PSA Testing Guidelines

Clinical Pearls

Oliver Sartor, MD, board professor, cancer research, Tulane University, discusses PSA testing guidelines.

• Rather than focus on one guideline or another, physicians should focus on a model of informed decision making
• A dichotomy exists between those that treat prostate cancer and those that do not
• PSA testing adds value but also brings a potential for harm
• Following PSA testing, a physician should be open to the concept of surveillance before making a decision