Evidence map›Paper›PMID 36972765›Full record

ArticleUrology2023

Disparities in Prostate Cancer Screening for Transgender Women: An Analysis of the MarketScan Database.

Hayley Premo, Alexander Gordee, Hui-Jie Lee, Charles D Scales, Judd W Moul, Andrew Peterson

Open access · greenAbstract read
In one paragraph

Article in Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Do we urologists know enough about gender minorities with prostate cancer?International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hayley PremoDuke University School of Medicine, Durham, NC. Electronic address: hayley.premo@duke.edu.
Alexander GordeeDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC; Surgery Center for Outcomes Research and Equity in Surgery, Duke University, Durham, NC.
Hui-Jie LeeDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC; Surgery Center for Outcomes Research and Equity in Surgery, Duke University, Durham, NC.
Charles D ScalesSurgery Center for Outcomes Research and Equity in Surgery, Duke University, Durham, NC; Department of Population Health Sciences, Duke University, Durham, NC; Department of Surgery, Division of Urology, Duke University, Durham, NC.
Judd W MoulDepartment of Surgery, Division of Urology, Duke University, Durham, NC; Duke Cancer Institute, Duke University, Durham, NC.
Andrew PetersonDepartment of Surgery, Division of Urology, Duke University, Durham, NC.
Duke University · USDuke Medical Center · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553
6 · The paper itself

Abstract

objectiveTo describe the prevalence of PSA screening amongst transgender women. A transgender individual is someone whose gender identity differs from their birth sex or the societal norms of that assigned sex. There are no formal guidelines regarding PSA screening in transgender women, even though they retain prostatic tissue throughout the gender-affirming process, and there is a lack of existing data to adequately inform clinical practice.

methodsWe identified a cohort of transgender women in the IBM MarketScan dataset using ICD codes. The patient...s eligibility for inclusion was determined on an annual basis for the years 2013-2019. For each year, we required continuous enrollment, 3 months of post-transgender diagnosis follow-up, and aged 40-80 without a prior diagnosis of prostate malignancy. This cohort was compared to cisgender men with similar eligibility criteria. The proportions of individuals undergoing PSA screening were compared using log-binomial regression.

resultsA group of 2957 transgender women met the inclusion criteria. We saw significantly lower PSA screening rates among transgender individuals for ages 40-54 and 55-69, but higher rates within the age group 70-80 (P.ß<.ß.001 for all).

conclusionThis is the first study evaluating PSA screening rates for insured transgender women. While the rates for screening in transgender women over the age of 70 are higher, the overall rate of screening for all other age groups lags below the general population in this dataset. Further investigation is necessary to provide equitable care for the transgender community.

Indexed as

Prostatic NeoplasmsTransgender PersonsEarly Detection of CancerFemaleGender IdentityHumansMaleProstate-Specific AntigenProstate-Specific Antigen

Identifiers

PMID36972765
PMCPMC10330039
OpenAlexW4360955649

What OpenQuestion holds

Textmetadata
LicenceTDM
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.