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Thu, May 24 2012 20:31:03

PSA Screening Twitter Chat

@otisbrawley joined @lizszabo and other experts in a twitter chat on May 23, 2012 to discuss the debate over the USPSTF recommendations against PSA screenings. Here's a quick recap....

  1. INTRODUCTION OF THE GUESTS....
  2. LizSzabo
    Liz Szabo@LizSzabo
    Welcome to #psachat! I'm @LizSzabo, medical writer at @USATODAY, hosting for today. Can our guests introduce themselves?
    Wed, May 23 2012 10:00:42
  3. OtisBrawley
    Otis Brawley@OtisBrawley
    @lizszabo Otis Brawley, chief medical officer of the American Cancer Society. #psachat
    Wed, May 23 2012 10:05:28
  4. AUCNY
    AUCNY@AUCNY
    Dr. Deepak Kapoor, President of AUCNY quoted in Newsday today regarding USPSTF final recommendations. #urology #prostatecancer @AUCNY...
    Tue, May 22 2012 13:01:38
  5. NancyMetcalf
    Nancy Metcalf@NancyMetcalf
    @LizSzabo@USATODAY Nancy Metcalf, medical writer from @consumerreports, here for the consumer perspective. #psachat
    Wed, May 23 2012 10:05:18
  6. daviesbj
    daviesbj@daviesbj
    #PSAchat I'm here #Ijustfinishedabigcase
    Wed, May 23 2012 10:53:24
  7. QUESTION T1: THOUGHTS ON THE USPSTF SCREENING RECOMMENDATIONS...
  8. LizSzabo
    Liz Szabo@LizSzabo
    T1. Task force says not to offer PSA, partly b/c no data to show it prevents overall deaths from any cause. Thoughts? #psachat
    Wed, May 23 2012 10:02:26
  9. OtisBrawley
    Otis Brawley@OtisBrawley
    T1 TF somewhat concerned over issue of hormonal therapies increasing overall risk of death in PCA patients. #psachat
    Wed, May 23 2012 10:03:54
  10. OtisBrawley
    Otis Brawley@OtisBrawley
    T1 there is data on prostate specific death. I prefer to focus on that. #psachat
    Wed, May 23 2012 10:04:35
  11. AUCNY
    AUCNY@AUCNY
    T1 The study was not designed for this variable; it was designed to look at cancer specific survival, which was 21% better #psachat
    Wed, May 23 2012 10:04:49
  12. AUCNY
    AUCNY@AUCNY
    T1 It is impossible to defend such broad based recommendations on the quality of science, ERSPC and SEER data clearly support PSA #psachat
    Wed, May 23 2012 10:06:26
  13. OtisBrawley
    Otis Brawley@OtisBrawley
    From clinical trials right now, perhaps, possibly, if screened in the Netherlands or Sweden. #psachat
    Wed, May 23 2012 10:07:22
  14. LizSzabo
    Liz Szabo@LizSzabo
    T1 Wait, so the PSA only works in the Netherlands or Sweden? I'm sensing @OtisBrawley's trademark humor here. #psachat
    Wed, May 23 2012 10:08:42
  15. AUCNY
    AUCNY@AUCNY
    T1 SEER data confirms reduction of prostate cancer mortality in the PSA screening era, see tinyurl.com/LUGPA-SEER-PCa… #LUGPA #psachat
    Wed, May 23 2012 10:08:43
  16. LizSzabo
    Liz Szabo@LizSzabo
    T1. RT @OtisBrawley: ERSPC did not show screening saves lives in 5 countries, only showed benefit in 2. #psachat
    Wed, May 23 2012 10:09:00
  17. LizSzabo
    Liz Szabo@LizSzabo
    T1 What's driving the decline in deaths from prostate cancer over the past 20 yrs? Does the PSA get credit? Or better treatments? #psachat
    Wed, May 23 2012 10:09:40
  18. OtisBrawley
    Otis Brawley@OtisBrawley
    Note prostate mortality is decreasing in 21 countries. 2 of those countries have widespread screening. #psachat
    Wed, May 23 2012 10:09:53
  19. OtisBrawley
    Otis Brawley@OtisBrawley
    T1 decline may be due to better treatment, change in attribution of death and screening may play a role #psachat
    Wed, May 23 2012 10:10:49
  20. AUCNY
    AUCNY@AUCNY
    T1 This is a mischaracterization of ERSPC; also in PLCO study over 50% of men in control arm had PSA screening #psachat
    Wed, May 23 2012 10:11:35
  21. OtisBrawley
    Otis Brawley@OtisBrawley
    Note 4 orgs currently recommend against screening, 4 including AUA and ACS in written statement recommend informed decision making #psachat
    Wed, May 23 2012 10:12:18
  22. OtisBrawley
    Otis Brawley@OtisBrawley
    Clarification - the 4 orgs are against routine screening. We all support screening following a doctor-patient discussion. #psachat
    Wed, May 23 2012 10:15:33
  23. OtisBrawley
    Otis Brawley@OtisBrawley
    We need a better screen, obsession with PSA has delayed research progress #psachat
    Wed, May 23 2012 10:34:58
  24. AUCNY
    AUCNY@AUCNY
    T1 Early detection, the last 20 yrs advances in treatment have reduced complications,can't account for survival on that alone #psachat
    Wed, May 23 2012 10:14:12
  25. LizSzabo
    Liz Szabo@LizSzabo
    T1 A reader just asked about DES sons -- men exposed to the drug DES while in the womb. Are they at high risk, need more screening? #psachat
    Wed, May 23 2012 10:29:08

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Sabriya Rice

Director of Media Relations for the American Cancer Society, former CNN Health Writer & Empowered Patient Producer, Blue Zones Longevity Explorer

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