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Revisiting Prostate Cancer Screening Practices Among Vermont Primary Care Physicians.

Laura Donnelly1, Kevan M Sternberg2, Takamaru Ashikaga3

  • 1Larner College of Medicine at the University of Vermont, Burlington, VT, 05401, USA. Laura.K.Donnelly@med.uvm.edu.

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Area of Science:

  • Urology
  • Primary Care Medicine
  • Public Health

Background:

  • Prostate cancer screening using prostate specific antigen (PSA) testing has evolved.
  • Physician screening practices may differ based on experience and guidelines.

Purpose of the Study:

  • To evaluate current prostate cancer screening practices among Vermont primary care physicians.
  • To compare these practices with a 2001 study.
  • To assess the impact of the United States Preventive Services Task Force (USPSTF) 2012 statement.

Main Methods:

  • An electronic survey was distributed to Vermont primary care physicians.
  • Data included practice length, location, and specialty.
  • Survey responses were analyzed and compared to previous findings.

Main Results:

  • Physicians practicing ≥10 years were more likely to recommend PSA testing (55.9%) than those <10 years (27.7%).
  • 96.1% of physicians who modified recommendations cited the 2012 USPSTF statement.
  • Fewer physicians continued PSA screening after age 80 in 2014 (51%) compared to 2001 (74%).

Conclusions:

  • The USPSTF 2012 statement discouraging PSA screening has significantly influenced Vermont primary care physicians.
  • Physician experience (practice length) remains a factor in prostate cancer screening recommendations.