2019
DOI: 10.6004/jnccn.2018.7274
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PSA Testing Use and Prostate Cancer Diagnostic Stage After the 2012 U.S. Preventive Services Task Force Guideline Changes

Abstract: Background: Most patients with prostate cancer are diagnosed with low-grade, localized disease and may not require definitive treatment. In 2012, the U.S. Preventive Services Task Force (USPSTF) recommended against prostate cancer screening to address overdetection and overtreatment. This study sought to determine the effect of guideline changes on prostate-specific antigen (PSA) screening and initial diagnostic stage for prostate cancer. Patients and Methods: A difference-in-differences analysis was conducted… Show more

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Cited by 23 publications
(22 citation statements)
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“…Not surprisingly, they found a decrease in Google searches about PSA screening after the US Preventive Services Task Force (USPSTF) issued a Grade D recommendation against screening. This corresponds with observed trends of decreased PSA screening in the population . Notably, the volume of Google searches about PSA screening rebounded after the USPSTF changed to a Grade C recommendation for shared decision‐making about screening.…”
supporting
confidence: 70%
“…Not surprisingly, they found a decrease in Google searches about PSA screening after the US Preventive Services Task Force (USPSTF) issued a Grade D recommendation against screening. This corresponds with observed trends of decreased PSA screening in the population . Notably, the volume of Google searches about PSA screening rebounded after the USPSTF changed to a Grade C recommendation for shared decision‐making about screening.…”
supporting
confidence: 70%
“… 4 In studies that examined screening from 2013 to 2016, estimates ranged between 9.8 and 18.6% of eligible men. 19 , 20 While these proportions of Grade D prostate cancer screening are higher than the 4.2% of eligible visits in our study, it is important to note that our units of analysis were visits among Medicare beneficiaries seeking care rather than all Medicare beneficiaries. Therefore, the differences in screening may be due to differences in levels of analysis (visit-level versus patient-level) and the number of years used to derive estimates.…”
Section: Discussionmentioning
confidence: 58%
“…Prostate cancer is often detected by prostate-specific antigen screening when it is asymptomatic, and there has been a decrease in prostate cancer screening in the US general population since 2012 reflecting changing guidelines. 29,30 Two possible explanations for the deficit of prostate cancer among KTRs both J o u r n a l P r e -p r o o f relate to screening: either candidates for kidney transplantation are screened more frequently than men in the general population, so that there are fewer subsequent prostate cancers remaining to be diagnosed after transplantation, or KTRs are screened less frequently following transplantation than men in the general population, so that some cancers are missed. For both explanations, growing differences in screening between KTRs and the general population could then explain the decreasing calendar trend in prostate cancer incidence.…”
Section: Discussionmentioning
confidence: 99%