Evidence map›Paper›PMID 23459740›Full record

ArticleHealth affairs (Project Hope)2013

Prostate cancer screening in men ages 75 and older fell by 8 percentage points after Task Force recommendation.

David H Howard, Florence K Tangka, Gery P Guy, Donatus U Ekwueme, Joseph Lipscomb

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  15. Multicriteria decision analysis in oncology.Health expectations : an international journal of public participation in health care and health policy · 2015
    Review
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  19. A continuous fall of PSA use for prostate cancer screening among Brazilian doctors since 2001. Good or bad notice?International braz j urol : official journal of the Brazilian Society of Urology
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

David H HowardDepartment of Health Policy and Management, Emory University, Atlanta, Georgia, USA. david.howard@emory.edu
Florence K Tangka
Gery P Guy
Donatus U Ekwueme
Joseph Lipscomb
The Centers · USEmory University · USLipscomb University · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

In 2008 the US Preventive Services Task Force recommended against screening men ages 75 and older for prostate cancer. Using Medicare Current Beneficiary Survey Access to Care files and linked claims, we compared trends in prostate-specific antigen (PSA) testing rates between men ages 75 and older and men ages 65-74. We estimate that the revised recommendation led to a 7.9-percentage-point decline in annual PSA testing rates over two years among men ages 75 and older. Although 42 percent of men in this age group continue to receive PSA tests, our results highlight the potential of guidelines with negative recommendations to reduce the use of low-value medical care.

Indexed as

AgedAged, 80 and overAge FactorsBiomarkers, TumorEarly Detection of CancerGuideline AdherenceHealth Services AccessibilityHumansMaleMedicareProstate-Specific AntigenProstatic NeoplasmsUnited StatesUnnecessary ProceduresUtilization ReviewBiomarkers, TumorProstate-Specific Antigen

Identifiers

PMID23459740
PMCPMC4818375
OpenAlexW1969947848

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.