Men with cancer or suspected cancer give their views about PSA screening and testing on demand. 

In spite of the fact that screening is of uncertain value men who have been diagnosed with prostate cancer are often in favour of screening. This is reflected in these interviews, although there are exceptions who would not support the introduction of a national screening programme. Some men were optimistic about treatment and thought that early detection via screening would help to cure or control the disease. 

Suggests that screening and testing should be available on a regular basis.

Others were suspicious that the government is reluctant to recommend PSA testing because of cost implications. Some men expressed their concern that the government spends much money on breast screening or AIDS while relatively little money is spent on prostate cancer. Other men had heard about research in the USA or Austria which could be interpreted as supporting screening (although the evidence is far from conclusive).

Advises others to have regular PSA tests even if not endorsed by Government.

Considers that treatment should be a personal choice and not affected by lack of public funds.

Suggests the test should be a national thing to help prevention of cancer spreading.

Highlights foreign statistics indicating the benefits of screening.

He believes that the government does not encourage men to have the PSA test because of financial reasons.

Only four men expressed serious concerns about PSA testing and screening. Two men wished they had never been tested themselves, and said that extensive 'counselling' should be offered before PSA testing (see 'The PSA test', Interviews 3 and 22 for more details). Two other men also voiced their concern that population screening might be unhelpful and do more harm than good.

Comments that screening can cause a lot of unnecessary fear and that we should wait for a more guaranteed test before endorsing it.

Explains why there are problems associated with PSA screening.

 

Due to the uncertainties surrounding PSA testing and treatments for prostate cancer, it is very important that men who request a PSA test receive balanced information about the pros and cons to assist them in making an informed shared decision about being tested. This information should be provided by their GP or healthcare provider before the PSA test is carried out. The Prostate Cancer Risk Management Programme has written a Patient Information Sheet on PSA testing that should be given to all men considering a PSA test.

 

For more information about PSA testing see the Healthtalkonline PSA testing website.

 

Last reviewed January 2012.

Last updated January 2012.