From 'D' to 'I': A Critique of the Current United States Preventive Services Task Force Recommendation for Testicular Cancer Screening

作者: Michael J. Rovito , Janna Manjelievskaia , James E. Leone , Michael J. Lutz , Ajay Nangia

DOI: 10.1016/J.PMEDR.2016.04.006

关键词: False positive paradoxPathologyAlternative medicineQuality of life (healthcare)Relative valueFamily medicineContext (language use)Public healthEmpirical evidenceMedicineLogical reasoning

摘要: In 2004, the United States Preventive Services Task Force (USPSTF) gave testicular cancer (TCa) screening a ‘D’ recommendation, discouraging use of this preventive service. The USPSTF suggested that screening, inclusive self-examination (TSE) and clinician examination, does not reduce TCa mortality rates high risk false positives could serve as detriment to patient quality life. Others suggests is ineffective at detecting early-stage cases readily highlights lack empirical evidence demonstrating said efficacy. These assertions, however, stand in stark contrast widely held support among practicing public health professionals, advocacy groups, clinicians. In present study, review was conducted methods processes used by their 2011 reaffirmation grade recommendation. base commentary offered why TSE, part overall recommendation for given were analyzed logical reasoning methodological rigor. Considering flaws veritable needed grant conclusive question raised if current (i.e. discourage service) should be changed an ‘I’ statement balance benefits harms indeterminate). Therefore purpose paper context efficacy prevention order field reassess its relative value.

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