title: [Prostate-specific antigen use among men without prostate cancer in France (2008-2010)].
abstract: This study evaluated the rate of prostate-specific antigen (PSA) dosage in men age 40 or older, affiliated to the general social security system in France between 2008 and 2010: 10.9 million men, excluding those with known prostate cancer. In 2010, 30.7% of this male population had at least one dosage of PSA, i.e. 12.3% of those between 40 and 54, 47.7% of those between 55 and 74, and 47.6% of those 75 years old or older. Percentages of men who had at least one dosage in the three-year period were 26.2%, 77.3% and 75.6% for the same age brackets, respectively. Overall, 13% of men age 40 or older, and in particular 21% of men 75 years old or older had more than three PSA dosages during the three-year time period. Eighty-eight percent of PSA dosages performed in 2010 were prescribed by a general practitioner and 3.2% by an urologist. Conflicting with French and internationally published recommendations regarding PSA dosage, the present results demonstrate a shift toward chaotic mass screening of prostate cancer particularly in men aged 75 or older.
authors.affiliation: CNAMTS (Caisse nationale d'assurance maladie des travailleurs salariés), 50, avenue du Professeur-André-Lemierre, 75986 Paris Cedex 20, France. philippe.tuppin@cnamts.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Tuppin
authors.forename: Solène
authors.initials: S
authors.lastname: Samson
authors.forename: Paul
authors.initials: P
authors.lastname: Perrin
authors.forename: Alain
authors.initials: A
authors.lastname: Ruffion
authors.forename: Bertrand
authors.initials: B
authors.lastname: Millat
authors.forename: Alain
authors.initials: A
authors.lastname: Weill
authors.forename: Philippe
authors.initials: P
authors.lastname: Ricordeau
authors.forename: Hubert
authors.initials: H
authors.lastname: Allemand
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005602:France / Q000453:epidemiology; D058006:General Practice / Q000706:statistics & numerical data; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D017430:Prostate-Specific Antigen / Q000097:blood*; D011471:Prostatic Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology; D014572:Urology / Q000706:statistics & numerical data
chemical_list: D017430:Prostate-Specific Antigen