BMJ  2008;336:1093 (17 May), doi:10.1136/bmj.39580.353495.DB

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Falling death rate from prostate cancer suggests that PSA screening may be useful, study says

Roger Dobson

1 Abergavenny

The first 150 words of the full text of this article appear below.

General screening with the prostate specific antigen (PSA) test may be effective in reducing the number of deaths from prostate cancer, new research indicates.

In the United States and six other countries mortality from the disease is now lower than it was before the PSA test was introduced in the late 1980s, the study says (International Journal of Cancer doi: 10.1002/ijc.23520), indicating that PSA screening "could reduce prostate cancer mortality in the male population."

The authors of the study, which looked at recent trends in prostate cancer mortality in 38 countries, say that only ongoing clinical trials in the US and Europe—whose results are expected over the next two years—will be able to distinguish between the contributions of screening and advances in treatment to the fall in mortality.

However, they add, "From a general public health point of view, to observe a decrease in mortality, even before the . . . [Full text of this article]


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