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January 2015

PSA Screening—I Finally Won!

Author Affiliations
  • 1Department of Family Medicine, Georgetown University Medical Center, Washington, DC

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2015;175(1):16-17. doi:10.1001/jamainternmed.2014.5441

I must have won. That is what everyone tells me. At the beginning there were a few telephone calls, followed by e-mails, and now every talk I give someone brings up how happy I must feel for winning. What I purportedly won was the new recommendations against routine checking for prostate-specific antigen (PSA). The new recommendations acknowledge the limitations of PSA after years of heated debate. I had written an essay about our malpractice system and evidence-based medicine (EBM) after being sued, but the take-home point for many was that I did not order a PSA test after discussing the options with a patient. The new recommendations are consistent with how I practiced. I “won.”1