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JohnSJ

(98,883 posts)

17. Those recommendations in regard to PSAs are outdated. PSAs are simply a data point which indicates

Mon May 19, 2025, 10:43 AM

May 2025

whether further testing should be considered. That testing would be a prostate MRI, which would determine whether a directed biopsy should be considered or not.

With the technology available today, including the advancements in the treatment of Prostate cancer, PSA screening, followed by a prostate MRI if an elevated PSA cannot be explained otherwise, would spare a lot of men over 70 a lot of suffering if they were diagnosed at at early stage, and not avoided simply because someone recommended it "wasn't necessary" to have PSAs after 70.

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I am just learning that it's uncommon for men 70+ to get PSA tests... why?? [View all] themaguffin May 2025 OP

Simple really Johnny2X2X May 2025 #1

It is faulty reasoning which is using outdated recommendations. PSA is simply a data point, and if it JohnSJ May 2025 #11

A high PSA without prostate cancer is not a false positive for cancer NoRethugFriends May 2025 #12

What is your reasoning? Semantics? Bernardo de La Paz May 2025 #15

My thinking is that I clearly didn't wind up finishing the post. My bad. I corrected it. NoRethugFriends May 2025 #19

the husband of a dear friend died of dementia back last July. I was shocked. I had no idea one could die of dementia but CTyankee May 2025 #23

In Alzheimer's, the brain deteriorates to the point it cannot handle basic bodily functions, Midnight Writer May 2025 #24

I think you are correct Bluetus May 2025 #31

Because the common "wisdom" is that if you're 70 or older, the relief is a hard thing on an older fellow ... marble falls May 2025 #2

No idea. J_William_Ryan May 2025 #3

BPH can effect PSA values, but based on prostate size, density, PSA velocity, etc. They can reasonably JohnSJ May 2025 #14

I completely agree about the annual PSA Bluetus May 2025 #32

While I am not necessarily in agreement, mind you: hlthe2b May 2025 #4

Those recommendations in regard to PSAs are outdated. PSAs are simply a data point which indicates JohnSJ May 2025 #17

These are the official recommendations. While I clearly stated I as a professional do not necessarily agree hlthe2b May 2025 #20

Yes, I agree it does need to be individualized, but the fact that the decision by too many physicians JohnSJ May 2025 #29

Thanks for this very helpful post karynnj May 2025 #25

Yes. He does. It was included in an earlier medical report released publicly. hlthe2b May 2025 #27

I am not over 70 yet but I demand a PSA test at every yearly exam. You can choose to not treat if it is non-aggressive. dutch777 May 2025 #5

I'm a truck driver, so naturally I go for a physical every year at the VA including a PSA test, MarineCombatEngineer May 2025 #6

My last PSA was 7.9. Supposedly, normal is 4.0 I am told. My doctor says the 7.9 is my normal. OLDMDDEM May 2025 #7

Hubby was just told his normal seems to be 6.4 woodsprite May 2025 #26

Everyone is different. Our son is worried because his is over the 4.0 norm. My norm being in the OLDMDDEM May 2025 #28

Over treatment is no joke Luvcatz14 May 2025 #8

I read that they say do the test between 50 and 69. n/t malaise May 2025 #9

Hmmmm Littlered May 2025 #10

Here's the American Cancer Society recommendation surfered May 2025 #13

Thanks malaise May 2025 #21

Hope you don't have a problem 🙏 surfered May 2025 #33

No problem malaise May 2025 #39

My experience: surfered May 2025 #16

The PSA test does not reveal anything really. dugog55 May 2025 #18

I'm missing... Mike Nelson May 2025 #22

Is this the test obnoxiousdrunk May 2025 #30

See my reply below. Aristus May 2025 #35

I order a PSA for every fifty+ year-old male coming in for an annual physical exam. Aristus May 2025 #34

Don't think it's providers but HCIs that don't mind if people suffer uponit7771 May 2025 #36

Health insurance companies for sure, at least. Aristus May 2025 #37

There no doubt needs to be public options for HC like USPS which Americans like cause they do a decent job when uponit7771 May 2025 #40

It depends on your doctors Meowmee May 2025 #38