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  • The Rise and Fall of the Prostate Cancer Scam by Anthony H. Horan book cover
  • The Rise and Fall of the Prostate Cancer Scam by Anthony H. Horan book cover
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The Rise and Fall of the Prostate Cancer Scam

by Anthony H. Horan

A critique of prostate cancer screening and treatment

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AlbakiReads Editorial

A critique of prostate cancer screening and treatment

Anthony H. Horan traces changes in prostate cancer diagnosis and treatment from the 1970s through 2011, including the revival of radical surgery, the introduction of rectal ultrasound probes, and the use of PSA testing. The account presents the author’s argument that screening and surgery spread without adequate supporting evidence, and discusses reported outcomes and the U.S. Preventive Services Task Force’s position on PSA screening. Its historical sequence connects clinical practices with the financial interests of hospitals and faculty practice plans. The book is a polemical contribution to debates about prostate cancer care, so its claims are best understood as the author’s case rather than as independently verified medical guidance.

Good fit for readers who enjoy

  • Readers interested in the history and controversies of prostate cancer screening and treatment.
  • Those examining critiques of PSA testing, radical surgery, and medical incentives.
  • Readers seeking an author-led argument about prostate cancer care rather than a clinical reference guide.

Themes

Prostate cancer screeningRadical surgeryMedical evidence and treatmentHealthcare financial incentives

Based on publisher information and book metadata.

Book overview

In 1973, we urologists had prostate cancer about right, no screening, no radiation, and no radical surgery. All cancers discovered were assumed to be metastatic from the get-go. If any treatment was necessary, it was systemic hormone deprivation. But, ten years later (1983 - 1987) radical surgery was revived without new evidence; ultrasound probes were miniaturized to fit in the rectum; and the PSA blood test was described as capable of finding new cancers but as lacking the specificity required for screening. The whole world screened anyway. Money poured into U.S. hospitals and faculty practice plans.

 

Post-radical surgery deaths (2600) peaked in 1992. By the autumn of 2011, two reports had showed that radical surgery did not lengthen cancer specific life compared to nothing. PSA screening was found by the Preventive Task Force of the U.S. Federal government to cause more harm than good. This book reinforces their statement,

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