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    Prostate-specific antigen testing after the US Preventive Services Task Force recommendation: a population-based analysis of electronic health data

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    Authors
    Frendl, Daniel M.
    Epstein, Mara M
    Fouayzi, Hassan
    Krajenta, Richard
    Rybicki, Benjamin A.
    Sokoloff, Mitchell H.
    UMass Chan Affiliations
    Department of Urology
    Meyers Primary Care Institute
    Department of Medicine
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2020-09-01
    Keywords
    Healthcare claims
    Prostate cancer
    Prostate-specific antigen
    Screening
    UMCCTS funding
    Community Health and Preventive Medicine
    Epidemiology
    Health Information Technology
    Health Services Administration
    Health Services Research
    Preventive Medicine
    Translational Medical Research
    Urology
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    https://doi.org/10.1007/s10552-020-01324-x
    Abstract
    PURPOSE: This study describes longitudinal trends in the use of prostate-specific antigen (PSA)-based testing in two geographically distinct healthcare systems following the 2011 US Preventive Services Task Force (USPSTF) recommendations against routine PSA screening. METHODS: We analyzed population-based health claims data from 253,139 men aged 40-80 who were enrolled at two US healthcare systems. We assessed trends in the percentage of eligible men receiving >/= 1 PSA test per year by time period (2000-2008, 2009-2011, 2012-2014), age (40-54, 55-69, 70-80), and race (white, black, other, unknown), and conducted a joinpoint regression analysis. RESULTS: Men aged 55-69 and 70-80 years of all races had similar use of PSA testing between 2000 and 2011, ranging between 47 and 56% of eligible men by year, while only 22-26% of men aged 40-54 had a PSA test per year during this period. Overall, the percentage of men receiving at least one PSA test per year decreased by 26% between 2009-2011 and 2012-2014, with similar trends across race and age groups. PSA testing declined significantly after 2011 (annual percent change = - 11.28). CONCLUSIONS: Following the 2011 USPSTF recommendations against routine PSA screening, declines in PSA testing were observed among men of all races and across all age groups in two large US healthcare systems.
    Source

    Frendl DM, Epstein MM, Fouayzi H, Krajenta R, Rybicki BA, Sokoloff MH. Prostate-specific antigen testing after the US Preventive Services Task Force recommendation: a population-based analysis of electronic health data. Cancer Causes Control. 2020 Sep;31(9):861-867. doi: 10.1007/s10552-020-01324-x. Epub 2020 Jun 17. PMID: 32556947; PMCID: PMC7384921. Link to article on publisher's site

    DOI
    10.1007/s10552-020-01324-x
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50403
    PubMed ID
    32556947
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1007/s10552-020-01324-x
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    Population and Quantitative Health Sciences Publications
    UMass Center for Clinical and Translational Science Supported Publications

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