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All Willing Souls Can Do It
And We Can Help
Dr. Lin's Quest beyond Medication and Surgery
2. 40 – 54 years with average risks (for easy remembrance, adopt 40-55);
3. > 70 years with average risks;
4. life expectancy <10-15 years.
But, I do recommend repeating PSA test timely in men with abnormal findings such as local hardness, nodule, or uneven consistency
in prostate, regardless of age and, even, health.
I do alkaline phosphatase timely in men with rising PSA after definite Rx for prostate cancer so to decide if bone scan is needed or not
because the accumulated studies have shown that bone scan has low, insignificant yield of positive finding for metastasis if alkaline
phosphatase is normal or not fast rising.
The American Academy of Family Physicians (AAFP) and the United States Preventive Services Task Force (USPSTF) recommend
against screening in all cases.
The National Comprehensive Cancer Network (NCCN) recommends screening beginning at age 40 years.
Why do the recommendations from different organizations so widely vary?
are the Differences and Why? One vs. the Other? in AUA 2014 Convention in May 2014 in Orlando, Florida, he pointed out the wide
differences between the approach with concensus-based opinions or best practice panels and the one with evidence-based.
Dr. Pension stated, "Guidelines that are evidence based are created using a relatively unbiased and transparent process of
systemically reviewing and appraising the highest quality of clinical research findings to make a final decision about how to deliver
optimal care to patients."
disgracing its misuse have been widely revealed and confirmed over the past 45 years.
As a result, Dr. Ablin, who discovered PSA in 1970, outcried in public saying, “I never dreamt that my discovery 4 decades ago would
lead to such a profit-driven public health disaster. The medical community must confront reality and stop the inappropriate use of
PSA screening. Doing so would save billions of dollars and rescue millions of men from unnecessary debilitating treatment.”
among various organizations notably over the past 6 years to meet the need to strengthen their professional and political position as
envisioned in their own agenda.
and along the course of ongoing collection and analysis of updated clinical experience.
|PSA / its Use, Prostate
Cancer / its Care...
Universal Healthy Lifestyle
Roadmap to Long Happy Life