| April 11, 2006
More men are being screened for prostate cancer than colon cancer, even though colon cancer screening has been shown to reduce death. Prostate cancer screening is still of dubious value.
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Colon cancer screening has none of the attributes of a good screening test. It is invasive. It is complicated. It is expensive. It is very labor intensive. It is not available everywhere. Yes, it saves lives, but we need a better test. Any doctor in his or her office can do a DRE and a PSA. Patients expect it, and that’s why we do it.
The studies that show a mortality benefit for colon cancer screening is a simple fecal occult test.
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