USPSTF Recommendations Linked to Decreased PSA Screening

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USPSTF Recommendations Linked to Decreased PSA Screening
USPSTF Recommendations Linked to Decreased PSA Screening

(HealthDay News) — Prostate-specific antigen (PSA) screening has decreased since publication of the U.S. Preventive Services Task Force Recommendations against screening, according to a study published in The Journal of Urology.

Afshin Aslani, MD, MPH, from the Case Western Reserve University in Cleveland, and colleagues examined the impact of the U.S. Preventive Services Task Force recommendation against prostate cancer screening. Data were obtained on all screening prostate-specific antigen tests performed from January 2008 to December 2012 at University Hospitals Case Medical Center and affiliated hospitals in northeastern Ohio.

"The United States Preventive Services Task Force recently recommended against routine prostate cancer screening, stating that the risks of screening outweigh the benefits. We determined the impact of this recommendation on prostate cancer screening in a large health system," the researchers wrote.

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The researchers found that 43,498 screening PSA tests were performed during the time period. Internal medicine specialists ordered most tests (64.9%), as well as family medicine (23.7%), urology (6.1%), and hematology/oncology specialists (1.3%).

There was an increase in PSA screening with time until publication of initial screening trials in March 2009. After the task force recommendations, there was a significant and dramatic decrease in PSA testing. In almost all subgroups, similar patterns were noted. Declines in screening were greatest at the urban teaching hospital, by urologists, and for patients aged 50 to 59 years.

"U.S. Preventive Services Task Force recommendations appeared to have decreased prostate cancer screening," the researchers wrote. "Further study is needed to determine the long-term effects of these recommendations on the screening, diagnosis, treatment, and prognosis of this prevalent malignancy."

Reference

  1. Aslani A, Mininllo BJ, Johnson B, et al. The Impact of Recent Screening Recommendations on Prostate Cancer Screening in a Large Health Care System. J Urol. 2014;doi:10.1016/j.juro.2013.12.010.

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