PMID- 24053213 OWN - NLM STAT- MEDLINE DCOM- 20140616 LR - 20211021 IS - 1464-410X (Electronic) IS - 1464-4096 (Print) IS - 1464-4096 (Linking) VI - 113 IP - 5b DP - 2014 May TI - A national survey of radiation oncologists and urologists on recommendations of prostate-specific antigen screening for prostate cancer. PG - E106-11 LID - 10.1111/bju.12422 [doi] AB - 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. CI - (c) 2013 The Authors. BJU International (c) 2013 BJU International. FAU - Kim, Simon P AU - Kim SP AD - Yale University School of Medicine, Department of Urology, New Haven, CT, USA; Yale University, Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER), New Haven, CT, USA. FAU - Karnes, R Jeffrey AU - Karnes RJ FAU - Nguyen, Paul L AU - Nguyen PL FAU - Ziegenfuss, Jeanette Y AU - Ziegenfuss JY FAU - Thompson, R Houston AU - Thompson RH FAU - Han, Leona C AU - Han LC FAU - Shah, Nilay D AU - Shah ND FAU - Smaldone, Marc C AU - Smaldone MC FAU - Gross, Cary P AU - Gross CP FAU - Frank, Igor AU - Frank I FAU - Weight, Christopher J AU - Weight CJ FAU - Beebe, Timothy J AU - Beebe TJ FAU - Tilburt, Jon C AU - Tilburt JC LA - eng GR - UL1 TR000135/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20140117 PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Early Detection of Cancer/*standards MH - Humans MH - Male MH - Middle Aged MH - *Practice Guidelines as Topic MH - *Practice Patterns, Physicians' MH - Prostate-Specific Antigen/*blood MH - Prostatic Neoplasms/blood/*diagnosis MH - *Radiation Oncology MH - Surveys and Questionnaires MH - United States MH - *Urology PMC - PMC4353641 MID - NIHMS517244 OTO - NOTNLM OT - outcomes OT - prostate cancer OT - prostate-specific antigen OT - screening OT - survey COIS- Conflicts of Interest: All other authors have no conflicts of interest to declare. EDAT- 2013/09/24 06:00 MHDA- 2014/06/17 06:00 PMCR- 2015/05/01 CRDT- 2013/09/24 06:00 PHST- 2013/09/24 06:00 [entrez] PHST- 2013/09/24 06:00 [pubmed] PHST- 2014/06/17 06:00 [medline] PHST- 2015/05/01 00:00 [pmc-release] AID - 10.1111/bju.12422 [doi] PST - ppublish SO - BJU Int. 2014 May;113(5b):E106-11. doi: 10.1111/bju.12422. Epub 2014 Jan 17.