title: Impact of the US Preventive Services Task Force Grade D Recommendation: Assessment of Evaluations for Elevated Prostate-specific Antigen and Prostate Biopsies in a Large Urology Group Practice Following Statement Revision.
abstract: On October 7, 2011, the United States Preventive Services Task Force (USPSTF) released their evidence statement and grade D recommendation against prostate-specific antigen (PSA)-based prostate cancer screening. Using a time series design, we assessed the effect of this recommendation upon evaluations for elevated PSA levels and prostate biopsies in our large urology group practice. We found that, despite a 24.1% increase in total visits, the 32 urologists in our practice completed 16.4% fewer evaluations for elevated PSA levels (317 fewer evaluations per month; P = .017) and 21.4% fewer prostate biopsies (42 fewer biopsies per month; P = .001) in the 2 years following the USPSTF grade D recommendation.
authors.forename: Kathleen F
authors.initials: KF
authors.lastname: McGinley
authors.affiliation: Department of Urology, Rowan University School of Osteopathic Medicine, Stratford, NJ.
authors.forename: Gregory C
authors.initials: GC
authors.lastname: McMahon
authors.forename: Gordon A
authors.initials: GA
authors.lastname: Brown
keywords: Prostate biopsies; Prostate cancer screening; Prostate-specific antigen; United States