and surely many others here). The PSA blood test came into broad use around 1995, and many men were found to have an elevated PSA level. Naturally, greed stepped in and some urosurgeons took advantage of the situation and recommended surgery (RP) for some of these men who may have had a low grade/early stage case and probably would have lived normally without the RP for many years.
Then someone wrote an expose called "Invasion of the Prostate Snatchers" and there was much outrage. In typical knee jerk fashion, the bureaucrats created this USPSTF recommendation of 2012, which, in a vague manner, suggested that doctors should not do routine PSA screenings and that urologists should keep the existence of prostate cancer a secret. Okay, that wasn't the intent, but that's what happened. The result was that around 2015 and forward, more and more men presented with advanced metastatic prostate cancer. Some years later the recommendation was revised in an egg-on-the-face "clarification" that men and their doctors should do some sort of "shared decision making". IMO that hasn't helped much.
But one other fallout of this debacle was an army of "overtreatment" zealots invaded many online prostate groups and lambasted the poor PCa victims for having gone thru treatment... often multiple treatments, because they had fallen thru the cracks when patients weren't supposed to ask and doctors weren't supposed to tell. Some still lurk in the shadows. They profess "what you should have done" when they have no idea what we were going thru at the time.
That's been my experience anyway.
mattam said...
Interestingly, I believe the Task Force recommended for less screening for breast cancer too. The difference is, screenings for women was already part of the collective consciousness. And, I think women generally are more concerned about their health.
Breast cancer screening (i.e., mammogram) recommendations have gone up and down many times, yet there are still women who are denied routine scans by insurance and end up with metastatic BC. Of course, there is at least some risk from radiation, and many women complain about
the discomfort of having their breasts squeezed between the plates. I could mention the discomfort of a DRE, but I guess women - some of them anyway, are accustomed to being poked in various orifices.