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No One Dies From Prostate Cancer?
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The study by Concato et al1 identified 501 men who received a diagnosis of prostate cancer between 1991 and 1995 and died by 1999. These dates are more than 10 years ago; medicine has changed a lot in a 10-year period. Practice management for heart disease, stroke, diabetes, hyperlipidemia, and prevention of these issues has improved outcomes as reported in numerous landmark studies. Based on these 10-year-old data, the authors concluded that routine prostate cancer screening of asymptomatic men should not be endorsed because no reduction in mortality was found in their study. As a practicing physician whose focus is on end-of-life care and geriatrics, I see patients dying of their prostate cancer with bone metastasis who were given their diagnosis after their study inclusion period. It appears that changes in medical management of other illness (eg, heart disease and stroke prevention) advanced during these past 10 years introduce the . . . [Full Text of this Article]
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Diane Chau, MD
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