Will Older Men Give Up the PSA Test? - Well - Tara Parker-Pope - Health - New York Times Blog
Men ages 75 and older should not be screened for prostate cancer. This is the important and definitive conclusion of the U.S. Preventive Services Task Force, which for the first time has made a specific recommendation about the value of screening for prostate cancer.
To many doctors, the new guidelines will not come as a shock. Quite a few believe that because prostate cancer often progresses slowly, not causing symptoms for 10 years or longer, it’s inappropriate to look for it in healthy older men. A man aged 75 or older may well die of another cause long before his prostate cancer becomes a problem. And treatment of prostate cancer has significant drawbacks, often leading to impotence, incontinence and a variety of other complications that reduce a patient’s quality of life.But what doctors know and what happens in practice often are two different things. Prostate screening involves a simple blood test to check for prostate-specific antigen, or PSA. Many doctors find it easier just to do a PSA test than take the time to explain the pros and cons to a patient.
Patients themselves, many accustomed since their late 40s or early 50s to getting tested, aren’t always comfortable with the idea of stopping the screening once they reach older age.