A national survey of radiation oncologists and urologists on recommendations of prostate-specific antigen screening for prostate cancer

作者：Kim Simon P^*; Karnes R Jeffrey; Nguyen Paul L; Ziegenfuss Jeanette Y; Thompson R Houston; Han Leona C; Shah Nilay D; Smaldone Marc C; Gross Cary P; Frank Igor; Weight Christopher J; Beebe Timothy J; Tilburt Jon C

来源：BJU International, 2014, 113(5B): E106-E111.

DOI：10.1111/bju.12422

• screening
• prostate-specific antigen
• outcomes
• survey
• prostate cancer

Objective
To assess recommendations for prostate-specific antigen (PSA) screening in a national survey of radiation oncologists and urologists following the recent USA Preventive Services Task Force (USPSTF) grade D recommendation.
Methods
A random sample of 1366 radiation oncologists and urologists were identified from the American Medical Association Physician Masterfile.
From November 2011 to April 2012, a mail survey was sent to query PSA screening recommendations for men at average risk of prostate cancer for the following age groups: 40-49, 50-59, 60-69, 70-74, 75-79 and >= 80 years.
Multivariable logistic regression was used to test for differences in PSA-based screening recommendations by physician characteristics.
Results
Response rates were similar at 52% for radiation oncologists and urologists (P = 0.92).
Overall, 51.5% of respondents recommended PSA-based screening for men aged 40-49 years, while nearly all endorsed it for those aged 50-74 years (96.1% for 50-59, 97.3% for 60-69, and 87.7% for 70-74 years).
However, screening recommendations decreased to 43.9% and 12.8% for men aged 75-79 and >= 80 years, respectively.
On multivariable analysis, urologists were more likely to recommend screening for men aged 40-49 (odds ratio [OR] 3.09; P < 0.001) and 50-59 years (OR 3.81; P = 0.01), but less likely for men aged 75-79 (OR 0.66; P = 0.01) and >= 80 years (OR 0.45; P = 0.002) compared with radiation oncologists.
Conclusion
While radiation oncologists and urologists recommended PSA screening for men aged 50-69 years, there was less agreement about screening for younger (40-49 years old) and older (>= 70 years) men at average risk for prostate cancer.

• 出版日期2014-5