You have accessJournal of UrologyCME1 Apr 2023MP77-09 CHANGES IN PROSTATE SPECIFIC ANTIGEN SCREENING FOLLOWING THE 2018 UNITED STATES PREVENTIVE SERVICES TASK FORCE GUIDELINES AND THROUGH THE COVID-19 PANDEMIC Zhiyu (Jason) Qian, Xi Chen, Alexander P. Cole, Hari S. Iyer, Muhieddine Labban, Benjamin V. Stone, Dejan Fillipas, Edoardo Beatrici, Firas Abdollah, Adam S. Kibel, Stuart R. Lipsitz, and Quoc-Dien Trinh Zhiyu (Jason) QianZhiyu (Jason) Qian More articles by this author , Xi ChenXi Chen More articles by this author , Alexander P. ColeAlexander P. Cole More articles by this author , Hari S. IyerHari S. Iyer More articles by this author , Muhieddine LabbanMuhieddine Labban More articles by this author , Benjamin V. StoneBenjamin V. Stone More articles by this author , Dejan FillipasDejan Fillipas More articles by this author , Edoardo BeatriciEdoardo Beatrici More articles by this author , Firas AbdollahFiras Abdollah More articles by this author , Adam S. KibelAdam S. Kibel More articles by this author , Stuart R. LipsitzStuart R. Lipsitz More articles by this author , and Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003351.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In 2018, The US Preventive Services Task Force (USPSTF) changed its recommendations for prostate specific antigen (PSA) screening from “non-recommended” to “shared decision-making among men aged 55-69”. Thereafter, COVID-19 Pandemic disrupted cancer care with evidence suggesting overall reduced access to and utilization of health care services including preventive screening. We aim to examine the impacts of both events on PSA screening for men aged 55-69. METHODS: We analyzed 2013, 2015, 2018, 2019, and 2021 National Health Interview Survey data. Men >54 who reported PSA testing within 12 months preceding survey were considered to have undergone screening. Adjusted difference in differences (DID) analyses were performed to compare changes in screening in men aged 55-69 with reference to men >70 between 2015 and 2019 (pre- and post- 2018 USPSTF recommendation) and between 2019 and 2021 (pre- and post-Pandemic). RESULTS: A total of 24,308 men were included. PSA screening prevalence was 35.4% (95%CI: 33.7%, 37.1%), 32.1% (95%CI: 30.3%, 33.9%), 33.3% (95%CI: 31.6%, 34.9%), 37.2% (95%CI: 35.7%, 38.8%), and 34.9% (95%CI: 33.3%, 36.5%) respectively for included years. From 2015 to 2019, PSA screening increased 4.6% among men aged 55-69 (95%CI: 1.7, 7.5%) and increased 6.5% among men >70 (95%CI: 2.7, 10.4%). From 2019 to 2021, PSA screening decreased 3.1% among men aged 55-69 (95%CI: 0.58%, 5.8%); PSA screening also decreased 0.8% among older men but did not reach significance (95%CI: -2.6%, 4.2%). DID analysis did not show difference in changes between men aged 55-69 in reference to men >70 from both 2015 to 2019 (DID=-1.9%, 95%CI, -6.7%, 2.9%) and 2019 to 2021 (DID=-2.3%, 95%CI, -6.5%, 1.9%). CONCLUSIONS: We saw an increase in PSA screening after 2018 USPSTF recommendations among its target population – men aged 55-69 and also among older men >70. In contrast, the period from 2019 to 2021 saw a significant decrease in PSA screening in those aged 55-69. The lack of significant DID between groups as well as the downward trend of PSA screening in men >70 together suggest an overall trend of decrease in PSA screening post-Pandemic. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1105 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zhiyu (Jason) Qian More articles by this author Xi Chen More articles by this author Alexander P. Cole More articles by this author Hari S. Iyer More articles by this author Muhieddine Labban More articles by this author Benjamin V. Stone More articles by this author Dejan Fillipas More articles by this author Edoardo Beatrici More articles by this author Firas Abdollah More articles by this author Adam S. Kibel More articles by this author Stuart R. Lipsitz More articles by this author Quoc-Dien Trinh More articles by this author Expand All Advertisement PDF downloadLoading ...