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Invited Commentary
June 24, 2019

Decision Aids for Prostate Cancer Screening—The True Potential Remains Unknown

Author Affiliations
  • 1Department of Medicine, Division of Cardiology, University of Colorado, Denver
  • 2VA Denver Center of Innovation, Denver, Colorado
  • 3Philip R. Lee Institute for Health Policy Studies, Department of Medicine, University of California, San Francisco
JAMA Intern Med. 2019;179(8):1082-1083. doi:10.1001/jamainternmed.2019.0753

In 2009, routine prostate cancer screening using a prostate-specific antigen (PSA) test was described as “the controversy that refuses to die.”1(p1351) Unfortunately, 10 years later, the controversy is still alive and thriving.2 Clinical trials have failed to resolve whether or to what degree screening using PSA tests help reduce prostate cancer–specific mortality, and it has long been clear that PSA screening tests increase the diagnosis of low-risk cancers and can lead to patient harm from potentially unnecessary biopsies and cancer treatment. As a result, many expert groups recommend shared decision-making (SDM) and informed patient choice for routine prostate cancer screening.3,4

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