Re: prostate biopsy: Yes or not?




<ralphv_in_az@xxxxxxxxx> wrote in message
news:1152050788.424687.73800@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
George you are wrong on both counts! Since PCa death rates are much
higher at more advanced age, it is a fact that with extended life
expectancies in males, more deaths should be expected. The opposite is
happening here. The slower death rate is more related to early
detection AND better outcomes with localized treatments for earlier
disease.

Since you last checked, surgery has been shown to improve PCa's
disease-specific survival along with overall survival in a randomized
trial as compared to WW. I say that your comments as usual are far
off...and in spite of all these years have not changed much.

Source:
Bill-Axelson A, Holmberg L, Ruutu M, et al. Radical prostatectomy
versus watchful waiting in early prostate cancer. N Engl J Med.
2005;352:1977-1984.


You ignornace is showing up once again. The fact that life expectancy is
going up in industrialized nations is not due to the survival of 3% of
prostate cancer non-survivors after 10 years for a short period of time.
The gradual decline of mortality rates for nations as a whole is not
affected by what you post...it could not even be detected. But as life
expectancy goes up, disease death rates have to decline. You also don't
know the difference between age-specific rates and overall rates either.
Nor do you bother to notice that many nations do NOT test non-symptomatic
men for prostate cancer, but also have longer life expetancies. I suggest
you get a good book on life tables for a start and maybe even read the
article you cite.


.



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