Screening and Management of Prostate Cancer in Elderly Men: The Iowa Prostate Cancer Consensus

Badrinath R. Konety, Victoria J. Sharp, Hrishikesh Raut, Richard D. Williams

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Objectives: The issue of prostate cancer screening and management is likely to assume greater importance with progressive aging of the population. Because there are no currently established guidelines for screening and management of prostate cancer in elderly men (older than 75 years), a multidisciplinary panel was convened to develop consensus recommendations. Methods: The panel consisted of experts in urology, internal medicine/geriatrics, medical oncology, radiation oncology, family practice, law, patient advocacy and physician assistants. Four internationally known experts on prostate cancer served as external advisors. Relevant literature was reviewed and consensus was developed based on expert opinion, given the lack of level I evidence regarding most aspects of prostate cancer diagnosis and management in men older than 75 years of age. Results: On the basis of the opinions of the expert panel, recommendations for screening and management of prostate cancer in elderly men older than 75 years of age was developed. In general, there was support for using greater discretion in screening for prostate cancer in elderly men. The lack of adequate patient education tools to facilitate discussion with patients was recognized. There was also agreement on the need for greater and renewed patient counseling regarding benefits and risks of prostate cancer screening beyond age 75. Conclusions: It is possible to build consensus around a standardized approach to prostate cancer screening and management in older men. Promulgation of such consensus recommendations and their widespread adoption may help engender a tailored approach to managing prostate cancer in older men, thereby decreasing health care costs and morbidity while limiting unnecessary therapy.

Original languageEnglish (US)
Pages (from-to)511-514
Number of pages4
JournalUrology
Volume71
Issue number3
DOIs
StatePublished - Mar 2008

Bibliographical note

Funding Information:
This publication was supported by Cooperative Agreement U55/CCU721906-04 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.

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