PROSTATE CANCER SCREENING PROSTATE CANCER SCREENING

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "PROSTATE CANCER SCREENING PROSTATE CANCER SCREENING"

Transcription

1 3:45 4:45pm Screening Guidelines for Men's Health SPEAKER Radha Rao, MD Presenter Disclosure Information The following relationships exist related to this presentation: Radha Rao, MD: No financial relationships to disclose. Off-Label/Investigational Discussion In accordance with pmicme policy, faculty have been asked to disclose discussion of unlabeled or unapproved use(s) of drugs or devices during the course of their presentations. LEARNING OBJECTIVES PROSTATE, LUNG & COLON CANCER SCREENING Radha Rao M.D Assistant Professor of Medicine Michael E. Debakey V.A Medical Center Baylor College of Medicine Discuss current updates in screening guidelines for Prostate Cancer Lung Cancer Colon Cancer Justify the merits for and frequency of cancer screening on a patient to patient basis Implement Shared Decision Making in screening Prostate Cancer in 2014 in the US Diagnosis : 233,000 Deaths: 30,000 Higher risk: Older Age, AA men, and family history (FH) in 1st degree relatives receiving a diagnosis early in life JAMA Oncol. Feb 19, 2015 Lifetime Prostate Cancer Risk < 55 yrs yrs 75+ yrs 2% 70% 28% Guidelines Being Compared American Cancer Society (ACS) American Urological Association (AUA) U.S. Preventive Services Task Force (USPSTF). 2012

2 Areas of Agreement 1. PSA-based prostate cancer screening should not occur in the absence of an informed, shared decision-making process 2. Decision to initiate or continue PSA screening should reflect an explicit understanding of the possible benefits and harms, as well as patients' preferences and values. AUA Strongly recommends psa with shared decision-making for men ages 55 to 69 years Grade B 2 years or more preferred over annual screening -Grade C AUA Explicitly recommends against PSA screening in men under age 40 years- Grade C in average-risk men aged 40 to 54- Grade C men aged > 70 with < 10 to 15 year life expectancy- Grade C ACS recommends that men begin receiving screening information according to risk level : PSA +/- DRE Age 40 ( high risk -those with FH in multiple family members < 65 yrs.) Age 45 (intermediate risk- African American men and FH in a 1 st degree relative < 65 yrs) Age 50 (average risk) Base rescreening intervals on the results of the initial PSA test. ACS psa >2.5 - yearly psa <2.5 -Q2yrs psa >4.0 biopsy psa( ) individualize USPSTF Recommends a discussion between patient and physician about harms and benefits of screening In contrast to ACS and AUA, explicitly advises physicians to recommend against PSA-based screening for prostate cancer- Grade D

3 Guidelines being compared USPSTF 2014 American College of Chest Physicians(Grade 2B)2013 American Cancer Society 2013 After the publication of National Lung screening trial (NSLT) in 2011 the above recommended low dose CT screening for the high risk yr old group. The USPSTF on Dec. 31, 2013, recommends annual screening for lung cancer with Low Dose CT (LDCT)(Grade B ) in adults aged 55 to 80 years 30 pack-year smoking history and currently smoke quit less than 15 years Screening should be discontinued not smoked for 15 years Limited life expectancy All organizations recommend shared decision making with the patient and extensive discussion on benefits, harms of low dose CT HARMS False positives. In the NLST, 25% had positive results 95% of those did not receive a diagnosis of cancer Radiation exposure Incidental findings and over diagnosis Anxiety Cost NEJM 2011; 365: ;August AAFP : Insufficient evidence to recommend for or against screening for lung cancer with low-dose CT Hard to replicate in communities European studies showed no benefits Guidelines being compared ACS 2008 ACP statement 2012 ACG 2009 USPSTF 2010 USPSTF relied on modeling 80% mortality from lung cancer is still going to occur.

4 Colorectal cancer (CRC) is the third leading cause of death in the US Colorectal cancer incidence has been decreasing in the United States by 2% 3% per year over the past 15 years The lifetime risk for Colorectal cancer in men and women in the United States is approximately 6% USPSTF 2010 Recommends screening with FOBT,sigmoidoscopy or colonoscopy in yr olds -Grade A yrs- individualize Grade C >85 yrs -Do not screen Grade D ACG 2009 AA begin screening at 45 yrs CT colonography replaces DCBE FIT replaces FOBT Average risk for Colorectal cancer is 6% Intermediate risk: First-degree relative with CRC >60yrs, risk is 2 fold (12%) High risk: 2 first-degree relatives or a single first-degree relative with CRC <60 yrs, risk is 3- to 4-fold (18-24%) Hereditary nonpolyposis CRC & Familial adenomatous polyposis screening, genetic counseling and testing Second- and third-degree relatives with CRC -risk is small In the Clinic ;Annals of Internal Medicine 6 May 2014 Average risk :colonoscopy at 50 yrs, repeat every 10 yrs Intermediate risk : colonoscopy at age 40 yrs,repeat every 10 yrs High risk : colonoscopy at 40 yrs, or 10 yrs before the youngest 1 st degree relative, repeat every 5 yrs. HISTORY OF COLONOSCOPY Dr. William Wolff, and Dr. Hiromi Shinya, pioneered the development of the colonoscope in 1969 In the Clinic ;Annals of Internal Medicine 6 May 2014

5 CONCLUSION Prostate Cancer: High risk- I recommend :Screen <10 yr LE I recommend :Do not screen Average risk- Shared decision making Lung Cancer: I offer Low dose CT in 55 yrs to 80 yr smokers,discuss harms and benefits, let patient choose Colon Cancer: I follow ACP guidance statement

Screening for Cancer in Light of New Guidelines and Controversies. Christopher Celio, MD St. Jude Heritage Medical Group

Screening for Cancer in Light of New Guidelines and Controversies. Christopher Celio, MD St. Jude Heritage Medical Group Screening for Cancer in Light of New Guidelines and Controversies Christopher Celio, MD St. Jude Heritage Medical Group Screening Tests The 2 major objectives of a good screening program are: (1) detection

More information

Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Frequency of visit as recommended by PCP

Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Frequency of visit as recommended by PCP SCREENING EXAMINATION & COUNSELING UPMC Health Plan Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Annually Physical Exam and Counseling 1 Blood Pressure 2 At each visit. At least

More information

Cancer Screening and Early Detection Guidelines

Cancer Screening and Early Detection Guidelines Cancer Screening and Early Detection Guidelines Guillermo Tortolero Luna, MD, PhD Director Cancer Control and Population Sciences Program University of Puerto Rico Comprehensive Cancer Center ASPPR Clinical

More information

Controversites: Screening for Prostate Cancer in Older Adults

Controversites: Screening for Prostate Cancer in Older Adults Controversites: Screening for Prostate Cancer in Older Adults William Dale, MD, PhD University of Chicago Sections of Geriatrics & Palliative Medicine and Hematology/Oncology Director, Specialized Oncology

More information

Cancer Screening. Robert L. Robinson, MD, MS. Ambulatory Conference SIU School of Medicine Department of Internal Medicine.

Cancer Screening. Robert L. Robinson, MD, MS. Ambulatory Conference SIU School of Medicine Department of Internal Medicine. Cancer Screening Robert L. Robinson, MD, MS Ambulatory Conference SIU School of Medicine Department of Internal Medicine March 13, 2003 Why screen for cancer? Early diagnosis often has a favorable prognosis

More information

Conflict of Interest Disclosures. Outcome of interest. USPSTF Grades. Deepu Gowda, MD, MPH. Screening for the following cancers:

Conflict of Interest Disclosures. Outcome of interest. USPSTF Grades. Deepu Gowda, MD, MPH. Screening for the following cancers: Cancer Screening: Cervical, Colon, Breast, and Prostate Screening Update Conflict of Interest Disclosures Deepu Gowda, MD, MPH Assistant Professor of Clinical Medicine Intensive Review of Internal Medicine

More information

The PLCO Trial Not a comparison of Screening vs no Screening

The PLCO Trial Not a comparison of Screening vs no Screening PSA Screening: Science, Politics and Uncertainty David F. Penson, MD, MPH Hamilton and Howd Chair of Urologic Oncology Professor and Chair, Department of Urologic Surgery Director, Center for Surgical

More information

Definitions Rationale Who is at risk Guidelines. Overarching recommendations

Definitions Rationale Who is at risk Guidelines. Overarching recommendations Ana Maria Lopez, MD, MPH, FACP Professor of Medicine and Pathology Arizona Cancer Center University of Arizona Definitions Rationale Who is at risk Guidelines Breast Cancer Colorectal Cancer Prostate Cancer

More information

Prostate Cancer Screening: Are We There Yet? March 2010 Andrew M.D. Wolf, MD University of Virginia School of Medicine

Prostate Cancer Screening: Are We There Yet? March 2010 Andrew M.D. Wolf, MD University of Virginia School of Medicine Prostate Cancer Screening: Are We There Yet? March 2010 Andrew M.D. Wolf, MD University of Virginia School of Medicine Case #1 A 55 yo white man with well-controlled hypertension presents for his annual

More information

Prostate Cancer Screening

Prostate Cancer Screening Prostate Cancer Screening Bruce L. Houghton, MD Associate Professor of Medicine Division of General Medicine Department of Internal Medicine Creighton University School of Medicine http://en.wikipedia.org/wiki/image:prostatelead.jpg

More information

Overuse of PSA Screening for Prostate Cancer in Older Men. Elizabeth Jaramillo, MD January 17, 2014

Overuse of PSA Screening for Prostate Cancer in Older Men. Elizabeth Jaramillo, MD January 17, 2014 Overuse of PSA Screening for Prostate Cancer in Older Men Elizabeth Jaramillo, MD January 17, 2014 Screening Prostate cancer screening occurs in patients with no clinical sign or suspicion of disease Screening

More information

One time screening, repeat screening for those at risk

One time screening, repeat screening for those at risk 2015 Adult Male Preventive Health Guidelines Important Note Health Net s Preventive Health Guidelines provide Health Net members and practitioners with recommendations for preventive care services for

More information

PSA: Screening for Prostate Cancer in Older Adults

PSA: Screening for Prostate Cancer in Older Adults PSA: Screening for Prostate Cancer in Older Adults William Dale, MD, PhD University of Chicago Sections of Geriatrics & Palliative Medicine and Hematology/Oncology Director, Specialized Oncology Care &

More information

Cancer in Primary Care: Prostate Cancer Screening. How and How often? Should we and in which patients?

Cancer in Primary Care: Prostate Cancer Screening. How and How often? Should we and in which patients? Cancer in Primary Care: Prostate Cancer Screening How and How often? Should we and in which patients? PLCO trial (Prostate, Lung, Colorectal and Ovarian) Results In the screening group, rates of compliance

More information

Cancer Screening Disclosures

Cancer Screening Disclosures Cancer Screening 2015 New Recommendations, New Controversies Judith M.E. Walsh, MD, MPH Division of General Internal Medicine Women s Health Center of Excellence University of California, San Francisco

More information

Lung Cancer Screening Insights from the NLST Benefits, Harms and Unresolved Issues

Lung Cancer Screening Insights from the NLST Benefits, Harms and Unresolved Issues Lung Cancer Screening Insights from the NLST Benefits, Harms and Unresolved Issues Christine D. Berg, MD Co-Principal Investigator NLST Adjunct Professor Department of Radiation Oncology and Molecular

More information

The Centers for Medicare & Medicaid Services (CMS) seeks stakeholder comments on the following clinical quality measure under development:

The Centers for Medicare & Medicaid Services (CMS) seeks stakeholder comments on the following clinical quality measure under development: The Centers for Medicare & Medicaid Services (CMS) seeks stakeholder comments on the following clinical quality measure under development: Title: Non-Recommended PSA-Based Screening Description: The percentage

More information

Guidelines for Cancer Prevention, Early detection & Screening. Prostate Cancer

Guidelines for Cancer Prevention, Early detection & Screening. Prostate Cancer Guidelines for Cancer Prevention, Early detection & Screening Prostate Cancer Intervention Comments & Recommendations For primary prevention, it has been suggested that diets low in meat & other fatty

More information

TO SCREEN OR NOT TO SCREEN: THE PROSTATE CANCER

TO SCREEN OR NOT TO SCREEN: THE PROSTATE CANCER TO SCREEN OR NOT TO SCREEN: THE PROSTATE CANCER DILEMMA Thomas J Stormont MD January 2012 http://www.youtube.com/watch?v=8jd 7bAHVp0A&feature=related related INTRODUCTION A government health panel (the

More information

MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock Manchester 100 Hitchcock Way Manchester, NH 03104 (603) 695-2850

MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock Manchester 100 Hitchcock Way Manchester, NH 03104 (603) 695-2850 LEBANON Lung Cancer Screening Program One Medical Center Drive Lebanon, NH 03756 (603) 650-4400 (866) 966-1601 Toll-free cancer.dartmouth.edu/lungscreening MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock

More information

Cancer in North Carolina 2013 Report

Cancer in North Carolina 2013 Report Cancer in North Carolina 2013 Report January 2014 Updated by Central Cancer Registry Cancer in North Carolina Purpose Cancer is the leading cause of death in North Carolina even though cancer mortality

More information

PSA screening: Controversies and Guidelines

PSA screening: Controversies and Guidelines PSA screening: Controversies and Guidelines John Phillips, MD, FACS Department of Urology Urology Center of Westchester New York Medical College Historical PerspecGve Cancer of the prostate, although rare,

More information

Proposed New Measures for HEDIS 1 2015: Colorectal and Prostate Cancer Appropriateness/Overuse Measures

Proposed New Measures for HEDIS 1 2015: Colorectal and Prostate Cancer Appropriateness/Overuse Measures Draft Document for HEDIS 2015 Public Comment Obsolete After March 19, 2014 1 Proposed New Measures for HEDIS 1 2015: Colorectal and Prostate Cancer Appropriateness/Overuse Measures NCQA seeks comments

More information

Oncology Update. Franklin Chen, MD. Novant Health Oncology Specialists. Making healthcare remarkable

Oncology Update. Franklin Chen, MD. Novant Health Oncology Specialists. Making healthcare remarkable Oncology Update Franklin Chen, MD Novant Health Oncology Specialists Making healthcare remarkable Disclosures Speakers Bureau Onyx Principal Investigator BMS, Genetech, EMD Serono, Incyte Objectives Lung

More information

Survivorship Care Plans Guides for Living After Cancer Treatment

Survivorship Care Plans Guides for Living After Cancer Treatment Survivorship Care Plans Guides for Living After Cancer Treatment Institute of Medicine Report 2005 Recommendations for meeting needs of cancer survivors Implement survivorship care plan Build bridges

More information

4/8/13. Pre-test Audience Response. Prostate Cancer 2012. Screening and Treatment of Prostate Cancer: The 2013 Perspective

4/8/13. Pre-test Audience Response. Prostate Cancer 2012. Screening and Treatment of Prostate Cancer: The 2013 Perspective Pre-test Audience Response Screening and Treatment of Prostate Cancer: The 2013 Perspective 1. I do not offer routine PSA screening, and the USPSTF D recommendation will not change my practice. 2. In light

More information

Dr. Stefaan Van de Perre Dr. An Belmans. Dienst Radiologie. H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel

Dr. Stefaan Van de Perre Dr. An Belmans. Dienst Radiologie. H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel Dr. Stefaan Van de Perre Dr. An Belmans Dienst Radiologie H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel 1 Background Screening trials harms and benefits Practical guidelines Take home messages 2 Background

More information

Screening Guidelines for Malignancy Michael T. Milano, MD PhD

Screening Guidelines for Malignancy Michael T. Milano, MD PhD Screening Guidelines for Malignancy Michael T. Milano, MD PhD Department of Radiation Oncology University of Rochester School of Medicine and Dentistry Identify patient population to be screened General

More information

Prostate Cancer. Screening and Diagnosis. Screening. Pardeep Kumar Consultant Urological Surgeon

Prostate Cancer. Screening and Diagnosis. Screening. Pardeep Kumar Consultant Urological Surgeon The Royal Marsden Prostate Cancer Screening and Diagnosis Pardeep Kumar Consultant Urological Surgeon Prostate Cancer Screening and Diagnosis 08 02 2013 2 Screening 1 3 Q1.Lots of men have prostate cancer

More information

Prostate Cancer Screening: Phantom menace to society. Folusho Ogunfiditimi, DM, MPH, PA-C Vattikuti Urology Institute Henry Ford Health System

Prostate Cancer Screening: Phantom menace to society. Folusho Ogunfiditimi, DM, MPH, PA-C Vattikuti Urology Institute Henry Ford Health System Prostate Cancer Screening: Phantom menace to society Folusho Ogunfiditimi, DM, MPH, PA-C Vattikuti Urology Institute Henry Ford Health System Objectives USPTF Recommendations on PSA testing Justification

More information

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral

More information

COLORECTAL CANCER SCREENING

COLORECTAL CANCER SCREENING COLORECTAL CANCER SCREENING By Douglas K. Rex, M.D., FACG & Suthat Liangpunsakul, M.D. Division of Gastroenterology and Hepatology, Department of Medicine Indiana University School of Medicine Indianapolis,

More information

Epi procolon The Blood Test for Colorectal Cancer Screening

Epi procolon The Blood Test for Colorectal Cancer Screening Epi procolon The Blood Test for Colorectal Cancer Screening Epi procolon is an approved blood test for colorectal cancer screening. The US Preventive Services Task Force, the American Cancer Society and

More information

Prostate Cancer: Screening Update Middlesex Hospital Cancer Center Comprehensive Prostate Cancer Program

Prostate Cancer: Screening Update Middlesex Hospital Cancer Center Comprehensive Prostate Cancer Program Prostate Cancer: Screening Update Middlesex Hospital Cancer Center Comprehensive Prostate Cancer Program Edward G. Myer, M.D. Middlesex Urology, P.C. October 15, 2015 Middlesex Hospital Cancer Center Comprehensive

More information

PSA Screening and the USPSTF Understanding the Controversy

PSA Screening and the USPSTF Understanding the Controversy PSA Screening and the USPSTF Understanding the Controversy Peter C. Albertsen Division of Urology University of Connecticut Farmington, CT, USA USPSTF Final Report 1 Four Key Questions 1. Does PSA based

More information

The Triad Breast Cancer Screening. Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016

The Triad Breast Cancer Screening. Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016 The Triad Breast Cancer Screening Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016 I have no financial disclosures I am a medical oncologist with a practice focused on breast cancer The

More information

Lung Cancer Screening

Lung Cancer Screening Lung Cancer Screening Middlesex Hospital Total Lung Care Center Megin Iaccarino RN, BSN Lung Pathway Coordinator and Lung Nurse Navigator Middlesex Hospital Cancer Center and Surgical Alliance Lung Screening

More information

NCCN Prostate Cancer Early Detection Guideline

NCCN Prostate Cancer Early Detection Guideline NCCN Prostate Cancer Early Detection Guideline Joan McClure Senior Vice President National Comprehensive Cancer Network African American Prostate Cancer Disparity Summit September 22, 2006 Washington,

More information

Colorectal Cancer Screening Fact Sheet

Colorectal Cancer Screening Fact Sheet Colorectal Cancer Screening Fact Sheet 1. What is colorectal cancer? Colorectal cancer is a disease in which cells in the colon or rectum become abnormal and divide without control, forming a mass called

More information

Prostate Cancer Screening Recommendations from the US Preventive Services Task Force: Evidence and implementation to optimize health outcomes

Prostate Cancer Screening Recommendations from the US Preventive Services Task Force: Evidence and implementation to optimize health outcomes Prostate Cancer Screening Recommendations from the US Preventive Services Task Force: Evidence and implementation to optimize health outcomes Timothy J. Wilt, MD, MPH, MACP University of Minnesota and

More information

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data The 2014 Cancer Program Annual Public Reporting of Outcomes/Annual Site Analysis Statistical Data from 2013 More than 70 percent of all newly diagnosed cancer patients are treated in the more than 1,500

More information

Prostate-Specific Antigen (PSA) Based Population Screening for Prostate Cancer: OHTAC Recommendation

Prostate-Specific Antigen (PSA) Based Population Screening for Prostate Cancer: OHTAC Recommendation Prostate-Specific Antigen (PSA) Based Population Screening for Prostate Cancer: OHTAC Recommendation HEALTH QUALITY ONTARIO ONTARIO HEALTH TECHNOLOGY ADVISORY COMMITTEE RECOMMENDATION OHTAC recommends

More information

Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening. Presenter: Jonathan E. Schwartz, MD

Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening. Presenter: Jonathan E. Schwartz, MD Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening Disclosures: I, like many physicians, receive compensation from the government and their insurance company cronies who completely

More information

Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward

Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward 33 rd Annual Internal Medicine Update December 5, 2015 Ryan C. Hedgepeth, MD, MS Chief of

More information

Modeling Drivers of Cost and Benefit for Policy Development in Cancer

Modeling Drivers of Cost and Benefit for Policy Development in Cancer Modeling Drivers of Cost and Benefit for Policy Development in Cancer Harms? Benefits? Costs? Ruth Etzioni Fred Hutchinson Cancer Research Center Seattle, Washington The USPSTF recommends against routine

More information

Prevention Checklist for Men

Prevention Checklist for Men Page 1 of 5 Prevention Checklist for Men Great progress has been made in cancer research, but we still don t understand exactly what causes most cancers. We do know that many factors put us at higher risk

More information

Clinical Practice Guidelines and Shared Decision Making for Prostate Cancer Screening

Clinical Practice Guidelines and Shared Decision Making for Prostate Cancer Screening Clinical Practice Guidelines and Shared Decision Making for Prostate Cancer Screening Dr. Roger Luckmann Associate Professor Family Medicine and Community Health UMass Medical School Disclosures I have

More information

Risk stratification for colorectal cancer especially: the difference between sporadic disease and polyposis syndromes. Dr. med. Henrik Csaba Horváth

Risk stratification for colorectal cancer especially: the difference between sporadic disease and polyposis syndromes. Dr. med. Henrik Csaba Horváth Risk stratification for colorectal cancer especially: the difference between sporadic disease and polyposis syndromes Dr. med. Henrik Csaba Horváth Why is risk stratification for colorectal cancer (CRC)

More information

Clinical Trials and Screening: What You Need to Know

Clinical Trials and Screening: What You Need to Know Scan for mobile link. Clinical Trials and Screening: What You Need to Know What is a Clinical Trial? At A Glance A clinical trial is a research study that tests how well new medical techniques work in

More information

Cancer Screening in the United States, 2009: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening

Cancer Screening in the United States, 2009: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening Cancer Screening in the United States, 2009: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening Robert A. Smith, PhD 1, Vilma Cokkinides, PhD 2, Otis W. Brawley, MD 3

More information

The PSA Test for Prostate Cancer Screening:

The PSA Test for Prostate Cancer Screening: For more information, please contact your local VA Medical Center or Health Clinic. U.S. Department of Veterans Affairs Veterans Health Administration Patient Care Services Health Promotion and Disease

More information

THINGS TO BE AWARE OF ABOUT PROSTATE AND LUNG CANCER. Lawrence Lackey Jr., M.D. Internal Medicine 6001 W. Outer Dr. Ste 114

THINGS TO BE AWARE OF ABOUT PROSTATE AND LUNG CANCER. Lawrence Lackey Jr., M.D. Internal Medicine 6001 W. Outer Dr. Ste 114 THINGS TO BE AWARE OF ABOUT PROSTATE AND LUNG CANCER Lawrence Lackey Jr., M.D. Internal Medicine 6001 W. Outer Dr. Ste 114 WHAT IS CANCER? The body is made up of hundreds of millions of living cells. Normal

More information

Breast cancer screening and prevention: Update from the USPSTF

Breast cancer screening and prevention: Update from the USPSTF Breast cancer screening and prevention: Update from the USPSTF Mark H. Ebell MD, MS Member, USPSTF College of Public Health The University of Georgia What we re going to do today Overview of the USPSTF

More information

Breast Cancer Screening Guideline July 1, 2010

Breast Cancer Screening Guideline July 1, 2010 Breast Cancer Screening Guideline July 1, 2010 Introduction These guidelines are informational only and are not intended or designed to substitute the reasonable exercise of independent clinical judgment

More information

Prostate Cancer Screening in Taiwan: a must

Prostate Cancer Screening in Taiwan: a must Prostate Cancer Screening in Taiwan: a must 吳 俊 德 基 隆 長 庚 醫 院 台 灣 醫 學 會 105 th What is the PSA test? The blood level of PSA is often elevated in men with prostate cancer, and the PSA test was originally

More information

Examples of good screening tests include: mammography for breast cancer screening and Pap smears for cervical cancer screening.

Examples of good screening tests include: mammography for breast cancer screening and Pap smears for cervical cancer screening. CANCER SCREENING Dr. Tracy Sexton (updated July 2010) What is screening? Screening is the identification of asymptomatic disease or risk factors by history taking, physical examination, laboratory tests

More information

Modified from Cases in Population-Oriented Prevention (C-POP) prepared by: John W. Epling, MD Cynthia B. Morrow, MD, MPH Donald A. Cibula, Ph.D.

Modified from Cases in Population-Oriented Prevention (C-POP) prepared by: John W. Epling, MD Cynthia B. Morrow, MD, MPH Donald A. Cibula, Ph.D. STUDENT VERSION A Critical Look at Prevention: Colorectal Cancer Screening John Epling, MD, MSEd, FAAFP Mary Applegate, MD, MPH Anna Zendell, PhD, MSW Elizabeth Whalen, MD Modified from Cases in Population-Oriented

More information

Screening for Prostate Cancer

Screening for Prostate Cancer Screening for Prostate Cancer It is now clear that screening for Prostate Cancer discovers the disease at an earlier and more curable stage. It is not yet clear whether this translates into reduced mortality

More information

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage

More information

A Publication of the National Registry of Diseases Office, Singapore. Trends of Colorectal Cancer in Singapore,

A Publication of the National Registry of Diseases Office, Singapore. Trends of Colorectal Cancer in Singapore, Health Factsheet February 27, 2013, INP-13-1 A Publication of the National Registry of Diseases Office, Singapore Trends of Colorectal Cancer in Singapore, 2007-2011 1. Introduction The large intestine

More information

Colorado Cancer Coalition Priorities: 2016 2018

Colorado Cancer Coalition Priorities: 2016 2018 Option 3 of 10: Screening & Early Detection: Screening Rates Presenter: Toni Panetta, MA, Director of Mission Programs, Susan G. Komen Colorado Goal 5: Objective 5.1: Objective 5.2 Focus Area: Focus Area:

More information

PSA Testing 101. Stanley H. Weiss, MD. Professor, UMDNJ-New Jersey Medical School. Director & PI, Essex County Cancer Coalition. weiss@umdnj.

PSA Testing 101. Stanley H. Weiss, MD. Professor, UMDNJ-New Jersey Medical School. Director & PI, Essex County Cancer Coalition. weiss@umdnj. PSA Testing 101 Stanley H. Weiss, MD Professor, UMDNJ-New Jersey Medical School Director & PI, Essex County Cancer Coalition weiss@umdnj.edu September 23, 2010 Screening: 3 tests for PCa A good screening

More information

The U.S. Preventive Services Task Force (USPSTF) makes

The U.S. Preventive Services Task Force (USPSTF) makes Annals of Internal Medicine Clinical Guidelines Screening for Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement U.S. Preventive Services Task Force* Description: Update of

More information

COLON CANCER: Etiology, Detection, and Prevention. Angel A. Diaz, M.D. Board Certified Gastroenterologist

COLON CANCER: Etiology, Detection, and Prevention. Angel A. Diaz, M.D. Board Certified Gastroenterologist COLON CANCER: Etiology, Detection, and Prevention Angel A. Diaz, M.D. Board Certified Gastroenterologist Epidemiology Colorectal cancer is the 3rd most commonly diagnosed cancer and the 2nd leading cause

More information

Prostate Cancer Screening Report and Recommendations

Prostate Cancer Screening Report and Recommendations Working together to improve health care quality, outcomes, and affordability in Washington State. Prostate Cancer Screening Report and Recommendations September 2015 Table of Contents Executive Summary...

More information

Lung Cancer Screening

Lung Cancer Screening Scan for mobile link. Lung Cancer Screening What is lung cancer screening? Screening examinations are tests performed to find disease before symptoms begin. The goal of screening is to detect disease at

More information

Cancer Expert Working Group on Cancer Prevention and Screening. Prevention and Screening for Colorectal Cancer

Cancer Expert Working Group on Cancer Prevention and Screening. Prevention and Screening for Colorectal Cancer Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Colorectal Cancer 1 What is colorectal cancer? Colorectum (colon and rectum, or the large bowel or large intestine)

More information

Epidemiology, Staging and Treatment of Lung Cancer. Mark A. Socinski, MD

Epidemiology, Staging and Treatment of Lung Cancer. Mark A. Socinski, MD Epidemiology, Staging and Treatment of Lung Cancer Mark A. Socinski, MD Associate Professor of Medicine Multidisciplinary Thoracic Oncology Program Lineberger Comprehensive Cancer Center University of

More information

Beyond the PSA: Genomic Testing in Localized Prostate Cancer

Beyond the PSA: Genomic Testing in Localized Prostate Cancer Beyond the PSA: Genomic Testing in Localized Prostate Cancer Kelvin A. Moses, MD, PhD Vanderbilt University Medical Center Wednesday, December 2, 2015 5:00 p.m. ET/2:00 p.m. PT About ZERO ZERO s mission

More information

Key Messages for Healthcare Providers

Key Messages for Healthcare Providers Cancer Care Ontario: Prostate Cancer Screening with the Prostate- Specific Antigen (PSA) Test Key Messages for Healthcare Providers Considerations for men at average risk Avoid prostate-specific antigen

More information

Cancer Prevention. Screening and Early Detection. Chanphen Manosilapakorn, RN, PhD

Cancer Prevention. Screening and Early Detection. Chanphen Manosilapakorn, RN, PhD Cancer Prevention Screening and Early Detection Chanphen Manosilapakorn, RN, PhD Cancer Prevention.. 1. Primary Prevention 2. Secondary Prevention 3. Tertiary Prevention Primary Prevention.. When there

More information

Official reprint from UpToDate www.uptodate.com 2013 UpToDate

Official reprint from UpToDate www.uptodate.com 2013 UpToDate Official reprint from UpToDate www.uptodate.com 2013 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek

More information

Prostate Cancer Screening Clinical Practice Guideline. Approved by the National Guideline Directors November, 2013

Prostate Cancer Screening Clinical Practice Guideline. Approved by the National Guideline Directors November, 2013 Prostate Cancer Screening Clinical Practice Guideline This guideline is informational only. It is not intended or designed as a substitute for the reasonable exercise of independent clinical judgment by

More information

Cancer Screening 2014

Cancer Screening 2014 Thomas Jefferson University Jefferson Digital Commons Department of Family & Community Medicine Lectures, Presentations, Workshops Department of Family & Community Medicine 4-11-2014 Cancer Screening 2014

More information

Early Detection of Prostate Cancer: Sunnybrook Health Sciences Centre Professor of Surgery University of Toronto

Early Detection of Prostate Cancer: Sunnybrook Health Sciences Centre Professor of Surgery University of Toronto Early Detection of Prostate Cancer: How to do it smart Laurence Klotz Sunnybrook Health Sciences Centre Professor of Surgery University of Toronto If screening was a pill: You are a 60 year old male and

More information

Lung Cancer Screening

Lung Cancer Screening Lung Cancer Screening Ted Yamamoto, Harvard Medical School Year III Case Presentation 67 year old male Hypertension, but otherwise healthy Smokes 7-87 8 cigarettes per day, >50 pack year history Here for

More information

Men s Health Testicular Cancer Colon Cancer

Men s Health Testicular Cancer Colon Cancer Men s Health Testicular Cancer Colon Cancer Testicular Cancer Testicular Cancer Facts Accounts for 1% of cancers in men. About 8,000 men are diagnosed with testicular cancer each year. Only 370 deaths

More information

Prostate Cancer Screening: What We ve Learned and Where we should go

Prostate Cancer Screening: What We ve Learned and Where we should go Prostate Cancer Screening: What We ve Learned and Where we should go Gerald L. Andriole, MD Robert K. Royce Distinguished Professor Chief of Urologic Surgery Siteman Cancer Center Washington University

More information

Advances in Diagnostic and Molecular Testing in Prostate Cancer

Advances in Diagnostic and Molecular Testing in Prostate Cancer Advances in Diagnostic and Molecular Testing in Prostate Cancer Ashley E. Ross MD PhD Assistant Professor Urology, Oncology, Pathology Johns Hopkins School of Medicine September 24, 2015 1 Disclosures

More information

November 25, 2015. Albert L Siu, MD, MSPH Chair, US Preventive Services Task Force 5600 Fishers Lane, Mail Stop 06E53A Rockville, MD 20857

November 25, 2015. Albert L Siu, MD, MSPH Chair, US Preventive Services Task Force 5600 Fishers Lane, Mail Stop 06E53A Rockville, MD 20857 November 25, 2015 Men's Health Network P. O. Box 75972 Washington, D.C. 20013 202-543-MHN-1 (6461) Fax 202-543-2727 Albert L Siu, MD, MSPH Chair, US Preventive Services Task Force 5600 Fishers Lane, Mail

More information

Low-dose CT Imaging. Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital

Low-dose CT Imaging. Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital Lung Cancer Screening with Low-dose CT Imaging Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital Despite recent declines in the incidence of lung cancer related to the

More information

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER 2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER Humboldt County is located on the Redwood Coast of Northern California. U.S census data for 2010 reports county population at 134,623, an increase of

More information

2015 U.S. Preventive Services Task Force Breast Cancer Screening Recommendations

2015 U.S. Preventive Services Task Force Breast Cancer Screening Recommendations 2015 U.S. Preventive Services Task Force Breast Cancer Screening Recommendations The decision to start screening mammography in women before age 50 years should be an individual one. Women who place a

More information

Several studies1 show that primary

Several studies1 show that primary Cancer Screening Guidelines ROGER ZOOROB, M.D., M.P.H., RUSSELL ANDERSON, M.D., CHARLES CEFALU, M.D., M.S., and MOHAMAD SIDANI, M.D., M.S. Louisiana State University School of Medicine, Department of Family

More information

PROSTATE CANCER. Normal-risk men: No family history of prostate cancer No history of prior screening Not African-American

PROSTATE CANCER. Normal-risk men: No family history of prostate cancer No history of prior screening Not African-American PROSTATE CANCER 1. Guidelines for Screening Risk Factors Normal-risk men: No family history of prostate cancer No history of prior screening Not African-American High-risk men: Family history of prostate

More information

Cancer Screening: We can do better! Call to Action and Toolkit for Improvement

Cancer Screening: We can do better! Call to Action and Toolkit for Improvement Cancer Screening: We can do better! Call to Action and Toolkit for Improvement Disclosure Faculty: Janice Owen, MD Primary Care Lead, South West Regional Cancer Program, Cancer Care Ontario Cancer Screening:

More information

Early Prostate Cancer: Questions and Answers. Key Points

Early Prostate Cancer: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Early Prostate Cancer:

More information

TO THE SENATE COMMITTEES ON. COMMERCE AND CONSUMER PROTECTION AND HEALTH. TWENTY-FIFTH LEGISLATURE Regular Session of 2010

TO THE SENATE COMMITTEES ON. COMMERCE AND CONSUMER PROTECTION AND HEALTH. TWENTY-FIFTH LEGISLATURE Regular Session of 2010 II CPN HTH LINDA LINGLE GOVERNOR JAMES R. AIONA. JR. LT. GOVERNOR STATE OF HAWAII OFFICE OF THE DIRECTOR DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS 335 MERCHANT STREET, ROOM 310 P.O. Box 541 HONOLULU,

More information

PROSTATE CANCER UPDATE. Presenter: Bruce W. Porterfield, MD, PhD

PROSTATE CANCER UPDATE. Presenter: Bruce W. Porterfield, MD, PhD PROSTATE CANCER UPDATE DISCLOSURES I, BRUCE WAYNE PORTERFIELD HAVE NOTHING TO DISCLOSE. OBJECTIVES Epidemiology Early detection and screening Review of clinical disease states Treatment options by disease

More information

Colorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society

Colorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed January 2013 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes it?

More information

Vitamin Supplementation amongst Otherwise Healthy Individuals

Vitamin Supplementation amongst Otherwise Healthy Individuals 01.13.14 SOURCE: HTTP://WWW.ONEILLINSTITUTEBLOG.ORG/FOUR-THINGS- PROBABLY-STOP-NAME-PUBLIC-HEALTH-2014/# FOUR THINGS WE SHOULD PROBABLY STOP DOING IN THE NAME OF PUBLIC HEALTH IN 2014 BY BRIAN J. HONERMANN

More information

PSA Testing for Prostate Cancer An information sheet for men considering a PSA Test

PSA Testing for Prostate Cancer An information sheet for men considering a PSA Test PSA Testing for Prostate Cancer An information sheet for men considering a PSA Test What is the aim of this leaflet? Prostate cancer is a serious condition. The PSA test, which can give an early indication

More information

This letter can be copied and pasted in a word document for use with your letterhead.

This letter can be copied and pasted in a word document for use with your letterhead. This letter can be copied and pasted in a word document for use with your letterhead. Date Name Street City Dear (Name): Our office has made a commitment to promote the health of its members, and to provide

More information

A Gene Expression Test to Predict Prostate Cancer Aggressiveness. Use Prolaris as a guide in your medical and surgical management

A Gene Expression Test to Predict Prostate Cancer Aggressiveness. Use Prolaris as a guide in your medical and surgical management A Gene Expression Test to Predict Prostate Cancer Aggressiveness Use Prolaris as a guide in your medical and surgical management What is Prolaris? A direct molecular measure of prostate cancer tumor biology

More information

Prostate Cancer Screening 18 th February 2016

Prostate Cancer Screening 18 th February 2016 Prostate Cancer Screening 18 th February 2016 Mira Keyes MD FRCPC Clinical Professor Radiation Oncology Department of Surgery UBC Head, BCCA prostate Brachytherapy Program Vancouver Cancer Centre, BC cancer

More information

Clinical Policy Title: Fecal DNA for colorectal cancer detection

Clinical Policy Title: Fecal DNA for colorectal cancer detection Clinical Policy Title: Fecal DNA for colorectal cancer detection Clinical Policy Number: 08.01.04 Effective Date: October 1, 2014 Initial Review Date: June 18, 2014 Most Recent Review Date: June 17, 2015

More information

The Nevada Primary Care Physician s Colon Cancer Screening Toolkit. Suggestions to increase colon cancer screening in the PCP office.

The Nevada Primary Care Physician s Colon Cancer Screening Toolkit. Suggestions to increase colon cancer screening in the PCP office. The Nevada Primary Care Physician s Colon Cancer Screening Toolkit. Suggestions to increase colon cancer screening in the PCP office. Table of Contents Introduction...Page 3-4 Avoid these errors...page

More information

D. Risk Status: All patients who are at average risk, increased risk, or in need of surveillance are eligible for direct screening services.

D. Risk Status: All patients who are at average risk, increased risk, or in need of surveillance are eligible for direct screening services. ANTHC CRCCP Policy No. 001 Page 1 of 3 ANTHC CRCCP ELIGIBILITY Purpose: To establish and define the ANTHC CRCCP eligibility criteria for direct screening services. Eligibility will be determined by patient

More information

Colorectal Cancer Screening: Questions and Answers. Key Points

Colorectal Cancer Screening: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Colorectal Cancer Screening:

More information

Prostate Cancer Early Detection: Update 2010

Prostate Cancer Early Detection: Update 2010 Prostate Cancer Early Detection: Update 2010 Prostate Cancer. Disease Burden The most common non-skin cancer, and the second leading cause of cancer death among U.S. men It is estimated that: 1 in 6 men

More information