Decrease in Prostate Cancer Testing Following the US Preventive Services Task Force (USPSTF) Recommendations

To assess changes of prostate-specific antigen (PSA) testing following recent US Preventive Services Task Force (USPSTF) prostate cancer screening recommendations using 2005 to 2013 National Health Interview Survey data. We calculated the percentage of PSA testing among men ≥40 years by age group an...

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Vydané v:Journal of the American Board of Family Medicine Ročník 28; číslo 4; s. 491
Hlavní autori: Li, Jun, Berkowitz, Zahava, Hall, Ingrid J
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.07.2015
Predmet:
Adult
Advisory Committees
Age Factors
Aged
Aged, 80 and over
Cross-Sectional Studies
Early Detection of Cancer - standards
Early Detection of Cancer - statistics & numerical data
Early Detection of Cancer - trends
Guideline Adherence - statistics & numerical data
Health Care Surveys
Humans
Male
Middle Aged
Practice Guidelines as Topic
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood
Prostatic Neoplasms - diagnosis
Self Report
United States
Prostate-Specific Antigen
Cancer Screening
Prostate Cancer
ISSN:1558-7118, 1558-7118
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Popis
Shrnutí:To assess changes of prostate-specific antigen (PSA) testing following recent US Preventive Services Task Force (USPSTF) prostate cancer screening recommendations using 2005 to 2013 National Health Interview Survey data. We calculated the percentage of PSA testing among men ≥40 years by age group and age-adjusted race for each survey year. Differences between years were assessed with linear contrasts after combining all years' data. The overall percentage of PSA testing was highest in 2008 and decreased significantly in 2013. Compared with 2008, each age group had significantly lower screening percentages in 2013, especially men ≥75 years old (-14.0% points; P < .001). Both men aged 50 to 74 and men aged ≥75 had significantly lower percentages in 2013 than in 2010. For white and black men, the PSA testing percentages were highest in 2008 and decreased significantly in 2013. Only white men had a significantly lower percentage in 2013 than in 2010. Significant declines in PSA testing from 2008 to 2013 in men ≥75 years old may reflect the impact of the 2008 USPSTF recommendations. While the cause of the decreases in PSA testing between 2010 and 2013 among men aged 50 to 74 years old and white men is unknown, the decreases may suggest the early effects of the 2012 recommendations.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1558-7118
1558-7118
DOI:10.3122/jabfm.2015.04.150062