Prostate Cancer Screening

Read Our Report:

Prostate Cancer Screening Report and Recommendations (Adopted November 2015)

Prostate cancer screening is variable and may expose men to increased risk of harm, increased cost, and lower quality of life. This report recommends evidence-based best practice for prostate cancer specific antigen (PSA) testing for prostate cancer screening including that:

  • All men be evaluated by their provider for family history and factors that may elevate the risk of prostate cancer (e.g., sibling or parent with a prostate or breast cancer diagnosis, race).
  • To not do routine screening with PSA testing for average risk men 70 years and older, under 55 years old, who have significant co-morbid conditions, or with a life expectancy less than 10 years.
  • For primary care clinicians, two possible pathways, depending on the physician’s interpretation of the evidence.
    • Clinicians who believe there is overall benefit from screening with PSA testing should order this test for average risk men between 55-69 years old only after a formal and documented shared decision-making process.
    • Clinicians who believe there is overall harm from screening with PSA testing may initiate testing of average-risk men aged 55-69 at the request of the patient after a formal and documented shared decision-making process.
  • Only men who express a definite preference for screening after discussing the advantages, disadvantages, and scientific uncertainty should have screening with PSA testing.

The workgroup met from February to November 2015.

Supporting Materials:

Letter from Health Care Authority Accepting Prostate Cancer Screening Report and Recommendations
Prostate Cancer Screening Public Comments
Prostate Cancer Screening Charter

 

Member Title Organization
John Gore, MD, MS Urologist, clinician, surgeon, researcher University of Washington Medicine
Matt Handley, MD Associate Medical Director, Quality and Informatics Group Health Cooperative
Leah Hole-Marshall, JD Medical Administrator Department of Labor & Industries
Steve Lovell Retired Patient and Family Advisory Council
Rick Ludwig, MD (Chair) Chief Medical Officer Providence Accountable Care Organization
Bruce Montgomery, MD Clinical Director of Genitourinary Medical Oncology Seattle Cancer Care Alliance
Eric Wall, MD, MPH Market Medical Director UnitedHealthcare
Shawn West, MD Family Physician Edmonds Family Medicine
Jonathan Wright, MD, MS, FACS Assistant professor of urology/affiliate researcher University of Washington/Fred Hutchinson Cancer Research Center