Prostate-specific antigen testing after the US Preventive Services Task Force recommendation: a population-based analysis of electronic health data
Department of Population and Quantitative Health Sciences; Department of Medicine; Meyers Primary Care Institute; Department of Urology
Community Health and Preventive Medicine | Epidemiology | Health Information Technology | Health Services Administration | Health Services Research | Preventive Medicine | Translational Medical Research | Urology
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.
Healthcare claims, Prostate cancer, Prostate-specific antigen, Screening, UMCCTS funding
DOI of Published Version
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
Cancer causes and control : CCC
Frendl DM, Epstein MM, Fouayzi H, Krajenta R, Rybicki BA, Sokoloff MH. (2020). Prostate-specific antigen testing after the US Preventive Services Task Force recommendation: a population-based analysis of electronic health data. UMass Center for Clinical and Translational Science Supported Publications. https://doi.org/10.1007/s10552-020-01324-x. Retrieved from https://escholarship.umassmed.edu/umccts_pubs/228