Hegseth’s dubious low-T screening may flag up to 25 percent of the Army
摘要
一项发表于JAMA的研究显示，尽管低睾酮症真实患病率可能极低，但美国陆军强制筛查可能导致多达25%的现役军人得到低睾酮结果。这加剧了外界对国防部长Hegseth于7月宣布的强制筛查计划的担忧，认为其将引发大量不必要的医疗评估，进而导致不当检测、不准确诊断及过度治疗，甚至造成不育等伤害。内分泌学会和美国泌尿外科学会等医学专家均以这些理由建议反对普遍筛查，但五角
Up to a quarter of active-duty Army members could receive a low testosterone result from mandatory military screening, despite the true prevalence of the condition likely being a tiny fraction of that figure, according to a study published Thursday in JAMA.
The finding adds to concerns that the mandatory screening announced by Defense Secretary Pete Hegseth in July will lead to a cascade of unnecessary medical evaluations for military members. Those evaluations could result in inappropriate testing, inaccurate results and diagnoses, and overtreatment that could cause harm, including infertility. Medical experts, including the Endocrine Society and the American Urological Association (AUA), have recommended against blanket screenings for these reasons. Still, the Pentagon has moved forward with the plans, releasing clinical guidance in September.
The JAMA study highlights the reasons why testosterone levels are not measured in men without symptoms—and also offers a glimpse of how many Army members could become ensnared in the clinically dubious screenings.
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