Comments on: Chicago Sun-Times gets prostate cancer screening wrong http://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html Wed, 15 Feb 2012 00:27:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html#comment-74351 Anonymous Sun, 29 Apr 2007 05:12:00 +0000 http://clients.emmense.com/kevinmd/2007/04/chicago-sun-times-gets-prostate-cancer-screening-wrong.html#comment-74351 Diora, if everyone went by you, then noone would ever know they had any illnesses ever! You are totally against all diagnostic and preventative testing and procedures. <br/><br/>So, why dont you give us all the information about how many lives have been lost directly from the testing and procedures vs how many lives have been saved by these tests and procedures? Do you honestly think that enough lives are lost from complications of tests and procedures that everyone should now risk getting all illnesses just because YOU dont believe in testing?<br/><br/>Please when you quote these numbers also put in the reference as to the number of lives saved. Show us that more lives have been lost from complications of a colonoscopy vs cancer lives saved from having one. <br/><br/>If your numbers dont outweigh the others then maybe you should stop this ever tiring preaching of yours. Diora, if everyone went by you, then noone would ever know they had any illnesses ever! You are totally against all diagnostic and preventative testing and procedures.

So, why dont you give us all the information about how many lives have been lost directly from the testing and procedures vs how many lives have been saved by these tests and procedures? Do you honestly think that enough lives are lost from complications of tests and procedures that everyone should now risk getting all illnesses just because YOU dont believe in testing?

Please when you quote these numbers also put in the reference as to the number of lives saved. Show us that more lives have been lost from complications of a colonoscopy vs cancer lives saved from having one.

If your numbers dont outweigh the others then maybe you should stop this ever tiring preaching of yours.

]]> By: Diorahttp://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html#comment-74301 Diora Thu, 26 Apr 2007 14:27:00 +0000 http://clients.emmense.com/kevinmd/2007/04/chicago-sun-times-gets-prostate-cancer-screening-wrong.html#comment-74301 Eliot, you keep mentioning this new evidence forever, but nobody has seen any references from you. Not only that, you seem to think there is something wrong with informing people of the uncertainty and letting them decide. Do you think men don't have brains to decide for themserlves based on the discussion of potential benefits and risks? (you might have a point about men not having brains, though...)<br/><br/>As far as anon 7:05 post, end point of RCT is mortality reduction in screened group vs non screened group when other conditions are the same such as access to treatment, etc.. A simple drop in rates overtime could be due to better treatment. Can you at least show that rates dropped more in countries with wide-spread screening?<br/><br/>Talking about free screening. I just saw a post on my company's bulletin board offering it on-site. Wonder if they bother to inform men about benefits and risks and uncertainty of evidence. Doubt it. Eliot, you keep mentioning this new evidence forever, but nobody has seen any references from you. Not only that, you seem to think there is something wrong with informing people of the uncertainty and letting them decide. Do you think men don’t have brains to decide for themserlves based on the discussion of potential benefits and risks? (you might have a point about men not having brains, though…)

As far as anon 7:05 post, end point of RCT is mortality reduction in screened group vs non screened group when other conditions are the same such as access to treatment, etc.. A simple drop in rates overtime could be due to better treatment. Can you at least show that rates dropped more in countries with wide-spread screening?

Talking about free screening. I just saw a post on my company’s bulletin board offering it on-site. Wonder if they bother to inform men about benefits and risks and uncertainty of evidence. Doubt it.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html#comment-74297 Anonymous Thu, 26 Apr 2007 12:05:00 +0000 http://clients.emmense.com/kevinmd/2007/04/chicago-sun-times-gets-prostate-cancer-screening-wrong.html#comment-74297 Prostate cancer mortality rates have fallen for the first time in history over the last 3 years. Maybe PSA screening is doing this? The ultimate endpoint for any study is mortality. Prostate cancer mortality rates have fallen for the first time in history over the last 3 years. Maybe PSA screening is doing this? The ultimate endpoint for any study is mortality.

]]> By: Elliotthttp://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html#comment-74293 Elliott Thu, 26 Apr 2007 04:35:00 +0000 http://clients.emmense.com/kevinmd/2007/04/chicago-sun-times-gets-prostate-cancer-screening-wrong.html#comment-74293 The "evidence" is 5 years old (2002). New evidence supersedes it and is more compelling in my opinion. The one contrary study published since that recommendation is from the Northeastern VA with authors who have a longtime hostility to screening. The “evidence” is 5 years old (2002). New evidence supersedes it and is more compelling in my opinion. The one contrary study published since that recommendation is from the Northeastern VA with authors who have a longtime hostility to screening.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/chicago-sun-times-gets-prostate-cancer.html#comment-74286 Anonymous Thu, 26 Apr 2007 02:13:00 +0000 http://clients.emmense.com/kevinmd/2007/04/chicago-sun-times-gets-prostate-cancer-screening-wrong.html#comment-74286 Kevin, not only does the evidence not sell papers, it doesn't seem to have much impact on decisions of any sort, including those of practicing physicians, jurors, legislators, voters, buyers, etc. I am convinced that we are living in a post-enlightenment age of neo-superstion. Kevin, not only does the evidence not sell papers, it doesn’t seem to have much impact on decisions of any sort, including those of practicing physicians, jurors, legislators, voters, buyers, etc. I am convinced that we are living in a post-enlightenment age of neo-superstion.

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