Is PSA screening helpful?

I believe there is a clear benefit to screening  men with PSA.  I also believe that politics and policy colors the recommendations of groups that discourage screening for cancer.  I screen PSA for myself and I strongly recommend it to men in my family.

PSA screening was analyzed in two large trials.  The European Randomized Study for Screening of Prostate Cancer (ERSPC) was published in 2008. This study was twice as large as a similar, but flawed, US trial.  The European trial had longer follow-up, and was a much cleaner trial (no PSA screening prior to entry on the trial, better compliance in the screened group, much less PSA screening in supposed non-screened group).  It showed a clear and convincing 20% reduction of cancer deaths by the use of PSA screening. The study conclusions showed that by screening men 55-69 with PSA and offering regular follow-up, an increase in early detection was found, resulting in decreased deaths from metastatic disease.

The U.S-run Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial was [...]