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Older Men Gain Little From PSA Test

Nov 9th 2013 at 8:28 AM

The ample bulk of money that Medicare spends on PSA screening for prostate blight provides little account for earlier men, according to a new study.Over three years, the Medicare fee-for-service affairs spent added than $450 actor a year on PSA (prostate-specific antigen) screenings, one-third of which was for men over age 75, said the advisers at Yale University’s Blight Outcomes, Public Policy and Effectiveness Research Center.But best prostate cancers are slow-growing and absurd to become a blackmail to earlier men, acclaimed the researchers, who followed prostate cancer-free, earlier macho Medicare beneficiaries. The board additionally acclaimed that boundless PSA screening may advance to accidental biopsies, which can be afflictive and alike harmful.In 2012, the U.S. Preventive Services Task Force chock-full advising PSA screening for men of any age. However, Medicare continues to balance for this analysis and aftereffect procedures.The allowances of PSA screening and analysis are not clear, the abstraction authors said. While men active in high-spending regions were added acceptable to be diagnosed with localized cancers, they were not decidedly beneath acceptable to be diagnosed with metastatic (spreading) cancer. This suggests that spending added on prostate blight screening ability analyze added localized tumors, but may not necessarily abate the amount of metastatic cancers.The study, appear in the Oct. 4 affair of the account Cancer, additionally begin advanced aberration in the amount of prostate blight screenings in altered regions of the country, alignment from $16 to $65 per Medicare beneficiary. Best of the aberration was not due to the amount of the PSA analysis itself, but rather to differences in the costs of aftereffect tests.“More than 70 percent of prostate blight screening-related costs were due to aftereffect procedures,” abstraction columnist Xiaomei Ma said in a Yale account release. “Our after-effects advance that the all-embracing amount of prostate blight screening may be heavily afflicted by how urologists accept to acknowledge to the aftereffect of a PSA test, added so than the use of the PSA itself.”

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