Vol 9: Is Anyone Listening Variation in PSA Screening among Providers for Men 75 before and after United States Preventive Services Task Force Recommendations against It: A Retrospective Cohort Study.Reportar como inadecuado



 Vol 9: Is Anyone Listening Variation in PSA Screening among Providers for Men 75  before and after United States Preventive Services Task Force Recommendations against It: A Retrospective Cohort Study.


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This article is from PLoS ONE, volume 9.AbstractBackground: In 2008, the United States Preventive Services Task Force recommended against prostate specific antigen PSA testing for cancer screening in men age 75+. Purpose: To assess PSA screening by primary care physicians PCPs before and after recommendations. Methods: In 2013, this retrospective cohort study analyzed PCPs in Texas with 20+ male patients aged 75+ in both 2007 and 2010, with Parts A and B Medicare. The main outcome was percent of PCP’s male patients 75+ who received PSA testing ordered by the PCP in 2007 and 2010, with no recent symptoms suggestive of prostate cancer. Results: In both 2007 and 2010, 1,083 PCPs cared for at least 20 men aged 75 or older. The rate of PSA screening ordered by PCPs was 33.2% in 2007 and 30.6% in 2010. In multilevel analyses controlling for patient characteristics, the variation in PSA screening attributable to the PCP intraclass correlation coefficient increased from 23% in 2007 to 26% in 2010, p



Autor: Goodwin, James S.; Jaramillo, Elizabeth; Yang, Liu; Kuo, Yong-Fang; Tan, Alai

Fuente: https://archive.org/







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