�A unexampled analysis finds that unmatchable in five-spot men in their 40s has had a prostate specific antigen (PSA) test within the previous twelvemonth and that young contraband men are more likely than pres Young white hands to own undergone the test. The study, promulgated in the September 15, 2008 number of CANCER, a peer-reviewed journal of the American Cancer Society, provides valuable information as experts talk about possible changes to prostate cancer screening recommendations.
Currently, major medical organizations enjoin evidence is insufficient to recommend procedure prostate crab screening victimization PSA or digital rectal exam (DRE). Rather, most group recommended men at average risk of exposure discuss with their doctor of the Church starting at age 50 whether to get well-tried. The American Cancer Society does though recommend that African Americans and manpower with a first arcdegree relative with prostate malignant neoplastic disease should , have screening every year, begin at age 45, and that work force with iI or more first degree relatives with prostate cancer the Crab begin examination at age 40.
To shed light on stream PSA screening practices in young work force, Dr. Judd Moul and Dr. Charles Scales, of Duke Prostate Center and Urologic Surgery at Duke University and colleagues obtained data from the 2002 Behavioral Risk Factor Surveillance System, an annual, population-based survey of civilian, noninstitutionalised adults in the United States. The final sample for this study consisted of 58,511 hands ages 40 and supra.
The investigators found that one in five of them manpower had undergone screening in the former year. Several sociodemographic characteristics were associated with PSA screening in younger hands. In particular, young, black, non-Hispanic manpower were more likely than young white River, non-Hispanic workforce to account having a PSA test in the previous twelvemonth. This finding was main of income, education and access to care. The authors famous that these results ar reassuring, display that physicians are more likely to recommend screening among pitch-dark men due to this group's elevated risk for prostate cancer. However, they also renowned that PSA screening in this group remains potentially suboptimal; simply about one in three African American men reported having a PSA test in the previous year.
The survey also revealed that younger Hispanic men were more likely to undergo PSA testing than younger t. H. White, non-Hispanic men. The probability of undergoing a PSA test was also higher with increasing obesity, as well as with higher household income and education level. Health insurance coverage and an ongoing relationship with a physician were also strongly associated with having had a late PSA test.
"Our study is the first to specifically examine PSA screening in jr. men, which provides an important judgment of quality of care, especially for high-risk groups," the authors write. "Further investigation volition be mandatory to interpret the impact of new risk-stratification strategies, with peculiar focus on the insurance policy implications of potentially large increases in health care resource use".
"Prostate-Specific Antigen screening among pres Young men in the United States."
Charles D. Scales, Jr, Jodi Antonelli, Lesley H. Curtis, Kevin A. Schulman, and Judd W. Moul.
CANCER; Published Online: August 11, 2008 (DOI: 10.1002/cncr23667); Print Issue Date: September 15, 2008.
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