Comments on: Prostate cancer screening http://www.kevinmd.com/blog/2008/04/prostate-cancer-screening.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/04/prostate-cancer-screening.html#comment-85263 Anonymous Mon, 28 Apr 2008 02:36:00 +0000 http://clients.emmense.com/kevinmd/2008/04/prostate-cancer-screening.html#comment-85263 Ed, do you have some real data like RCTs or at the very least population-based prostate cancer mortality rates comparison between say the UK and the US? Oh, wait, BTW - here is <a HREF="http://jjco.oxfordjournals.org/cgi/content/full/35/11/690" REL="nofollow">a look at age-standardized prostate cancer mortality rates in various countries</a>. Doesn't appear to be any difference between the UK and the US. <br/><br/>Or are you basing your claims on 5-year survival rates and ratio of cured/detected? Ever heard of lead-time bias? How about overdiagnosis? Do you understand that because of these biases any screening will improve both 5-year survival rates and ratio of cured/detected even if it doesn't save a single person. <br/><br/>You are an MD, yet your post reads like that of a layperson - all emotions and zero real data, not to mention utter lack of understanding of even very basic epidemiology.<br/><br/> You are welcome to show your evidence - the type that is not subject to either lead-time or overdiagnosis bias. Ed, do you have some real data like RCTs or at the very least population-based prostate cancer mortality rates comparison between say the UK and the US? Oh, wait, BTW – here is a look at age-standardized prostate cancer mortality rates in various countries. Doesn’t appear to be any difference between the UK and the US.

Or are you basing your claims on 5-year survival rates and ratio of cured/detected? Ever heard of lead-time bias? How about overdiagnosis? Do you understand that because of these biases any screening will improve both 5-year survival rates and ratio of cured/detected even if it doesn’t save a single person.

You are an MD, yet your post reads like that of a layperson – all emotions and zero real data, not to mention utter lack of understanding of even very basic epidemiology.

You are welcome to show your evidence – the type that is not subject to either lead-time or overdiagnosis bias.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/prostate-cancer-screening.html#comment-85260 Anonymous Mon, 28 Apr 2008 01:45:00 +0000 http://clients.emmense.com/kevinmd/2008/04/prostate-cancer-screening.html#comment-85260 I would not mess with the US system in any way whatsoever (except for keeping payments equal to inflation). US prostate screening and care is the best in the world.<br/><br/>Completely curable males are dead and buried elsewhere, such as the UK.<br/><br/>Ed Sodaro MD I would not mess with the US system in any way whatsoever (except for keeping payments equal to inflation). US prostate screening and care is the best in the world.

Completely curable males are dead and buried elsewhere, such as the UK.

Ed Sodaro MD

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