Letters

Methods are changing rapidly

BMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6987.1140 (Published 29 April 1995) Cite this as: BMJ 1995;310:1140
  1. F C Hamdy,
  2. D E Neal
  1. Senior lecturer in urological surgery Professor of surgery University Urology Unit, Freeman Hospital, Newcastle upon Tyne NE7 7DN

    EDITOR,—Fritz H Schroder discusses the controversies surrounding the early detection of prostate cancer and some differences in attitude between Europe and North America.1 It is unfortunate that he emphasises screening rather than treatment. The uncertainty about the ability of treatment to modify the natural course of the disease should be resolved much more urgently than uncertainty about the value of screening, which can be addressed only when certain conditions are met—namely, that the natural course is understood, there is …

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