Holten Keith B, Al-Abdulla Sally
Clinton Memorial Hospital/University of Cincinnati, Family Medicine Residency, Wilmington, OH, USA.
J Fam Pract. 2009 Dec;58(12):E2.
For men age > or =75 years, the USPSTF recommends against screening for prostate cancer. This is a USPSTF grade D recommendation. The task force found at least fair evidence that screening is ineffective or that harms outweigh benefits. For men age > or =75 years, the USPSTF has found insufficient evidence to determine whether treatment for prostate cancer detected by screening improves health outcomes, compared with treatment after clinical detection. This is a USPSTF "I" statement. The evidence is insufficient to recommend for or against routinely providing screening. Evidence on effectiveness is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.
对于年龄大于或等于75岁的男性,美国预防服务工作组(USPSTF)建议不进行前列腺癌筛查。这是USPSTF的D级推荐。该工作组发现至少有合理证据表明筛查无效或危害大于益处。对于年龄大于或等于75岁的男性,USPSTF发现证据不足,无法确定与临床检测后治疗相比,筛查发现的前列腺癌的治疗是否能改善健康结局。这是USPSTF的“I”声明。证据不足,无法推荐或反对常规进行筛查。缺乏关于有效性的证据,证据质量差或相互矛盾,且无法确定利弊平衡。