What will you do if you have cancer?

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Re: What will you do if you have cancer?

Unread postby Brenden » 1 November 2020, 20:14

I was pretty sure prostate examination was a standard part of GP checkups for men over 50. Universal if not near-universal.
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Re: What will you do if you have cancer?

Unread postby harel » 1 November 2020, 21:08

Frankly speaking, I have never been in the United States or in the United Kingdom and I do not know the situation there, but you are probably right that in very-high-income countries, there is pretty high early detection rate of prostate abnormalities due to high awareness of men and wide access to healthcare. However, in most European countries this statement is not true. Some countries include in the European Questionnaire Health Interview Survey (EHIS) a question on the frequency of prostate examination during the last 3 years. In CEE-countries, the vast majority of men aged 40+ have not had it. In Southern Europe they do not care a lot as well.

What I find most difficult in English is word order and articles. I am sorry about that.
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Re: What will you do if you have cancer?

Unread postby nowitness123 » 1 November 2020, 22:47

Brenden wrote:I was pretty sure prostate examination was a standard part of GP checkups for men over 50. Universal if not near-universal.

In 2018, the U.S. Preventive Services Task Force stated that it does not recommend DRE as a screening test because of lack evidence on the benefits.
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Re: What will you do if you have cancer?

Unread postby harel » 1 November 2020, 23:13

nowitness123 wrote:In 2018, the U.S. Preventive Services Task Force stated that it does not recommend DRE as a screening test

The EAU (European) Guidelines state that an individualised risk-adapted strategy for early detection should be offered to a well-informed man with a good performance status and a life-expectancy of at least ten to fifteen years. And I think that you have a similar political approach in the United States.

No-prostate-cancer-screening solution means that app. random group of prostate cancers is detected at an initial stage and further managed or monitored by a doctor. I do not believe that a random selection of cases is better compared to a situation when a doctor (urologist) decides, whether a patient needs treatment, management, or monitoring. I guess, the no-screening solution is just sweeping under the rug (a registered mortality and morbidity is low) and it is pretty cheap. In middle-income countries, the sales of various "prostate enlargement pills" are high, because every second prostate cancer patient heals on his own.
Last edited by harel on 1 November 2020, 23:19, edited 1 time in total.
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Re: What will you do if you have cancer?

Unread postby nowitness123 » 1 November 2020, 23:19

harel wrote:
nowitness123 wrote:In 2018, the U.S. Preventive Services Task Force stated that it does not recommend DRE as a screening test

The EAU (European) Guidelines state that an individualised risk-adapted strategy for early detection should be offered to a well-informed man with a good performance status and a life-expectancy of at least ten to fifteen years. And I think that you have a similar political approach in the United States.

For me, a bad thing is that there is no prostate cancer screening. This means that app. random group of prostate cancers is detected at an initial stage and managed or monitored by a doctor. I guess it could be better for male health, if a doctor (urologist) decided, whether a patient needs treatment, management, or monitoring. I guess, the no-screening solution is just sweeping under the rug (a registered mortality and morbidity is low) and it is pretty cheap. In middle-income countries, the sales of various "prostate enlargement pills" are high, because every second prostate cancer patient heals on his own.

Indeed(( pretty sad. Maybe one day we will create better tool for screening.
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