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The Guardian - UK
The Guardian - UK
Politics

HISTORICAL FACTS: Men concerned about prostate cancer should think before asking for a psa test - The Untold Story

Young female doctor taking senior man's blood pressure
‘In 2018, a review of the available evidence concluded that 1,000 men would have to be PSA-screened to prevent one man from dying of prostate cancer over 10 years.’ Photograph: MBI/Alamy

Your article quotes Prostate Cancer UK’s director of health services saying: “More men than ever are learning about their risk, speaking to their GP about the PSA [prostate specific antigen] blood test, and then taking the best next steps” (Prostate cancer becomes most common cancer diagnosis in England, 28 January). However, men should think very carefully and consider the evidence before asking their GP for a PSA test.

In 2018, a review of the available evidence concluded that 1,000 men would have to be PSA-screened to prevent one man from dying of prostate cancer over 10 years, and screening probably did not improve men’s chances of being alive after 10 years. In 2019, a review of the results of the European Randomised study of Screening for Prostate Cancer reported that, after 16 years, 570 men had to be invited for screening to prevent one prostate cancer death. The results of these scientific studies are the reason why the UK does not have a prostate screening programme.

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