Larner College of Medicine at the University of Vermont, Burlington, VT, 05401, USA.
Division of Urology, Department of Surgery, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
J Community Health. 2018 Feb;43(1):33-37. doi: 10.1007/s10900-017-0384-x.
The objective of this study was to assess the prostate cancer screening practices of Vermont primary care physicians and compare them with a prior study in 2001. An electronic survey was created and emailed to all currently practicing primary care physicians in Vermont. Data was stratified by practice length, practice location, university affiliation, and internal medicine versus family practice. Surveys were received from 123 (27.2%) primary care physicians. 27.7% of physicians in practice <10 years recommended prostate specific antigen (PSA) testing, compared with 55.9% of those practicing ≥10 years (p = 0.006). Of those who modified their recommendations in the past 5 years, 96.1% reported that the United States Preventive Services Task Force (USPSTF) 2012 statement influenced them. Respondents who continued to use PSA testing were less likely to stop screening after age 80 compared with those surveyed in 2001 (51% in 2014 vs. 74% in 2001; p <0.001). Primary care physicians in practice for 10 or more years were more likely to recommend PSA-based screening than those in practice for less time. The USPSTF statement discouraging PSA-based screening for prostate cancer has had significant penetrance among Vermont primary care physicians.
本研究旨在评估佛蒙特州初级保健医生的前列腺癌筛查实践，并将其与 2001 年的一项先前研究进行比较。创建了一个电子调查并通过电子邮件发送给佛蒙特州所有现任初级保健医生。数据按执业年限、执业地点、大学附属关系以及内科与家庭实践进行分层。共收到 123 名（27.2%）初级保健医生的调查回复。与从业 10 年以上的医生（55.9%）相比，从业不足 10 年的医生（27.7%）推荐前列腺特异性抗原（PSA）检测的比例更高（p=0.006）。在过去 5 年内修改其建议的医生中，96.1%报告说美国预防服务工作组（USPSTF）2012 年的声明影响了他们。与 2001 年调查的医生相比，那些继续使用 PSA 检测的医生在 80 岁以后停止筛查的可能性更小（2014 年为 51%，2001 年为 74%；p<0.001）。从业 10 年或以上的初级保健医生比从业时间较短的医生更有可能推荐基于 PSA 的筛查。USPSTF 关于不鼓励基于 PSA 的前列腺癌筛查的声明在佛蒙特州初级保健医生中具有显著影响力。
