Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from http://www.ncbi.nlm.nih.gov/pubmed/27658175 below:

Testing and referral patterns in the years surrounding the US Preventive Services Task Force recommendation against prostate-specific antigen screening

Affiliations

• ¹ Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.

• PMID: 27658175
• DOI: 10.1002/cncr.30330

Item in Clipboard

Ryan Hutchinson et al. Cancer. 2016.

• ¹ Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.

• PMID: 27658175
• DOI: 10.1002/cncr.30330

Item in Clipboard

Background: Since the US Preventive Services Task Force (USPSTF) recommended against prostate-specific antigen (PSA) screening, there have been conflicting reports regarding the impact on the behavior of providers. This study analyzed real-world data on PSA ordering and referral practices in the years surrounding the recommendation.

Methods: A whole-institution sample of entered PSA orders and urology referrals was obtained from the electronic medical record. The study was performed at a tertiary referral center with a catchment in the southern United States. PSA examinations were defined as screening when they were ordered by providers with appointments in internal medicine, family medicine, or general internal medicine. Linear and quadratic regression analyses were performed, and joinpoint regression was used to assess for trend inflection points.

Results: Between January 2010 and July 2015, there were 275,784 unique ambulatory visits for men. There were 63,722 raw PSA orders, and 54,684 were evaluable. Primary care providers ordered 17,315 PSA tests and 858 urology referrals. The number of PSA tests per ambulatory visit, the number of referrals per ambulatory visit, the age at the time of the urology referral, and the proportion of PSA tests performed outside the recommended age range did not significantly change. The PSA value at the time of referral increased significantly (P = .022). Joinpoint analysis revealed no joinpoints in the analysis of total PSA orders, screening PSA tests, or examinations per 100 visits.

Conclusions: In the years surrounding the USPSTF recommendation, PSA behavior did not change significantly. Patients were referred at progressively higher average PSA levels. The implications for prostate cancer outcomes from these trends warrant further research into provider variables associated with actual PSA utilization. Cancer 2016;122:3785-3793. © 2016 American Cancer Society.

Keywords: US Preventive Services Task Force; primary care providers; prostate cancer; prostate-specific antigen (PSA); screening.

© 2016 American Cancer Society.

PubMed Disclaimer

• Impact of the 2012 United States Preventive Services Task Force statement on prostate-specific antigen screening: analysis of urologic and primary care practices.

  Perez TY, Danzig MR, Ghandour RA, Badani KK, Benson MC, McKiernan JM. Perez TY, et al. Urology. 2015 Jan;85(1):85-9. doi: 10.1016/j.urology.2014.07.072. Epub 2014 Nov 11. Urology. 2015. PMID: 25440819

• Prostate cancer screening practices in a large, integrated health system: 2007-2014.

  Misra-Hebert AD, Hu B, Klein EA, Stephenson A, Taksler GB, Kattan MW, Rothberg MB. Misra-Hebert AD, et al. BJU Int. 2017 Aug;120(2):257-264. doi: 10.1111/bju.13793. Epub 2017 Feb 26. BJU Int. 2017. PMID: 28139034 Free PMC article.

• Primary care physician PSA screening practices before and after the final U.S. Preventive Services Task Force recommendation.

  Cohn JA, Wang CE, Lakeman JC, Silverstein JC, Brendler CB, Novakovic KR, McGuire MS, Helfand BT. Cohn JA, et al. Urol Oncol. 2014 Jan;32(1):41.e23-30. doi: 10.1016/j.urolonc.2013.04.013. Epub 2013 Aug 2. Urol Oncol. 2014. PMID: 23911680

• Impact of the United States Preventive Services Task Force 'D' recommendation on prostate cancer screening and staging.

  Eapen RS, Herlemann A, Washington SL 3rd, Cooperberg MR. Eapen RS, et al. Curr Opin Urol. 2017 May;27(3):205-209. doi: 10.1097/MOU.0000000000000383. Curr Opin Urol. 2017. PMID: 28221220 Review.

• The effect of the USPSTF PSA screening recommendation on prostate cancer incidence patterns in the USA.

  Fleshner K, Carlsson SV, Roobol MJ. Fleshner K, et al. Nat Rev Urol. 2017 Jan;14(1):26-37. doi: 10.1038/nrurol.2016.251. Epub 2016 Dec 20. Nat Rev Urol. 2017. PMID: 27995937 Free PMC article. Review.

• Risk factors for metastatic prostate cancer: A sentinel event case series.

  Paller CJ, Cole AP, Partin AW, Carducci MA, Kanarek NF. Paller CJ, et al. Prostate. 2017 May;77(13):1366-1372. doi: 10.1002/pros.23396. Epub 2017 Aug 8. Prostate. 2017. PMID: 28786124 Free PMC article.

• Trend Analysis on Reoperation After Lumpectomy for Breast Cancer-Reply.

  Morrow M, Abrahamse P, Katz SJ. Morrow M, et al. JAMA Oncol. 2018 May 1;4(5):747. doi: 10.1001/jamaoncol.2017.5261. JAMA Oncol. 2018. PMID: 29423506 Free PMC article. No abstract available.

• Changes in prostate cancer survival among insured patients in relation to USPSTF screening recommendations.

  Kim IE Jr, Kim DD, Kim S, Ma S, Jang TL, Singer EA, Ghodoussipour S, Kim IY. Kim IE Jr, et al. BMC Urol. 2022 Jun 25;22(1):91. doi: 10.1186/s12894-022-01045-0. BMC Urol. 2022. PMID: 35752822 Free PMC article.

• Influence of lifestyle and genetic variants in the aldo-keto reductase 1C3 rs12529 polymorphism in high-risk prostate cancer detection variability assessed between US and New Zealand cohorts.

  Karunasinghe N, Ambs S, Wang A, Tang W, Zhu S, Dorsey TH, Goudie M, Masters JG, Ferguson LR. Karunasinghe N, et al. PLoS One. 2018 Jun 19;13(6):e0199122. doi: 10.1371/journal.pone.0199122. eCollection 2018. PLoS One. 2018. PMID: 29920533 Free PMC article.

• Use of the prostate-specific antigen test in the U.S. for men age 30 to 64 in 2011 to 2017 using a large commercial claims database: Implications for practice interventions.

  Shahangian S, Sharma KP, Fan L, Siegel DA. Shahangian S, et al. Cancer Rep (Hoboken). 2021 Aug;4(4):e1365. doi: 10.1002/cnr2.1365. Epub 2021 May 2. Cancer Rep (Hoboken). 2021. PMID: 33934557 Free PMC article.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3