,,iii #aac? ,,congress #a/ ,session ,s4 ,,res4 #bea ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #bc1 #bjac,mr4 ,sessions submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,,resolution ,express+ ! s5se ( ! ,s5ate t ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce %\ld reevaluate its recomm5dations aga9/ pro/ate-specific antig5-bas$ scre5+ = pro/ate canc] = m5 9 all age gr\ps 9 consultation ) appropriate speciali/s4 ,:]eas ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce 7ref]r$ to 9 ?is preamble z ! ,,usp/f7 is an indep5d5t panel ( prim>y c>e physicians1 n employ$ by ! ,f$]al ,gov]nm5t1 :o are exp]ts 9 prev5tive & evid5ce-bas$ m$ic9e2 ,:]eas ! physicians on ! ,,usp/f conduct sci5tific evid5ce reviews ( a broad range ( cl9ical heal? c>e prev5tive s]vices & develop recomm5dations = prim>y c>e cl9icians & heal? sy/ems2 ,:]eas pro/ate canc] is ! second lead+ cause ( canc]-relat$ dea?s ( m5 9 ! ,unit$ ,/ates2 ,:]eas ! ,national ,canc] ,in/itute e/imates t1 9 #bjac1 #bch1eij m5 w be diagnos$ )1 & #bi1gbj m5 w die (1 pro/ate canc]2 ,:]eas ! ,national ,canc] ,in/itute e/imates t #a 9 #f m5 w be diagnos$ ) pro/ate canc] dur+ 8 lifetime2 ,:]eas family hi/ory has be5 %[n to be a risk factor = pro/ate canc] = m5 ( all races & e?nicities1 & m5 ) a family hi/ory ( pro/ate canc] are twice z likely to be diagnos$ ) ! disease2 ,:]eas ! ,,usp/f ackn[l$ges t pro/ate canc] is ! mo/ commonly diagnos$ non-sk9 canc] = m5 9 ! ,unit$ ,/ates1 ) a lifetime risk = diagnosis e/imat$ at #ae4i p]c5t2 ,:]eas ! ,,usp/f ackn[l$ges t ,african-,am]ican m5 are twice z likely to die f pro/ate canc] ?an o!r m5 9 ! ,unit$ ,/ates2 ,:]eas ! ,,usp/f does n h any memb]s :o are urologi/s1 a type ( physician :o specializes 9 diagnos+ & treat+ pati5ts ) pro/ate canc]2 ,:]eas ! ,,usp/f does n h any memb]s :o are oncologi/s1 a type ( physician :o specializes 9 diagnos+ & treat+ pati5ts ) canc]2 ,:]eas ! ,food & ,drug ,adm9i/ration fir/ approv$ ! pro/ate-specific antig5 7commonly ref]r$ to z ,,psa7 blood te/ = pro/ate canc] scre5+ & diagnosis 9 #aiib &1 s9ce t "t1 ! mortality rate due to pro/ate canc] has decreas$ by #dj p]c5t2 ,:]eas1 9 ,augu/ #bjjh1 ! ,,usp/f recomm5d$ aga9/ pro/ate-specific antig5-bas$ scre5+ = pro/ate canc] = m5 ages #ge & old]1 because ! ,,usp/f det]m9$ t !re 0 insuffici5t evid5ce to assess ! balance ( b5efits & h>ms ( pro/ate canc] scre5+ 9 m5 y\ng] ?an age #ge2 ,:]eas1 9 ,may #bjab1 ! ,,usp/f issu$ a new recomm5dation1 to replace its #bjjh recomm5dation1 aga9/ pro/ate-specific antig5-bas$ scre5+ = pro/ate canc] = m5 9 all age gr\ps1 because ! ,,usp/f conclud$ t !re is mod]ate-to-high c]ta9ty t ! te/ has no net b5efit1 or t ! h>ms outweigh ! b5efits1 & sugge/$ t ?is scre5+ practice be disc\rag$2 ,:]eas ! ,may #bjab recomm5dation aga9/ scre5+ applies to all m5 9 ! ,unit$ ,/ates1 reg>dless ( age2 ,:]eas ! ,may #bjab recomm5dation aga9/ scre5+ applies to all m5 9 ! ,unit$ ,/ates1 reg>dless ( race1 ev5 ?\gh ! ,,usp/f ackn[l$ges t ,african-,am]ican m5 h a sub/antially high] incid5ce rate = pro/ate canc] ?an ,:ite m5 h & m ?an twice ! mortality rate f pro/ate canc] t ,:ite m5 h2 ,:]eas ! ,may #bjab recomm5dation aga9/ scre5+ applies to all m5 9 ! ,unit$ ,/ates1 ev5 ?\gh ! ,,usp/f ackn[l$ges t !re is conv9c+ evid5ce t pro/ate-specific antig5-bas$ te/+ helps detect _m cases ( asymptomatic pro/ate canc]2 & ,:]eas ! ,,usp/f ackn[l$ges t cl9ical decisions reg>d+ canc] scre5+ involve multiple consid]ations & t cl9icians %\ld individualize decisionmak+ to ! specific pati5t or situation3 ,n[1 !re=e1 be x ,t x is ! s5se ( ! ,s5ate t-- 7#a7 ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce %\ld-- 7,a7 reevaluate its recomm5dation aga9/ pro/ate-specific antig5-bas$ scre5+ = pro/ate canc] = m5 9 all age gr\ps2 7,b7 s]i\sly engage & consult ) speciali/s1 includ+ urologi/s & oncologi/s1 z x reevaluates its recomm5dation2 & 7,c7 id5tify areas = additional rese>* & evaluation ( me?ods ( treatm5t (1 & scre5+ proc$ures =1 pro/ate canc]2 7#b7 pro/ate canc] scre5+ decisions %\ld be made by ea* individual pati5t & 8 physician1 tak+ into acc\nt ! p]sonal risk factors ( ! pati5t1 su* z 8 ov]all heal?1 age1 race1 family hi/ory1 & life expectancy1 z well z 8 desire = ev5tual treatm5t if he is diagnos$ ) pro/ate canc]2 & 7#c7 /eps %\ld be tak5 to raise aw>5ess (1 & increase public k ab\t1 pro/ate canc]1 ! b5efits ( e>ly detection1 & ! appropriat5ess ( scre5+ te/s4