(HealthDay)-Following the 2012 United States Preventive Services Task Force (USPSTF) Prostate Cancer Screening Statement, Significant Temporal Changes in Screening, Biopsy, Overall Cancer Detection, and Incidence of Metastatic Cancer had. Urology practice..
Brandon Horton, MPH, and colleagues from Northern California, Kaiser Permanente, Oakland, overall evaluated changes over time in the race-specific proportions of prostate-specific antigen screening and prostate biopsy. Prostate cancer Detection among men eligible for screening between 2006 and 2017, and presentation of metastatic cancer.
Researchers identified 422,664 to 567,660 men every other year (72% white, 8% black, 20% Asian). Following the 2012 USPSTF statement, screening (22-25%), biopsy (47-57%), and overall cancer detection (34-48%) rates were similarly reduced in all races. Did. In addition, the incidence of metastatic cancer increased (39-105 percent).Absolute rate difference of Metastatic cancer The rates were highest for blacks (0.18 per 1,000 man-years) compared to whites (0.09 per 1,000 man-years) and Asians (0.10 per 1,000 man-years), but these differences were not statistically significant. did.
“The biggest concern in this study is the increased vulnerability of the high-risk cohort to adverse consequences such as increased metastasis rates due to reduced screening,” the author writes. “They are data It may inform policy makers of future changes to prostate cancer screening recommendations and a shared decision-making process. ”
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