Department of Urologic Surgery, Vanderbilt University, 2525 West End Avenue, Nashville, TN, USA.
Department of Urologic Surgery, VA Tennessee Valley Geriatric Research, Education, and Clinical Center (GRECC), Vanderbilt University, 2525 West End Avenue, Nashville, TN, USA; Center for Surgical Quality and Outcomes Research, Vanderbilt University, 2525 West End Avenue, Suite 1200, Nashville, TN 37203-1738, USA.
Urol Clin North Am. 2014 May;41(2):249-55. doi: 10.1016/j.ucl.2014.01.004. Epub 2014 Feb 19.
The controversial recent recommendation by the United States Preventive Services Task Force (USPSTF) against prostate-specific antigen (PSA) screening for early-stage prostate cancer has caused much debate. Whereas USPSTF recommendations against routine screening mammography in younger women resulted in fierce public outcry and eventual alteration in the language of the recommendation, the same public and political response has not been seen with PSA screening for prostate cancer. It is of paramount importance to ensure improved efficiency and transparency of the USPSTF recommendation process, and resolution of concerns with the current USPSTF recommendation against PSA screening for all ages.
美国预防服务工作组(USPSTF)最近建议反对使用前列腺特异性抗原(PSA)筛查早期前列腺癌,这一建议引起了广泛争议。USPSTF 建议反对对年轻女性进行常规乳房 X 线筛查,这一建议引起了公众的强烈抗议,并最终改变了建议的措辞,但对 PSA 筛查前列腺癌的建议,公众和政治方面并未做出同样的反应。至关重要的是,要确保提高 USPSTF 建议过程的效率和透明度,并解决对目前反对所有年龄段 PSA 筛查的 USPSTF 建议的担忧。