Prostate cancer screening
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Universal screening for prostate cancer (Pca) using prostate-specific antigen-based testing is not recommended, as the potential harms of screening (overdiagnosis and overtreatment) outweigh potential benefits. The case for Pca screening requires a paradigm shift, which emphasizes the risks of screening over the risks of undetected cancer. Physicians are encouraged to use shared decision making with patients who express an interest in Pca screening, taking into account both the patient's screening preferences and individual risk profile. New models of care informed by the Patient Protection and Affordable Care Act are intended to assist clinicians in providing recommended preventive services. © 2014 Elsevier Inc.
Published Version (Please cite this version)10.1016/j.pop.2014.02.009
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Associate Professor of Community and Family Medicine
I have been at Duke since 2004 when I joined the Duke Family Medicine faculty, and in addition to seeing a patients I served as residency program director until 2014. I then stepped into the world of taking care of Duke students where I served in the Duke Health and Wellness building as the Duke Student Health medical director until 2018. I am returning to Duke Family Medicine as medical director and family physician at Duke Family Medicine - Pickens and North Duke Street clinics. I enjoy tak
Associate Professor in Community and Family Medicine
Health Disparities, Access to Health Care, Women's Health, Latino Health Care, Chronic Disease Management, Socioeconomic Determinants of Health. Population Health.
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