Here are the new updated guidelines from Cancer Council Australia and the Prostate Foundation of Australia. High powered document. Let us know what you think. A couple of my thoughts – please comment!
“Do not offer PSA testing at age 40 years to predict risk of prostate cancer death”
– That is interesting because that was being mooted around?
“Advise men 70 years or older who have been informed of the benefits and harms of testing and who wish to start or continue regular testing that the harms of PSA testing may be greater than the benefits of testing in men of their age”
– So over 70 don’t bother (screening)? Was pretty much the thinking but interesting to say more likely harms than benefit after this age?
“In asymptomatic men interested in undergoing testing for early diagnosis of prostate cancer, digital rectal examination is not recommended as a routine addition to PSA testing in the primary care setting.”
– DRE gonski – unless PSA up and/or symptoms
Offer evidence-based decisional support to men considering whether or not to have a PSA test,
including the opportunity to discuss the benefits and harms of PSA testing before making the decision.”
The interesting GP chat at the moment is that we are recommended NOT to bring it up as preventative health – let the patient initiate if they are interested. This is currently being debated and challenged as to whether GPs should be bringing up the topic with their patients. My personal view is this is an interesting “head in the sand” way of dealing with the issue to not talk about it really… But neither do I have a better suggestion!