✎✎✎ Dr. Joudis Speech On Prostate Cancer

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Dr. Joudis Speech On Prostate Cancer

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Prostate Cancer Seminar - August 21, 2017

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Are we testing too much or too little? Are men better off or worse off as a result? Do the effects of treatment outweigh the benefits? Is the PSA test a help or a hindrance? It received submissions and expert advice and reviewed current evidence on prostate cancer testing and treatments. The Committee recommended against establishing an organised national population screening programme for prostate cancer. It concluded that while PSA testing saves some lives it must be balanced against the known side effects of further investigation and treatment. It acknowledged the need for a better, more cancer-specific and sensitive test for prostate cancer and encouraged men to seek advice from their general practitioner. The Committee made 17 recommendations that were supported by Parliament, including that the Ministry of Health establish a prostate cancer quality improvement programme.

Professor Nacey and Mark Von Dadelszen and perhaps others here today are directly involved in supporting the Ministry of Health to deliver a range of initiatives that will improve outcomes for men with prostate cancer. This is a Government priority. There is also a comprehensive programme of work under way that will give men better access to quality information and care. It will provide better guidance for GPs around who to test for prostate cancer, who not to test, and who to refer to a specialist. A range of consumer resources has already been released that will help men better understand current testing and treatment options, and the ramifications of these — and there is more to come.

Now work has started on a tool to help men and their GPs have more informed discussions about prostate cancer, and make better decisions about investigations and management. This year, clinical standards and guidelines will be developed, and there will be enhancements to patient management systems to help GPs manage men with prostate cancer. Alongside this work is the development of guidance for GPs and specialists about the use of active surveillance, which is a relatively new treatment option for men. It provides a plan to routinely biopsy and monitor the growth of a prostate cancer tumour. This pathway gives men with a low risk of life-threatening prostate cancer an opportunity to keep a close eye on any progression of their disease and avoid unnecessary, more aggressive treatments.

It will help to improve the accuracy of diagnosis and staging of prostate cancer across the country. A monitoring and evaluation framework will measure the impact of the new supports, resources and systems developments and will align with other existing data collection points such as the cancer health target and the cancer registry.

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