Braillon Alain, Hill Catherine, Dubois Gérard
Presse Med. 2012 May;41(5):482-5. doi: 10.1016/j.lpm.2011.12.011. Epub 2012 Feb 14.
Screening for prostate cancer has been widely promoted since the early 1990s despite the lack of evidence of its efficacy. The US Preventive Services Task Force recommended against PSA screening because there is sufficient evidence that the harms of screening outweigh its benefits. Yet more than half of French doctors are in favor of screening and the use of PSA assays continue to grow, by 4.6% between 2009 and 2010. The sale of a rapid immunological test for PSA, intended for home use, can only aggravate a situation already out of control. The role of the French authorities in the present situation cannot be ignored.
自20世纪90年代初以来,尽管缺乏前列腺癌筛查有效性的证据,但该筛查仍得到广泛推广。美国预防服务工作组建议不要进行前列腺特异抗原(PSA)筛查,因为有充分证据表明筛查的危害超过其益处。然而,超过一半的法国医生支持筛查,并且PSA检测的使用量持续增长,在2009年至2010年间增长了4.6%。一种用于家庭使用的PSA快速免疫检测产品的销售只会使已经失控的局面更加恶化。法国当局在当前形势下的作用不容忽视。