You Have to Gamble on Your Health
By H. GILBERT WELCH
NYT
Hanover, N.H.
EARLY October brought two developments in the world of cancer screening: the beginning of Breast Cancer Awareness Month, with its calls for regular mammograms for women, and a new recommendation from the United States Preventive Services Task Force that healthy men not undergo screening for prostate cancer.
It’s a stark juxtaposition: screening is good for women and bad for men. But just how different are these two cancer screening tests?
The answer is: not very. Neither is like the decision of whether or not to be treated for really high blood pressure. That’s an easy one — do it. Instead, both breast and prostate cancer screening are really difficult calls, and the statistical differences between them are only of degrees. Reasonable individuals, in the same situation, could make different decisions based on their valuation of the benefits and harms of screening.
Personally, as a 56-year-old man, I choose not to be screened for prostate cancer (and, were I female, I believe I would choose not to be screened for breast cancer). Some of my patients have made the same choice, while others choose to be screened. That’s O.K., because there is no single right answer.
(More here.)
NYT
Hanover, N.H.
EARLY October brought two developments in the world of cancer screening: the beginning of Breast Cancer Awareness Month, with its calls for regular mammograms for women, and a new recommendation from the United States Preventive Services Task Force that healthy men not undergo screening for prostate cancer.
It’s a stark juxtaposition: screening is good for women and bad for men. But just how different are these two cancer screening tests?
The answer is: not very. Neither is like the decision of whether or not to be treated for really high blood pressure. That’s an easy one — do it. Instead, both breast and prostate cancer screening are really difficult calls, and the statistical differences between them are only of degrees. Reasonable individuals, in the same situation, could make different decisions based on their valuation of the benefits and harms of screening.
Personally, as a 56-year-old man, I choose not to be screened for prostate cancer (and, were I female, I believe I would choose not to be screened for breast cancer). Some of my patients have made the same choice, while others choose to be screened. That’s O.K., because there is no single right answer.
(More here.)
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