PSA screening, prostate biopsy, and treatment of prostate cancer in the years surrounding the USPSTF recommendation against prostate cancer screening.

Cancer
James T KearnsJohn L Gore

Abstract

The 2012 United States Preventive Services Task Force recommendation against screening for prostate cancer has impacted rates of prostate-specific antigen (PSA) screening and appears to be associated with declining prostate cancer incidence. Our objective was to characterize health care utilization that may explain these observed trends. MarketScan claims, which capture >30 million privately insured patients in the United States, were queried for all men aged 40-64 years for the years 2008-2014. PSA testing, prostate biopsy, prostate cancer diagnosis, and definitive local treatment were determined using associated International Classification of Diseases, Ninth Revision and Current Procedural Terminology, Fourth Edition codes. There were approximately 6 million qualifying men with a full year of data. PSA testing, prostate biopsy, and prostate cancer detection declined significantly between 2009 and 2014, most notably after 2011. The prostate biopsy rate per 100 patients with a PSA test decreased over the study period from 1.95 (95% confidence interval [CI], 1.92-1.97) to 1.52 (95% CI, 1.50-1.54). Prostate cancer incidence per prostate biopsy increased over the study period from 0.36 (95% CI, 0.35-0.36) to 0.39 (95% CI, 0.39-0....Continue Reading

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Citations

Mar 14, 2019·Current Opinion in Oncology·Michael AhdootPeter A Pinto
May 16, 2019·Journal of the National Comprehensive Cancer Network : JNCCN·James L MohlerDeborah A Freedman-Cass
May 21, 2020·Journal of the National Cancer Institute·Ahmedin JemalStacey A Fedewa
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Jul 25, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Rohan JotwaniAmitabh Gulati
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Feb 24, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Renato Almeida Rosa de OliveiraStenio de Cassio Zequi

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