Declines in prostate cancer incidence after changes in screening recommendations
A partir de données issues des registres américains des cancers, cette étude analyse l'évolution de l'incidence du cancer de la prostate aux Etats-Unis après la publication, en 2008, des recommandations d'un groupe d'experts en défaveur de l'usage d'un dépistage à l'aide du PSA pour les hommes âgés de plus de 75 ans
On August 5, 2008, the US Preventive Services Task Force (USPSTF) recommended against screening men 75 years or older for prostate cancer.1 For men younger than 75 years, the USPSTF maintained its previous recommendation: “ . . . the evidence is insufficient to recommend for or against routine screening for prostate cancer. . . ”2 (p915) (although this recommendation was changed to “do not screen” younger men in the 2011 guidelines). This study evaluates trends in prostate cancer incidence following the release of the 2008 USPSTF recommendation. If the revised recommendation led to a decline in prostate cancer screening rates, there should be a corresponding decline in the incidence of early-stage tumors among men 75 and older relative to trends in the incidence of late-stage tumors and early-stage tumors in younger men.
Archives of Internal Medicine , article en libre accès, 2011