In Reply Dr Prazeres makes salient points regarding overuse that we would like to emphasize. Despite working within different health care systems, with shared research and medical cultures, many aspects of overuse likely apply across countries.

Dr Prazeres highlights physician emphasis on performing often harmful prostate-specific antigen tests over counseling patients to make highly beneficial behavioral changes such as smoking cessation. This is a great example of the opportunity cost of overuse. The time and energy expended on prostate-specific antigen testing and follow-up tests and treatment can distract from care that is much more likely to help patients lead healthier lives.¹

在答复中，普拉泽雷斯博士提出了有关过度使用的要点，我们要强调这一点。尽管在不同的卫生保健系统中工作，拥有共同的研究和医学文化，过度使用的许多方面仍可能在各个国家/地区应用。

Prazeres博士强调，医师强调通常会进行有害的前列腺特异性抗原测试，而不是建议患者进行高度有益的行为改变，例如戒烟。这是过度使用的机会成本的一个很好的例子。前列腺特异性抗原测试以及后续测试和治疗所花费的时间和精力可能会转移护理的注意力，而这种护理更有可能帮助患者过上更健康的生活。^1个