Predictors of prostate-specific antigen testing in men aged ≥55 years: A cross-sectional study based on patient-reported outcomes

Joon Yau Leong, Thenappan Chandrasekar, Alejandro Berlin, Zachary Klaassen, Christopher J.D. Wallis, Ardalan E. Ahmad, Jaime O. Herrera-Caceres, Nathan Perlis, Neil E. Fleshner, Hanan Goldberg

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To examine the predictors of prostate-specific antigen discussion with a physician and prostate-specific antigen testing in men aged ≥55 years. Methods: Utilizing the USA Health Information National Trends Survey, 4th Ed., a cross-sectional study from 2011 to 2014 was carried out to analyze the factors predicting prostate-specific antigen testing and discussion in men ≥55 years. Associations between each covariate and prostate-specific antigen discussion/testing were determined. Multivariable logistic regression models were used to determine clinically relevant predictors of prostate-specific antigen discussion/testing. Due to multiple comparisons, the Bonferroni correction was used. Results: A total of 2731 men included in the Health Information National Trends Survey were analyzed. Several socioeconomic parameters were found to increase the likelihood of men aged ≥55 years to undergo prostate-specific antigen testing: living with a spouse, a higher level of education (college graduate or above), a higher income (>$50 000 annually) and previous history of any cancer. In contrast, current smokers were less likely to undergo prostate-specific antigen testing. Having a prostate-specific antigen discussion with a physician was more likely for men surveyed in 2014, for men who were living with a spouse, who had a higher annual income (>$50 000 annually) and those with a history of any cancer. Conclusions: Significant inequalities in prostate-specific antigen testing and discussion exist among men in the USA, mainly driven by socioeconomic factors. Ideally, prostate-specific antigen testing and discussion should be based on relevant clinical factors with a shared decision-making approach for every man. Therefore, a better understanding of the socioeconomic factors influencing prostate-specific antigen testing/discussions can inform strategies to reduce existing gaps in care.

Original languageEnglish (US)
Pages (from-to)711-718
Number of pages8
JournalInternational Journal of Urology
Volume27
Issue number9
DOIs
StatePublished - Sep 1 2020

Keywords

  • discussion
  • prostate cancer
  • prostate-specific antigen
  • survey
  • testing

ASJC Scopus subject areas

  • Urology

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