Prostate Cancer: Emerging Concepts

Letters15 December 1996Prostate Cancer: Emerging ConceptsTimothy J. Wilt, MD, MPHTimothy J. Wilt, MD, MPHMinneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-12-199612150-00033 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The Update by Garnick and Fair [1] selectively emphasizes data from uncontrolled reports to suggest that screening and aggressive treatment of prostate cancer are beneficial, but it ignores or dismisses the preponderance of evidence showing that early detection and intervention are not of proven benefit. The American Urological Association Treatment Guidelines Panel [2] and the U.S. Preventive Services Task Force [3] have published evidence-based reviews on early prostate cancer detection and treatment that do not support the strategies advocated by Garnick and Fair.The American Urological Association Panel found the data to be inadequate for valid comparisons ...References1. Garnick MB, Fair WR. Prostate cancer: emerging concepts. Part I. Ann Intern Med. 1996; 125:118-25. Google Scholar2. Middleton RG, Thompson IM, Austenfeld MS, Cooner WH, Correa RJ, Gibbons RP. Prostate cancer clinical guidelines panel summary report on the management of clinically localized prostate cancer. J Urol. 1995; 154:2144-8. Google Scholar3. Screening for prostate cancer. In: U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. 2d ed. Baltimore: Williams & Wilkins; 1996:119-34. Google Scholar4. Cantor SB, Spann SJ, Volk RJ, Cardenas MP, Warren MM. Prostate cancer screening: a decision analysis. J Fam Pract. 1995; 41:33-41. Google Scholar5. Barry MJ, Fleming C, Coley CM, Wasson JH, Fahs MC, Oesterling JE. Should Medicare provide reimbursement for prostate-specific antigen testing for early detection of prostate cancer? Part IV: Estimating the risks and benefits of an early detection program. Urology. 1995; 46:445-61. Google Scholar Author, Article, and Disclosure InformationAffiliations: Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 December 1996Volume 125, Issue 12Page: 1014-1015KeywordsAntigensCancer screeningCancer treatmentProstate cancerQuality of lifeRadiation therapyRadical prostatectomyRandomized trialsResearch designTreatment guidelines Issue Published: 15 December 1996 CopyrightCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...