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March 7, 2007

PSA Screening and Elderly Men—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(9):949-950. doi:10.1001/jama.297.9.949-c

In Reply: Dr Singer and colleagues are correct in their assessment of the current understanding of the value of PSA screening. In an ideal world, physicians would take the time to discuss the potential benefits and known harms and limitations of PSA testing. Unfortunately, for many physicians economic pressures are forcing them to see an increasing number of patients each hour. There is limited time available to discuss all of the appropriate preventive health measures such as smoking cessation, weight reduction, cholesterol management, and colon cancer screening. Furthermore, failure to detect cancer (including failure to order a PSA test) has been a source of malpractice litigation.1

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