PD40-11 IMPACT OF PRIMARY CARE PHYSICIAN FACTORS ON ADHERENCE TO UNITED STATES PREVENTATIVE SERVICES TASK FORCE RECOMMENDATION AGAINST PSA SCREENING

You have accessJournal of UrologyProstate Cancer: Detection & Screening V1 Apr 2017PD40-11 IMPACT OF PRIMARY CARE PHYSICIAN FACTORS ON ADHERENCE TO UNITED STATES PREVENTATIVE SERVICES TASK FORCE RECOMMENDATION AGAINST PSA SCREENING Ryan Hutchinson, Nirmish Singla, Solomon Woldu, Abdulhadi Akhtar, Justin Haridas, Deepa Bhat, Claus Roehrborn, and Yair Lotan Ryan HutchinsonRyan Hutchinson More articles by this author , Nirmish SinglaNirmish Singla More articles by this author , Solomon WolduSolomon Woldu More articles by this author , Abdulhadi AkhtarAbdulhadi Akhtar More articles by this author , Justin HaridasJustin Haridas More articles by this author , Deepa BhatDeepa Bhat More articles by this author , Claus RoehrbornClaus Roehrborn More articles by this author , and Yair LotanYair Lotan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1751AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We examined the association of primary care physician (PCP) length of practice and prostate specific antigen (PSA) screening opinions on the differential effect of the United States Preventative Services Task Force (USPSTF) recommendation against PSA screening in 2012. METHODS 54,684 resulted PSA orders at our institution were reviewed from 2010-2015. Tests were excluded if they were performed by a non-PCP, if the provider ordered <4 tests/year, had a practice break >6 months, or if the provider was not employed at the institution for the entire period. Relative proportions of PSA orders per overall unique male ambulatory clinic volume were assessed for 2010-2011 (first period) and 2013-2015 (second period). Changes on a per-provider basis were assessed as a scatterplot, linear regression, and ANOVA. PCPs were surveyed on their attitudes towards the USPSTF recommendation and responses compared to physician seniority and actual PSA ordering habits. RESULTS 228,731 unique male non-oncology care patients were assessed. From an initial cohort of 88 PCPs, 22 PCPs met inclusion criteria. Mean time between completion of residency and beginning of period was 16 years (range 2-43). There was a significant inverse relationship (Fig 1) between years since completion of residency and change in the overall proportion of patients who underwent PSA screening, with more senior physicians noted to have a larger relative decline in screening rates after the USPSTF recommendation (R2 = 0.308, p=0.007). Eighteen PCPs completed a survey on the USPSTF and PSA which revealed no correlation between stated attitudes toward PSA screening and observed practice, however senior PCPs were more likely to claim greater current PSA screening (p=0.037). CONCLUSIONS Greater time since residency completion was significantly associated with screening proportionally fewer men over the period. PCPs' stated opinion on PSA screening did not appear to have a strong influence on actual observed practice. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e754 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Ryan Hutchinson More articles by this author Nirmish Singla More articles by this author Solomon Woldu More articles by this author Abdulhadi Akhtar More articles by this author Justin Haridas More articles by this author Deepa Bhat More articles by this author Claus Roehrborn More articles by this author Yair Lotan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...