Many Doctors Ignore PSA Screening Guidelines

Many doctors are ignoring guidelines to steer clear of PSA testing for older men, says a study. Researchers from the University of Texas Medical Branch in Galveston reviewed Medicare records for more than 61,000 patients and more than 2,000 doctors. More than 40% of men ages 75 and older had prostate-specific antigen (PSA) blood tests, which screen for prostate cancer. None of these men had a history of prostate cancer. The researchers found that certain doctors ordered the test more than 10 times as often as other doctors did. The PSA test is not recommended for men ages 75 and older, because most prostate cancers grow so slowly that men this age would die of another cause before the cancer became a threat. The researchers also note that diagnosis and treatment of prostate cancer in elderly men can carry health risks.

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