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The Great Prostate Hoax: How Big Medicine Hijacked the Psa Test and Caused a Public Health Disaster (Englisch) Gebundene Ausgabe – 4. März 2014

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The Great Prostate Hoax boldly exposes the profit, politics and fraud behind PSA screening, and the serious harm done to countless men. This is a must-read for every man, and the women who care about them. (Margaret I. Cuomo, M.D., author of A World Without Cancer)

Dick Ablin, the discoverer of PSA, provides the inside story of how it became P$A, a veritable public health disaster, harming millions of men. The Hoax is a unique and provocative look into big medicine and why we desperately need a better way forward. (Eric J. Topol, MD, Director, Scripps Translational Science Institute, Chief Academic Officer, Scripps Health and Professor of Genomics, The Scripps Research Institute; Author, The Creative Destruction of Medicine)

An intriguing story of how strong financial interests can trump weak data. And it goes well beyond the usual suspect - the manufacturer of the PSA test - to those who gain from more prostate cancer treatments and from cleaning up the resulting mess. (H. Gilbert Welch MD, MPH, author of Overdiagnosed: Making People Sick in the Pursuit of Health)

The Great Prostate Hoax is the answer to my prayers, finally getting the message out to millions of men in jeopardy of undergoing unnecessary and debilitating treatments. Hoax sends a clear message that those who profit from PSA testing are doing so at the expense of countless men. A must read. (Alvin Cox, prostate cancer survivor who defied a nationally renowned urologist.)

Über den Autor und weitere Mitwirkende

Richard J. Ablin, PhD, DSc (HON) is a professor of Pathology at University of Arizona College of Medicine. In 1970 he identified PSA--the prostate specific antigen that is used as a test for prostate cancer. For decades he has fought against the misuse of his discovery, including a 2010 New York Times op-ed titled "The Great Prostate Mistake." He lives in Tucson, AZ.

Ronald Piana is a science writer specializing in oncology. He has published more than 400 bylined articles in leading medical journals.


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Die hilfreichsten Kundenrezensionen auf (beta) 56 Rezensionen
42 von 44 Kunden fanden die folgende Rezension hilfreich
Don't Be Victimized -- Read This Book! 27. März 2014
Von Neil Shapiro - Veröffentlicht auf
Format: Gebundene Ausgabe Verifizierter Kauf
I am 67 years old and just recently developed BPH which my urologist had been treating very well with alfusozin but on every visit he drew blood for testing. On the third visit he claimed that my PSA was up to around 5. This, he told me, could be a precursor to cancer although it was doubtful. He suggested I do an in-office biopsy and that it "is not so bad." Holy moley, it was the most painful thing I have ever endured in my life; said life includes many root canals, self-setting a broken leg in an emergency situation and every usual thing one meets up with. (Not to mention a few days of horrible, bleeding recovery he never even mentioned would happen beforehand). As the book suggests is pretty much the norm on this all-too-useless test it returned a negative. Thank God it didn't do a false positive! Or even a real positive which the book explains is not really anything to base any decision solely upon.

I don't really know my doctor personally. I would like to think that he is as taken-in by the PSA Hoax as are many urologists and not just a greedy (word I can't type here). I know when I see him next I will come with a copy of this book and insist that he stop the PSA screening and just continue to treat my BPH with prescription renewals.

I have to say: I am outraged. I feel personally violated, betrayed and am angry with the entire Big Medicine Show that this book details so well. By the way, this book IS really a top-notch example of scientific reportage and of investigative Journalism. I worked in magazines for thirty years -- consumer level magazines with well over 6 million circulation. I say this because I want to offer it as a credential to help you to believe my judgement of this author's veracity and objectivity is on the mark.

If you are a male and you have any sort of prostate issue you need to buy this book, to read it, to be forewarned and to know what steps to take. Don't mess with your health. Take control and be informed. Good luck!
26 von 28 Kunden fanden die folgende Rezension hilfreich
A man's quality of life can depend on reading this book!!! 9. März 2014
Von Harold Dawley, Ph.D., Clinical Psychologist - Veröffentlicht auf
Format: Gebundene Ausgabe Verifizierter Kauf
After reading this excellent book, I now wonder three years after completing prostate cancer treatment and being cancer free with minimal side effects, if I really needed treatment. When I was diagnosed with prostate cancer my background as a psychologist with an interest in research led me to reviewing the literature on prostate cancer. I became aware of the risks of severe side effects inherent in most prostate cancer treatments and the dangers of the profit driven prostate cancer industry. I then selected the treatment I believe has the least risk of side effects, proton therapy. I discovered that most of the men going through this treatment with me also invested a great deal of time and effort reviewing this same literature. Unfortunately, most men don't seek such knowledge and instead make the understandable mistake of trusting the physician, almost always a urologist, who diagnosed their prostate cancer and then recommends treatment. A very real danger exists when the livelihood of this physician is based on patients agreeing to the treatment he or she is recommending and then providing. Dr. Richard Ablin has clearly achieved his stated goal for writing this book of “...exposing the abuse of power and profit over patient ethos” as the prostate cancer industry incorrectly uses the PSA to scare men into treatment. Men should not automatically agree to the use of the PSA to aid in diagnosing prostate cancer. They should instead get a second opinion from their internist or medical oncologist. Men diagnosed with prostate cancer should consider watchful waiting and also do their research on the side effects of different treatments. I strongly encourage men and their loved ones to read this important book.

Harold Dawley, Ph.D., author – Proton Warriors – Surviving Prostate Cancer AND The Prostate Cancer Industry.
25 von 27 Kunden fanden die folgende Rezension hilfreich
Good, Credible Information, but Should have Been Condensed Into an Article 27. März 2014
Von Loyd E. Eskildson - Veröffentlicht auf
Format: Gebundene Ausgabe
The P.S.A. test is the most commonly used means for detecting prostate cancer, discovered by author Richard Ablin in 1970, and since used to test millions of men each year at a cost of at least $3 billion. The only problem - Ablin contends it is nearly worthless as a test for cancer. Test results are affected by infections, OTC drugs like ibuprofen, and benign swelling of the prostate - none of which signal cancaer.

Only about 3% of American men die from prostate cancer, while 16% receive a diagnosis of prostate cancer. The difference is because the majority of prostate cancers grow slowly. A New England Journal of Medicine published results from the two largest studies of P.S.A. screening - over a period of 7 - 10 years it did not reduce the death rate in men 55 and older.

Why is it still used? Because drug companies and advocacy groups push it. Stopping the inappropriate use of P.S.A. screening would save billions of dollars and rescue millions of men from unnecessary, debilitating treatments each year.
8 von 8 Kunden fanden die folgende Rezension hilfreich
PSA pitfalls, but what are the alternative options for today? 9. Januar 2015
Von Michael L. Loren - Veröffentlicht auf
Format: Gebundene Ausgabe
Good information on the problems associated with PSA testing and the pitfalls of biopsies and surgery. A missing element was what are the other options? How is a low grade cancer sorted out from a high grade one? I happen to be a physician with an elevated PSA and went though the biopsy. It wasn't pleasant, but at the time it was necessary. I was expecting more from this author. Although he was involved in the original research with PSA, where are we today? I agree with other reviews on the length of the book. It could have been a lot shorter. The issues brought up by the author on government stupidity or roadblocks and financial incentives was well done, but after all it is the American way. Over all this was a well written book but it could have benefited by better editing and conclusions at the end on how an individual should proceed.
6 von 6 Kunden fanden die folgende Rezension hilfreich
Worth Reading 9. April 2014
Von Interested_Reader - Veröffentlicht auf
Format: Gebundene Ausgabe Verifizierter Kauf
If you have been following the recent news, you know that there is a great amount of controversy surrounding the effectiveness of PSA screening for the detection of prostate cancer. This book presents the view of one of the strong opponents of this screening - a very knowledgeable professor who has been following this issue for many years.

The book is a strong indictment of the government (FDA), pharmaceutical companies, and urologists for being involved in a conspiracy to promote a fairly useless test (PSA screening) for the purpose of making money. The outrage and frustration of the principal author (Dr. R. J. Albin) comes through clearly in the book, and one cannot help but wonder if the author has "cherry-picked" some information to strengthen his case.

Many things are repeated over and over again in the book, and there are numerous side stories that have little to do directly with PSA. I found this material to detract from the argument rather than strengthen it. The material relevant to PSA screening would have made an interesting and potent 50 page pamphlet; however, the publisher probably needed a 260 page book for marketing purposes! I would have felt better about the authors' altruistic motivation for writing this book if they had said something like: All proceeds from the sales of this book will be donated to the American Cancer Society.

Unfortunately, at this time there is no totally satisfactory regime that should be followed for detecting and treating prostate cancer. This book is one of the pieces of information that men should consider when making their decision as to whether or not they want to undergo PSA screening. Good luck!
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