Exnovation of Low Value Care: A Decade of Prostate-Specific Antigen Screening Practices.

ABSTRACT:

Objectives

To examine prostate-specific antigen (PSA) screening practice change in subgroups of men defined in guidelines and in various regions and to identify factors associated with change in screening practices.

Design

Observational study using serial cross-sections, 2003 to 2013.

Setting

National fee-for-service Medicare.

Participants

Men aged 68 and older eligible for prostate cancer screening.

Measurements

National PSA screening practices in men aged 68 and older from 2003 to 2013 and change in regional screening rates in men aged 75 and older.

Results

The PSA screening rate in men aged 68 and older was 17.2% in 2003, 22.3% in 2008, and 18.6% in 2013 (p < .001 for all differences); rates ended slightly lower than rates in 2003 only in men 8

SUBMITTER: Bynum J 

PROVIDER: S-EPMC6322964 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature