Should Men Get A PSA Blood Test To Screen For Prostate Cancer?
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Huber","firstName":"Jennifer","lastName":"Huber","slug":"jenniferhuber","email":"jshuber@lbl.gov","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Jennifer Huber is a medical imaging scientist at the Lawrence Berkeley National Laboratory with more than 20 years of experience in academic science writing. She received her Ph.D. in Physics from the University of California Santa Barbara. She is also a freelance science writer, editor and blogger, as well as a science-writing instructor for the University of California Berkeley Extension. Jennifer has lived in the San Francisco Bay Area most of her life and she frequently enjoys the eclectic cultural, culinary and outdoor activities available in the area.\r\n\r\nRead her \u003ca href=\"http://science.kqed.org/quest/author/jenniferhuber/\">previous contributions\u003c/a> to \u003ci>QUEST\u003c/i>, a project dedicated to exploring the Science of Sustainability.","avatar":"https://secure.gravatar.com/avatar/ca897c62a710c0bf8c5f429c89331765?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"science","roles":["author"]},{"site":"quest","roles":["subscriber"]}],"headData":{"title":"Jennifer Huber | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/ca897c62a710c0bf8c5f429c89331765?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ca897c62a710c0bf8c5f429c89331765?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jenniferhuber"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"quest_43138":{"type":"posts","id":"quest_43138","meta":{"index":"posts_1591205157","site":"quest","id":"43138","score":null,"sort":[1346684403000]},"guestAuthors":[],"slug":"should-you-get-a-psa-blood-test","title":"Should Men Get A PSA Blood Test To Screen For Prostate Cancer?","publishDate":1346684403,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cfigure id=\"attachment_43147\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg\" alt=\"\" title=\"OlderManDraw_JointBaseLewisMcChord_Flickr_640x360\" width=\"640\" height=\"360\" class=\"size-full wp-image-43147\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg 640w, https://ww2.kqed.org/app/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360-400x225.jpg 400w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Photograph courtesy of Joint Base Lewis McChord via Creative Commons\u003c/figcaption>\u003c/figure>\n\u003cp>My brother-in-law was seemingly the healthiest person I knew. He regularly hiked steep hills as part of his job and kayaked intense oceans as part of his weekend play. He never even got a cold, so he rarely saw the doctor. Luckily he finally got a complete checkup when he turned 50, because it turned out that he had aggressive prostate cancer. This standard screening for prostate cancer in people who don’t have symptoms allowed him to be treated in time.\u003c/p>\n\u003cp>The basic check-up consists of a digital (finger) rectal exam to feel for prostate abnormalities and a simple blood test to measure the amount of prostate-specific antigen (PSA) in the blood. PSA is a protein produced by the prostate gland that's present in small quantities for healthy men, but it's generally evaluated for men with prostate cancer and other prostate disorders. The goal of PSA screening is to detect prostate cancer early, so that it's easier to treat and more likely to be cured. \u003c/p>\n\u003cp>So why has PSA screening recently become so controversial when it’s just a simple blood test? The main issue is that PSA screening isn’t good at distinguishing between aggressive life-threatening prostate cancer and slow-growing prostate cancer that may never spread. It can lead to unnecessary side effects from overtreatment of slow-growing prostate cancer, including a risk of incontinence and impotence. But it can also help find aggressive prostate cancer.\u003c/p>\n\u003cp>This controversy escalated in May 2012 when a government panel of health experts called the U.S. Preventive Services Task Force (USPSTF) \u003ca href=\"http://annals.org/article.aspx?articleid=1166176\" title=\"Screening for Prostate Cancer: USPSTF Recommendation Statement\">recommended\u003c/a> against PSA-based screening for prostate cancer for men of any age, stating that the benefits of screening don’t outweigh the harms of overtreatment.\u003c/p>\n\u003cp>The USPSTF based its recommendation primarily on two large published randomized clinical trials that evaluated the effectiveness of PSA screening. The first is the U.S. Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial in which 76,685 men aged 55 to 74 years were randomly assigned to receive either annual PSA screening or “usual care.” The study found that slightly more prostate cancers were found in the PSA screened group, but the number of people that died from prostate cancer were about the same for both groups -- raising the question of whether men were harmed from overtreatment of cancers that weren’t life threatening. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, this \u003ca href=\"http://annals.org/article.aspx?articleid=1166178\" title=\"Response to USPSTF Recommendation\">PLCO study is inherently flawed\u003c/a> because 52% of the “usual care” control group also received PSA screening and 40% of the study participants received PSA screening before enrollment in the trial. In addition, there were compliance issues –- many patients with abnormal screening tests didn’t have a prompt biopsy as instructed. Since so many men in the “usual care” control group received PSA screening, it isn't surprising that the prostate cancer mortality rates were the same for both groups.\u003c/p>\n\u003cp>The USPSTF also based its recommendation on the European Randomized Study of Screening for Prostate Cancer (ERSPC) that randomly assigned 162,243 men aged 55 to 69 years to either PSA screening once every 4 years or an unscreened control group. This study initially found that prostate cancer deaths were reduced by 21% in the PSA screened group compared to the control group. After correcting for patients that did not follow the protocol-prescribed screening procedures, the \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/19660851\" title=\"ERSPC results with data adjustments\">ERSPC found \u003c/a>that PSA screening actually reduced the risk for dying of prostate cancer by 31%. Many argue that this is a significant reduction. \u003c/p>\n\u003cp>An ad hoc group of nationally recognized prostate cancer medical experts have argued against the USPSTF recommendations. This \u003ca href=\"http://annals.org/article.aspx?articleid=1166178\" title=\"Response to USPSTF recommendation\">group states\u003c/a>, “We believe that eliminating reimbursement for PSA testing would take us back to an era when prostate cancer was often discovered at advanced and incurable stages.”\u003c/p>\n\u003cp>The view of this group is supported by a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22847578\" title=\"PSA Screening: Analysis of Trends Over Time\">journal article\u003c/a> published in the July 2012 issue of Cancer. Researchers at the University of Rochester Medical Center estimated the total number of men in the current U.S. population who would have metastatic prostate cancer at initial diagnosis if PSA screening weren’t used. Such metastatic prostate cancer is usually \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22006014\" title=\"Prostate cancer: frequency of advanced disease at presentation and disease-specific mortality\">rapidly fatal\u003c/a> with a median survival of less than 1 year to 2.6 years, depending on age. The researchers used data from the \u003ca href=\"http://seer.cancer.gov/\" title=\"SEER\">Surveillance, Epidemiology and End Results \u003c/a>Program to compute the number of men that had metastatic prostate cancer at first presentation for the years 1983 to 2008. The pre-PSA incidence rate was calculated for 1983-1985, the years just before the FDA approved PSA screening. This pre-PSA rate was then extrapolated onto the U.S. population for 2008. \u003c/p>\n\u003cp>The study found that the there would be three times more men first presenting with metastatic prostate cancer today without the use of PSA screening. Specifically, they estimated that there would have been 25,000 men presenting with metastatic disease in 2008 in the absence of PSA-screening, instead of the 8,000 men that were actually observed using PSA-screening. \u003c/p>\n\u003cp>So the uncertainty and controversy about PSA screening continues despite extensive research. Since I work in the field of prostate cancer research, friends and family members have asked my opinion. It seems to me that the new screening guidelines against PSA testing assume that ignorance is less stressful than having faith in your doctor; specifically, it's better to not even perform a simple PSA blood test because patients with low PSA levels are often over-treated. Why not just change how to treat patients with low PSA levels and repeat the blood test in 6 months to a year to see how quickly the PSA level rises -- since prostate cancer is more likely to cause a rapid rise in PSA levels? Is this common practice of “watchful waiting” by your doctor really more stressful than not having the blood test at all? For some, that simple blood test could also indicate that you have aggressive prostate cancer that has spread and needs immediate treatment. \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>However, I'm not a medical physician so it's important to speak about your health with your doctor. The \u003ca href=\"http://www.cancer.org/Cancer/news/News/task-force-recommends-against-routine-prostate-cancer-screenin\" title=\"American Cancer Society recommendation\">American Cancer Society\u003c/a> recommends that men discuss the possible risks and benefits of prostate cancer screening with their doctor before deciding whether to be screened. For men of average risk, testing typically begins at age 50. Men at higher risk (African-American men and men with a family history of prostate cancer), testing begins at age 45. Men need to make their own informed decision until researchers find a biomarker for prostate cancer that is better than PSA.\u003c/p>\n\n","blocks":[],"excerpt":"Medical experts disagree on whether prostate-specific antigen (PSA) blood tests are an effective screening technique for prostate cancer. The U.S. Preventive Services Task Force recommends against PSA screening for men of any age, but recent research disagrees with this assessment. ","status":"publish","parent":0,"modified":1349810491,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":1129},"headData":{"title":"Should Men Get A PSA Blood Test To Screen For Prostate Cancer? | KQED","description":"Medical experts disagree on whether prostate-specific antigen (PSA) blood tests are an effective screening technique for prostate cancer. The U.S. Preventive Services Task Force recommends against PSA screening for men of any age, but recent research disagrees with this assessment. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"43138 http://science.kqed.org/quest/?p=43138","disqusUrl":"https://ww2.kqed.org/quest/2012/09/03/should-you-get-a-psa-blood-test/","disqusTitle":"Should Men Get A PSA Blood Test To Screen For Prostate Cancer?","path":"/quest/43138/should-you-get-a-psa-blood-test","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_43147\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg\" alt=\"\" title=\"OlderManDraw_JointBaseLewisMcChord_Flickr_640x360\" width=\"640\" height=\"360\" class=\"size-full wp-image-43147\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360.jpg 640w, https://ww2.kqed.org/app/uploads/sites/39/2012/08/OlderManDraw_JointBaseLewisMcChord_Flickr_640x360-400x225.jpg 400w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Photograph courtesy of Joint Base Lewis McChord via Creative Commons\u003c/figcaption>\u003c/figure>\n\u003cp>My brother-in-law was seemingly the healthiest person I knew. He regularly hiked steep hills as part of his job and kayaked intense oceans as part of his weekend play. He never even got a cold, so he rarely saw the doctor. Luckily he finally got a complete checkup when he turned 50, because it turned out that he had aggressive prostate cancer. This standard screening for prostate cancer in people who don’t have symptoms allowed him to be treated in time.\u003c/p>\n\u003cp>The basic check-up consists of a digital (finger) rectal exam to feel for prostate abnormalities and a simple blood test to measure the amount of prostate-specific antigen (PSA) in the blood. PSA is a protein produced by the prostate gland that's present in small quantities for healthy men, but it's generally evaluated for men with prostate cancer and other prostate disorders. The goal of PSA screening is to detect prostate cancer early, so that it's easier to treat and more likely to be cured. \u003c/p>\n\u003cp>So why has PSA screening recently become so controversial when it’s just a simple blood test? The main issue is that PSA screening isn’t good at distinguishing between aggressive life-threatening prostate cancer and slow-growing prostate cancer that may never spread. It can lead to unnecessary side effects from overtreatment of slow-growing prostate cancer, including a risk of incontinence and impotence. But it can also help find aggressive prostate cancer.\u003c/p>\n\u003cp>This controversy escalated in May 2012 when a government panel of health experts called the U.S. Preventive Services Task Force (USPSTF) \u003ca href=\"http://annals.org/article.aspx?articleid=1166176\" title=\"Screening for Prostate Cancer: USPSTF Recommendation Statement\">recommended\u003c/a> against PSA-based screening for prostate cancer for men of any age, stating that the benefits of screening don’t outweigh the harms of overtreatment.\u003c/p>\n\u003cp>The USPSTF based its recommendation primarily on two large published randomized clinical trials that evaluated the effectiveness of PSA screening. The first is the U.S. Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial in which 76,685 men aged 55 to 74 years were randomly assigned to receive either annual PSA screening or “usual care.” The study found that slightly more prostate cancers were found in the PSA screened group, but the number of people that died from prostate cancer were about the same for both groups -- raising the question of whether men were harmed from overtreatment of cancers that weren’t life threatening. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, this \u003ca href=\"http://annals.org/article.aspx?articleid=1166178\" title=\"Response to USPSTF Recommendation\">PLCO study is inherently flawed\u003c/a> because 52% of the “usual care” control group also received PSA screening and 40% of the study participants received PSA screening before enrollment in the trial. In addition, there were compliance issues –- many patients with abnormal screening tests didn’t have a prompt biopsy as instructed. Since so many men in the “usual care” control group received PSA screening, it isn't surprising that the prostate cancer mortality rates were the same for both groups.\u003c/p>\n\u003cp>The USPSTF also based its recommendation on the European Randomized Study of Screening for Prostate Cancer (ERSPC) that randomly assigned 162,243 men aged 55 to 69 years to either PSA screening once every 4 years or an unscreened control group. This study initially found that prostate cancer deaths were reduced by 21% in the PSA screened group compared to the control group. After correcting for patients that did not follow the protocol-prescribed screening procedures, the \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/19660851\" title=\"ERSPC results with data adjustments\">ERSPC found \u003c/a>that PSA screening actually reduced the risk for dying of prostate cancer by 31%. Many argue that this is a significant reduction. \u003c/p>\n\u003cp>An ad hoc group of nationally recognized prostate cancer medical experts have argued against the USPSTF recommendations. This \u003ca href=\"http://annals.org/article.aspx?articleid=1166178\" title=\"Response to USPSTF recommendation\">group states\u003c/a>, “We believe that eliminating reimbursement for PSA testing would take us back to an era when prostate cancer was often discovered at advanced and incurable stages.”\u003c/p>\n\u003cp>The view of this group is supported by a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22847578\" title=\"PSA Screening: Analysis of Trends Over Time\">journal article\u003c/a> published in the July 2012 issue of Cancer. Researchers at the University of Rochester Medical Center estimated the total number of men in the current U.S. population who would have metastatic prostate cancer at initial diagnosis if PSA screening weren’t used. Such metastatic prostate cancer is usually \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22006014\" title=\"Prostate cancer: frequency of advanced disease at presentation and disease-specific mortality\">rapidly fatal\u003c/a> with a median survival of less than 1 year to 2.6 years, depending on age. The researchers used data from the \u003ca href=\"http://seer.cancer.gov/\" title=\"SEER\">Surveillance, Epidemiology and End Results \u003c/a>Program to compute the number of men that had metastatic prostate cancer at first presentation for the years 1983 to 2008. The pre-PSA incidence rate was calculated for 1983-1985, the years just before the FDA approved PSA screening. This pre-PSA rate was then extrapolated onto the U.S. population for 2008. \u003c/p>\n\u003cp>The study found that the there would be three times more men first presenting with metastatic prostate cancer today without the use of PSA screening. Specifically, they estimated that there would have been 25,000 men presenting with metastatic disease in 2008 in the absence of PSA-screening, instead of the 8,000 men that were actually observed using PSA-screening. \u003c/p>\n\u003cp>So the uncertainty and controversy about PSA screening continues despite extensive research. Since I work in the field of prostate cancer research, friends and family members have asked my opinion. It seems to me that the new screening guidelines against PSA testing assume that ignorance is less stressful than having faith in your doctor; specifically, it's better to not even perform a simple PSA blood test because patients with low PSA levels are often over-treated. Why not just change how to treat patients with low PSA levels and repeat the blood test in 6 months to a year to see how quickly the PSA level rises -- since prostate cancer is more likely to cause a rapid rise in PSA levels? Is this common practice of “watchful waiting” by your doctor really more stressful than not having the blood test at all? For some, that simple blood test could also indicate that you have aggressive prostate cancer that has spread and needs immediate treatment. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, I'm not a medical physician so it's important to speak about your health with your doctor. The \u003ca href=\"http://www.cancer.org/Cancer/news/News/task-force-recommends-against-routine-prostate-cancer-screenin\" title=\"American Cancer Society recommendation\">American Cancer Society\u003c/a> recommends that men discuss the possible risks and benefits of prostate cancer screening with their doctor before deciding whether to be screened. For men of average risk, testing typically begins at age 50. Men at higher risk (African-American men and men with a family history of prostate cancer), testing begins at age 45. Men need to make their own informed decision until researchers find a biomarker for prostate cancer that is better than PSA.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/43138/should-you-get-a-psa-blood-test","authors":["6360"],"categories":["quest_12"],"tags":["quest_11407","quest_10273","quest_11408","quest_11406","quest_11405","quest_13202"],"featImg":"quest_43147","label":"quest"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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