News 
 National News 
 National 
 General 
 Doubts cast on prostate cancer screening 

Doubts cast on prostate cancer screening

19 Mar, 2009 01:09 PM
The Cancer Council of Australia says two key overseas studies that cast doubt on the effectiveness of prostate cancer screening highlight the need for more research on the disease.

Prostate cancer often has no symptoms in its early stages, when it can be cured, but it can be detected by a blood test or a rectal examination.

Two large, decade-long studies in Europe and the United States trialled the use of these tests to screen men for the disease.

But the results, published overnight in The New England Journal of Medicine, suggest population screening may pose problems or be ineffective.

The European study of 182,000 men showed that the prostate specific antigen blood test -- known as the PSA test -- cut the rate of death from prostate cancer by 20 per cent but was linked with a high risk of overdiagnosis.

Treatments and procedures resulting from a misdiagnosis can have side effects such as infection, incontinence or impotence.

The US study of 76,700 men, which used the blood tests and rectal examinations, was unable to find a benefit in screening, as the rate of death from prostate cancer was similarly small among men who were tested and those who weren’t.

Cancer Council chief executive Professor Ian Olver sadi today he hoped the studies put an end to calls for population screening.

He said the focus should instead be on helping men understand the disease, which is the most common cancer in Australian men.

"We should now focus on informed choice in what is a very difficult decision for men, because of equivalent evidence,” he said.

"[The studies] probably tell us that the PSA is not going to become a screening test for prostate cancer. If anything, they are a very strong case for researching more effective tests."

One in nine Australian men develop prostate cancer in their lifetime. The disease kills almost 3000 men a year.

Print
Increase Text Size
Decrease Text Size

RELATED COVERAGE

comments


Date: Newest first | Oldest first
Prostate cancer kills more men in Australia each year than breast cancer kills women. And yet, breast cancer research receives the largest share of funding from the NSW Cancer Council. Foundations to promote awareness for breast cancer and raise funds for its research abound, and yet we now hear that there is not a reliable test for prostate cancer. I call on the Cancer Councils to re-prioritise their funding to increase the funding for prostate cancer research to at elast the same level as breast cancer research.
Posted by Greg Pfeiffer, 19/03/2009 8:41:17 PM
It is relevant to mention that if this was a female disease, the debate would be about how we find an effective screening method, not that the existing one seems flawed and should be discontinued. Prostate cancer kills almost as many men a year as women killed by breast cancer, yet receives a fraction of the funding that breast cancer research does. In general, numerous studies show that the bulk of spending on medical research goes on female specific illnesses. THere is a seeming acceptance by many commentators on prostate cancer research that "something else will kill them before the prostate cancer does". So who are all these thousands of men dying of prostate cancer then? There has been a lot of debate about the efficacy of breast cancer screening at various age limits, but it has not affected the funding or focus on this disease one jot. Women's groups are more organised and more vocal about funding research into female health than men have been. It's time to wake up. If PSA tests are ineffective, let's find a test that isn't. If incontinence and impotence are the side effects of existing treatment methods for prostate cancer, then let's find new methods. There would be an uproar if women were being left with these side effects for a female only ailment. We would be told that male surgeons not empathetic, that research had not been carried out, that the funding was not there to improve things etc etc. Men should be getting organised and stop settling for second best when it comes to our own health.
Posted by RobMcN, 22/03/2009 11:38:01 PM
This article, like most on prostate cancer, is misleading. It seems to only serve the purpose of governments with socialized medicine and businesses trying to reduce insurance costs. And because of it, many men who may be spared a death from prostate cancer will die from it. A PSA test does not diagnose (nor misdiagnosis) prostate cancer. And men do not become impotent or incontinent as a result of treatment from PSA testing (nor from a biopsy which may follow). PSA simply indicates when a biopsy may be advisable. And it is the biopsy which will indicate whether cancer is present. And from what I have read, the US study was based on 10 year results. Since prostate cancer may take 10 to 15 years before you even feel any symptoms, the test is not nearly long enough to show much of anything. And for those who repeat the old trite phrase 'more men die with prostate cancer than of it', here's one which may be more apt for those diagnosed with it - 'if something else doesn't kill you first, prostate cancer will'.
Posted by Wolfman, 24/03/2009 6:52:26 AM

post a comment


Screen name  *
Email address  *
Remember me?
Comment  *
 
We invite and encourage our readers to post comments. Comments are moderated and will appear as soon as our editor has approved them. When posting comments you agree to be bound by our Terms and Conditions.
Related Coverage
ARTICLES

Most popular articles

Design competition - click here
 
Canberras newest magazine - read now
 
Canberra Times photo sales - click here
 
Click here to enter the art show
 
Ready, Set. Drive!
 
Classifieds
 SEND...
 SAVE...
 SHARE...