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在2018年美国预防服务工作组建议和通过COVID-19大流行后,前列腺特异性抗原查的变化

Zhiyu Qian¹, Xi Chen², Alexander P Cole¹

¹Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

European urology oncology

|July 24, 2023

概括

根据2018年的指导方针,前列腺特异性抗原 (PSA) 查增加,但在COVID-19大流行期间下降. 这些发现凸显了建议和干扰对癌症查率的影响.

科学领域:

流行病学和公共卫生.
在瘤学瘤学.
预防医学预防医学

背景情况:

使用前列腺特异性抗原 (PSA) 测试进行前列腺癌查是一个关键的公共卫生问题.
2018年美国预防服务工作组 (USPSTF) 更新的建议影响了查实践.
随着COVID-19大流行,包括预防性服务在内的医疗保健服务受到严重干扰.

研究的目的:

分析前列腺癌PSA查的趋势.
评估2018年USPSTF建议对PSA查率的影响.
评估COVID-19疫情对PSA查趋势的影响.

主要方法:

利用了国家健康访谈调查数据进行分析.
使用差异差异 (DID) 分析来检查PSA查趋势.
专注于55-69岁的男性,将他们与69岁以上的男性进行比较,并根据社会人口统计学因素进行调整.

主要成果:

与2015年相比,2019年PSA查在55-69岁 (+4.6%) 和69岁以上的男性中增加 (+6.5%).
与2019年相比,2021年在55-69岁的男性中观察到PSA查的减少 (-3.1%) 在COVID-19爆发后.
调整后的DID分析显示,在USPSTF建议或大流行后,年龄组之间的变化率没有显著差异.

结论:

2018年USPSTF指南似乎与55-69岁男性PSA查增加有因果关系.
与COVID-19相关的预防护理中断可能已经减缓或逆转了这些查进展.
需要进一步监测,以了解流行后的PSA查长期趋势.

关键词:

在 COVID-19 疫情中,预防性查预防性查前列腺癌是什么意思前列腺癌是什么意思前列腺特异性抗原前列腺特异性抗原

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