Recomendaciones divergentes en el diagnostico precoz del cancer de prostata / Controversial guidelines in early diagnosis of prostate cancer
Medicina (B.Aires)
; 63(1): 77-81, 2003.
Article
in Spanish
| LILACS
| ID: lil-334554
Responsible library:
BR1.1
ABSTRACT
In prostate cancer prevention the American College of Physicians has endorsed a clinical practice guideline it is recommended that physicians share the decision with the patient. There is no information about its adaptation to actual circumstances and particularly in our country. This presentation has the aim of analyzing the evidence and introduces a local perspective. There is no demonstration of survival or life quality improvement in preventing prostate cancer. Therapeutic interventions have a high rate of associated morbidity and mortality. Although desirable, sharing decisions has not yet proved its validity. In our country, due to the fragile equilibrium between risks and benefits, it seems advisable to wait for stronger scientific evidence. It is recommended to the clinician to abstain from offering early diagnosis in the healthy adult, be reluctant when asked, share decisions when it seems advisable based on patient's characteristics and inform about the probability of prostate cancer in high risk groups
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Prostate Cancer
Database:
LILACS
Main subject:
Prostatic Neoplasms
/
Practice Guidelines as Topic
Type of study:
Diagnostic study
/
Etiology study
/
Practice guideline
/
Prognostic study
/
Risk factors
/
Screening study
Aspects:
Patient-preference
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Medicina (B.Aires)
Journal subject:
Medicine
Year:
2003
Document type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Universidad de Buenos Aires/AR