A Call to Action to Review the USPSTF’s Recommendation for Testicular Self-Examination

Author:

Rovito Michael J.1ORCID,Allen Keri1,Nangia Ajay2,Craycraft Mike3ORCID,Cary Clint4,Lutz Michael5,Lyon Timothy6,Fadich Ana7,Baird Bryce6,Welch Morgan Garrett1,Alcantara Alexie1

Affiliation:

1. Testicular Cancer Research Collaborative, Department of Health Sciences, College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA

2. Department of Urology, University of Kansas Medical Center, Kansas City, KS, USA

3. Testicular Cancer Society, Cincinnati, OH, USA

4. Indiana University, Indianapolis, IN, USA

5. Michigan Institute of Urology, West Bloomfield, MI, USA

6. The Mayo Clinic, Jacksonville, FL, USA

7. Men’s Health Network, Washington, DC, USA

Abstract

We urge the United States Preventive Services Task Force (USPSTF) to call for a formal review of the evidence regarding testicular self-examination (TSE). Twelve years have since passed since the evidence was last formally analyzed where normally re-reviews occur in 5-year cycles. If they would decide to move forward with this action, we ask for the USPSTF to review their methods for establishing recommendations to optimize their rating system operationalization process. Finally, emerging evidence demonstrates a net positive effect of TSE. This stands in contrast to the assertions of TSE’s supposed harm that is prevalent in the literature as well as the rationale behind the USPSTF’s “D” rating of TSE.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Health (social science)

Reference24 articles.

1. Agency for Healthcare Research and Quality. (2012, October). Appendix A, How the U.S. Preventive Services Task Force grades its recommendations: The guide to clinical preventive services: Recommendations of the U.S. Preventive Services Task Force 2012. https://www.ncbi.nlm.nih.gov/books/NBK115122/

2. American Cancer Society. (2018, May 17). Early detection, diagnosis, and staging: Can testicular cancer be found early? https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/detection.html

3. American Cancer Society. (2022). Cancer facts and figures 2022. 4. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2022/2022-cancer-facts-and-figures.pdf

4. American Urological Association. (2014). AUA Men’s Health Checklist. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwimrKqY65r3AhV8l2oFHZarAtIQFnoECAkQAQ&url=https%3A%2F%2Fwww.auanet.org%2Fdocuments%2Feducation%2Fclinical-guidance%2FMens-Health-Checklist.pdf&usg=AOvVaw37zmiamYQgrxnHFMZcr-y8&cshid=1650189706876783

5. Testicular Cancer in Infertile Men With and Without Testicular Microlithiasis: A Systematic Review and Meta-Analysis of Case-Control Studies

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