Giving healthy men P.S.A. blood tests for prostate cancer does not save lives and often leads to treatment that can cause needless pain and side effects, a government panel said.
A finding that a blood test to screen for prostate cancer does not save lives, but results in needless medical procedures, is being contested.
A prostate biopsy more than doubles the risk of being hospitalized for infections and other problems within the following month, a new study says.
Reading these articles about the studies on prostate cancer screening and the backlash they are causing really makes me question how science, medical technology, fear and greed all interact. It sure looks like the P.S.A. test is at best worthless for saving lives, and at worst, that it does more harm than good. The tests lead to far too many further tests that will not save your life, and in fact, can worsen its quality.
Yet, good people, doctors, insurance companies and policy makers all seem to be unwilling to try to understand the value of how statistical evidence can better guide our decisions. Even the articles show how quickly we turn to the small, individual stories that are easier for us to relate to, the anecdotes of lives being saved -- or of tests being avoided.
But what none of these articles show are anecdotes from the people who had the further tests and treatments and had their lives wrecked as a result. If you're reading this and can provide such anecdotes, I will make sure they are posted because I believe we need to get a better handle on what the choices are. And we need to have some better ways to imagine the consequences of not following the scientific evidence which the United States Preventive Services Task Force has published.
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