Primary care perspective and implementation of a multidisciplinary, institutional prostate cancer screening algorithm embedded in the electronic health record

Recognizing historical widespread national prostate-specific antigen (PSA) screening programs, subsequent early prostate cancer (CaP) detection and resulting stage migration, the CaP-specific mortality rate decreased by 40% during the past three decades [1,2]. Despite this great achievement, there are still many controversies regarding the benefits/harms of CaP screening. While the United States Preventive Services Task Force (USPSTF) recently changed their recommendation against routine screening of all men at all ages (Grade D) to individualized patient –physician decision-making for men aged 55 to 69 years (Grade C) [3], other steering committees such as the National Comprehensive Cancer Network (NCCN) guidelines [4] or the American Urological Association (AUA) guidelines [5], as well as several others, propose different CaP screening recommenda tions among various age groups after patient-centered communication and shared decision-making.
Source: Urologic Oncology: Seminars and Original Investigations - Category: Urology & Nephrology Authors: Tags: Original article Source Type: research