Recomendaciones divergentes en el diagnostico precoz del cancer de prostata / Controversial guidelines in early diagnosis of prostate cancer
Medicina (B.Aires)
; 63(1): 77-81, 2003.
Article
en Es
| LILACS
| ID: lil-334554
Biblioteca responsable:
BR1.1
ABSTRACT
In prostate cancer prevention the American College of Physicians has endorsed a clinical practice guideline it is recommended that physicians share the decision with the patient. There is no information about its adaptation to actual circumstances and particularly in our country. This presentation has the aim of analyzing the evidence and introduces a local perspective. There is no demonstration of survival or life quality improvement in preventing prostate cancer. Therapeutic interventions have a high rate of associated morbidity and mortality. Although desirable, sharing decisions has not yet proved its validity. In our country, due to the fragile equilibrium between risks and benefits, it seems advisable to wait for stronger scientific evidence. It is recommended to the clinician to abstain from offering early diagnosis in the healthy adult, be reluctant when asked, share decisions when it seems advisable based on patient's characteristics and inform about the probability of prostate cancer in high risk groups
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Neoplasias de la Próstata
/
Guías de Práctica Clínica como Asunto
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Aspecto:
Patient_preference
Límite:
Humans
/
Male
Idioma:
Es
Revista:
Medicina (B.Aires)
Asunto de la revista:
MEDICINA
Año:
2003
Tipo del documento:
Article
País de afiliación:
Argentina
Pais de publicación:
Argentina