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Related Experiment Videos

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

Jun Li1, Zahava Berkowitz2, Ingrid J Hall2

  • 1From the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. ffa2@cdc.gov.

Journal of the American Board of Family Medicine : JABFM
|July 9, 2015
PubMed
Summary

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Prostate-specific antigen (PSA) testing decreased significantly from 2008 to 2013, particularly in older men, following USPSTF recommendations. These trends may indicate the impact of updated prostate cancer screening guidelines.

Area of Science:

  • Urology
  • Preventive Medicine
  • Public Health

Background:

  • The US Preventive Services Task Force (USPSTF) updated its recommendations on prostate cancer screening.
  • Prostate-specific antigen (PSA) testing is a key method for prostate cancer screening.

Purpose of the Study:

  • To evaluate changes in PSA testing rates among US men after the USPSTF released new screening guidelines.
  • To analyze trends in PSA testing from 2005 to 2013 using National Health Interview Survey data.

Main Methods:

  • Analysis of National Health Interview Survey data from 2005 to 2013.
  • Calculation of PSA testing percentages by age group and race.
  • Statistical assessment of year-to-year differences using linear contrasts.
Keywords:
Cancer ScreeningProstate CancerProstate-Specific Antigen

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Main Results:

  • Overall PSA testing peaked in 2008 and declined significantly by 2013.
  • Significant decreases in PSA testing were observed across all age groups in 2013 compared to 2008, with the largest drop in men aged 75 and older (-14.0%).
  • PSA testing rates also decreased between 2010 and 2013 for men aged 50-74 and for white men.

Conclusions:

  • Declines in PSA testing, especially in older men, may reflect the impact of the 2008 USPSTF recommendations.
  • Observed decreases in PSA testing among men aged 50-74 and white men between 2010 and 2013 could indicate early effects of the 2012 USPSTF recommendations.