�A fresh analysis finds that one in five men in their 40s has had a prostate specific antigen (PSA) test within the previous class and that young bleak men are more probable than young white men to get undergone the test. The study, published in the September 15, 2008 emergence of CANCER, a peer-reviewed journal of the American Cancer Society, provides valuable information as experts talk about possible changes to prostate gland cancer screening recommendations.
Currently, major medical organizations say evidence is insufficient to recommend subroutine prostate crab screening using PSA or digital rectal exam (DRE). Rather, to the highest degree group recommended men at average risk of exposure discuss with their doc starting at age 50 whether to get well-tried. The American Cancer Society does though recommend that African Americans and manpower with a first stage relative with prostate crab should , have screening every year, begin at historic period 45, and that hands with iI or more than first point relatives with prostate cancer begin testing at age 40.
To shed light on flow 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, noninstitutionalized adults in the United States. The final sample for this study consisted of 58,511 men ages 40 and above.
The investigators found that one in five of them hands had undergone screening in the premature year. Several sociodemographic characteristics were associated with PSA screening in younger work force. In particular, young, black, non-Hispanic work force were more likely than young white, non-Hispanic hands to report having a PSA quiz in the previous year. This finding was main of income, education and access to care. The authors noted that these results are reassuring, display that physicians are more than likely to recommend viewing among sinister men ascribable to this group's elevated risk for prostate cancer. However, they also famous that PSA screening in this radical remains potentially suboptimal; only about 1 in three African American men reported having a PSA test in the previous class.
The appraise also revealed that younger Hispanic workforce were more than likely to undergo PSA testing than younger stanford White, non-Hispanic hands. The chance of undergoing a PSA test was also higher with increasing obesity, as well as with higher household income and educational activity level. Health insurance coverage and an ongoing human relationship with a physician were also powerfully associated with having had a recent PSA screen.
"Our study is the first to specifically examine PSA showing in jr. men, which provides an important assessment of quality of attention, especially for high-risk groups," the authors write. "Further investigation will be compulsory to infer the impact of new risk-stratification strategies, with special focus on the insurance policy implications of potentially big increases in health care resource use".
"Prostate-Specific Antigen cover among 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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