Reconstructing PSA testing patterns between black and white men in the US from Medicare claims and the National Health Interview Survey
Reconstructing PSA testing patterns between black and white men in the US from Medicare claims and the National Health Interview Survey
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DOI：
10.1002/cncr.22607
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发表时间：
2007-05-01
期刊：
影响因子：
6.2
通讯作者：
Feuer, Eric J.
中科院分区：
文献类型：
--
作者：
Mariotto, Angela B.;Etzioni, Ruth;Feuer, Eric J.
背景。前列腺特异性抗原（PSA）检测的频率在PSA检测的前十年没有在全国范围内积极监测。本文的目的是重建美国黑人和白人男性之间的PSA检测模式，并确定PSA使用中任何种族差异的程度。2000年全国健康访谈调查的数据用于模拟PSA的采用，并估计首次测试年龄的分布。纵向医疗保险索赔数据用于估计测试之间间隔的分布。然后通过模拟结合初始和后续测试的比率来重建个人筛查历史。结果来自重建模型。总体而言，到2000年，年龄在40-84岁之间的45%的白人男性和43%的黑人男性至少做过一次PSA检测。作者发现，在老年男性中，白人比黑人更早接受PSA筛查，而在年轻男性中，这一趋势正好相反，黑人比白人更早接受PSA筛查。模拟模型产生的年检测频率在>= 60岁的白人男性中较高，在黑人男性中较高
BACKGROUND. Frequencies of prostate-specific antigen (PSA) test administration were not actively monitored on a national level during the first decade of PSA testing. The objectives of this article were to reconstruct patterns of PSA testing between black and white men in the US and to determine the extent of any racial disparity in PSA use.METHODS. Data from the 2000 National Health Interview Survey were used to model the adoption of PSA and to estimate the distribution of age at first test. Longitudinal Medicare claims data were used to estimate the distribution of intervals between tests. The rates of initial and subsequent tests were then combined by simulation to reconstruct individual screening histories. Results are from the reconstructed model.RESULTS. Overall, 45% of white men and 43% of black men within ages 40-84 years had at least 1 PSA test by the year 2000. The authors found that among older men, whites adopted PSA screening earlier than blacks, whereas among younger men, this trend was reversed, with blacks adopting screening earlier than whites. Annual testing frequencies generated by the simulation model were higher for white men aged >= 60 years and higher for black men aged