Tag Archives: men

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Foundation's Response to USPSTF Final PSA Testing Recommendation

Posted on May 24, 2012 by

The U.S. Preventive Services Task Force (USPSTF) published their final recommendation on PSA testing in an Annals of Internal Medicine article this week. The panel advises against PSA-based prostate cancer screening for men of all ages. The rationale for this recommendation is based on the panel’s moderate certainty that the potential harms outweigh the benefits for all age groups. Based on clinical evidence from two large randomized trials evaluated by the panel, at most 1 out of 1,000 men screened will avoid dying from prostate cancer over 10 years, while many more men will be left with permanent disabilities from their treatment, such as incontinence (18 in 1,000) or impotence (29 in 1,000). Continue reading →

Posted in Current News | Tagged informed decisions, men, Michael J. Barry, prostate cancer screening, PSA test, shared decision making, USPSTF | Permalink

Featured Shared Decision Making Publications

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Randomised Controlled Trial of an Interactive Multimedia Decision Aid on Benign Prostatic Hypertorphy in Primary Care

Posted on May 24, 2012 by

The rationale for decision aids is addressed in the accompanying paper. Unlike hormone replacement therapy, prostate surgery is a "Rubicon" procedure -- that is, once undertaken it cannot be reversed. In the United States, a pilot study on the impact of a programme to aid in decisions about benign prostatic hyperplasia showed a 40% decrease in surgery rates. This finding was not replicated in a subsequent randomised controlled trial. Continue reading →

Posted in Patient Decision Aids, Patient Involvement, Special Populations | Tagged Angela Coulter, benign prostatic hyperplasia, BMJ, BPH, decision aids, decision-making, men, multimedia, primary care, prostatectomy, Shared Decision-Making® programs, treatment decisions | Permalink

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[The Boston Globe] Healthy Men Told to Skip Prostate Test

Posted on May 24, 2012 by

"Dr. Michael Barry, a primary care physician at Massachusetts General Hospital and president of the Boston-based Informed Medical Decisions Foundation, said he broaches PSA screening with his patients in their 50s and 60s, discussing the risks and benefits, and will continue to do so. 'Although the benefit is small, the magnitude is in the eye of the beholder,' he said.

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