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DiscussionConfusing Messaging about Prostate Cancer
Prostate Cancer | Last Active: Nov 3 8:02pm | Replies (76)Comment receiving replies
Replies to "Thats a very good point . Breast Cancer affects men and women - The WHOLE population..."
VancouverIslandHiker -- you said "Breast Cancer affects men and women - The WHOLE population , yet has a smaller mortality rate per 100K". That's technically true, but very misleading because when they give the mortality rates for breast cancer, because it affects BOTH men and woman, it's given in deaths per 100K PEOPLE. However, men are less than 2% of the cases, which means it's effectively halving the true death rate since it's 98%+ a womens disease. Meanwhile, prostate cancer deaths solely affect men, so it's given in deaths per 100K of MEN. That mean a direct comparison of breast cancer and prostate death rates is very misleading. Just to be clear, breast cancer kills more women than prostate cancer kills men in the USA and in Canada each year. It also does so worldwide.
https://www.wcrf.org/cancer-trends/breast-cancer-statistics/
https://www.wcrf.org/cancer-trends/prostate-cancer-statistics/
The decline in PSA testing had nothing to do with saving money; it was a misguided reaction to doctors overtreating people based on mildly elevated PSA results.
Instead of improving treatment practices, a lot of influential people and orgs (including the researcher who initially identified PSA) lobbied simply to stop routine PSA screening, which is why we've seen a big increase in people who already have advanced prostate cancer at first diagnosis. 🤦♂️