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It's been pointed out to me that the NHS information is at:
http://www.cancerscreening.nhs.uk/prostate/informationpack.html
and it is the information for patients that is at:
http://www.cancerbacup.org.uk/info/psatest/psatest-1.htm

Jonathan



On Wednesday, October 9, 2002, at 08:51 , Jonathan Kay wrote:

> The outlink we chose was:
>
> http://www.cancerbacup.org.uk/info/psatest/psatest-1.htm
>
> Jonathan
>
> On Tuesday, October 8, 2002, at 05:30 , Jonathan Kay wrote:
>
>> I saw this in a free GP magazine yesterday. Not sure this is the ideal
>> way to learn about these things but by 1100 we had a hyperlink from
>> our laboratory handbook to these resources. But then Christos had been
>> in a meeting till 1015!
>>
>> Jonathan
>>
>>
>> On Tuesday, October 8, 2002, at 05:06 , Dr S Walker wrote:
>>
>>> I received a letter from the DoH on 30.09.02 stating that every GP in
>>> England had been sent a resource pack (on 23.09.02) to help them in
>>> counselling asymptomatic men requesting serum PSA testing. They also
>>> kindly supplied me with one of the resource packs.  The info gives
>>> empirical serum PSA cut-offs for referral to urologists and these are
>>> lower than my current age-related referent ranges (particularly for
>>> the 70 and overs).  I contacted our urologists, radiologists and
>>> histopathologists - none had been sent this info or knew about this
>>> government initiative.  We are not aware of ANY extra funding to
>>> support the initiative either.  Is anyone else? The ACB mailbase has
>>> had nothing on this.  Is everyone aware of this?! I've been away on
>>> leave for some weeks so perhaps I missed all the debate?  Is every
>>> english lab changing to the stated cut-offs immediately?
>>> These are:-  age 50-59 PSA 3.0 ug/L or higher, age 60-69 PSA 4.0 or
>>> higher and age 70 or above PSA 5.1 or higher.  I guess that if you
>>> are currently using a single cut-off of PSA 4.0, you and your
>>> colleagues will not see an increase (maybe even see a fall) but we
>>> will see potentially an increase of some 340
>>> referrals/biopsies/follow ups p.a.       My own workload wont' really
>>> be affected but joined up NHS and sharing of information would be
>>> nice!  The letter also stated that by 31.03.03 laboratories will be
>>> using an assay with calibration traceable to the 1st IRP for PSA
>>> andhaving equimolar recognition of both free and complexed PSA.
>>> Interested to hear anyone else's views.   Dr Sue Walker, Laboratory
>>> Medicine, Salisbury District Hospital, UK, SP2 8BJ
>>>
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>

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