EAU 2018: What Patient Factors Predict PSA Testing Among Men Aged 50 And Above?
This was a cross-sectional study, using the Health Information National Trends Survey (HINTS, 4th Ed.), a population-based survey of people living in the United States during the years 2011-2014. Eligible individuals were men aged 50 and above. Two specific questions were analyzed: whether the patient has ever had a PSA test and if any doctor had discussed this test with him.
3,214 men aged 50 and above were included in this study. Mean age was 65+9.8, 68% were white, 63.7% were living with a spouse, and 86.8% were born in the US. Figure 1 demonstrate the percentage of men having a PSA test. Multivariable logistic regression analyses were performed to assess which patients underwent a PSA test and which patients had a PSA discussion with their physician. These analyses demonstrate that age, education, income, living with a spouse, and past military service significantly predict PSA discussion and PSA testing. Being born in the US and Hispanic race also predict PSA discussion.
Older men with greater education, higher income, living with a spouse, and those with a military service history were more likely to undergo PSA testing. Despite the USPSTF recommendation and international guidelines, this study demonstrates that specific patient characteristics impact whether patients are screened for PC in the real world.
Presented by: Hanan Goldberg, MD, University of Toronto, Princess Margaret Cancer Centre
Written by: Hanan Goldberg, MD, Urologic Oncology Fellow (SUO), University of Toronto, Princess Margaret Cancer Centre, twitter: @GoldbergHanan at the 2018 European Association of Urology Meeting EAU18, 16-20 March, 2018 Copenhagen, Denmark