Effect of shared decision making on racial and ethnic disparity in prostate cancer screening: Results from a national behavioral survey

You have accessJournal of UrologyCME1 Apr 2023PD39-11 EFFECT OF SHARED DECISION MAKING ON RACIAL AND ETHNIC DISPARITY IN PROSTATE CANCER SCREENING: RESULTS FROM A NATIONAL BEHAVIORAL SURVEY Nicola Frego, Muhieddine labban, benjamin v. Stone, Mara Koelker, Edoardo Beatrici, Dejan K. Filipas, Giovanni Lughezzani, Nicolò Maria Buffi, Firas Abdollah, Nora Y. Osman, Sonja R. Solomon, Stuart R. Lipsitz, Adam S. Kibel, Jesse D. Sammon, Quoc-dien trinh, and alexander p. Cole Nicola FregoNicola Frego More articles by this author , Muhieddine labban Muhieddine labban More articles by this author , benjamin v. Stone benjamin v. Stone More articles by this author , Mara KoelkerMara Koelker More articles by this author , Edoardo BeatriciEdoardo Beatrici More articles by this author , Dejan K. FilipasDejan K. Filipas More articles by this author , Giovanni LughezzaniGiovanni Lughezzani More articles by this author , Nicolò Maria BuffiNicolò Maria Buffi More articles by this author , Firas AbdollahFiras Abdollah More articles by this author , Nora Y. OsmanNora Y. Osman More articles by this author , Sonja R. SolomonSonja R. Solomon More articles by this author , Stuart R. LipsitzStuart R. Lipsitz More articles by this author , Adam S. KibelAdam S. Kibel More articles by this author , Jesse D. SammonJesse D. Sammon More articles by this author , Quoc-dien trinh Quoc-dien trinh More articles by this author , and alexander p. Cole alexander p. Cole More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003342.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The 2018 United States Preventive Services Task Force recommendations endorsed shared decision making (SDM) for men aged 55-69 and encouraged consideration of patient race and ethnicity for prostate specific antigen (PSA) screening. We sought to assess whether SDM modified the effect of race and ethnicity on the likelihood of PSA screening. METHODS: A cross-sectional analysis of men aged between 55 and 69 who responded to the PSA screening portions of the 2020 U.S.-based Behavioral Risk Factor Surveillance System (BRFSS) survey was performed. Men without a diagnosis of prostate cancer who self-reported a PSA test in the previous 12 months as part of a routine examination were considered screened. SDM was defined based upon whether the respondents had been informed by a physician about the benefits and harms of PSA screening. The main predictors were patient race and the interaction between race/ethnicity and SDM. Complex weighted sample multivariable logistic regression models were fitted to test the associations. RESULTS: Out of a weighted sample of 26.8 million men eligible for PSA screening, 25.7% (6.9 million men) reported PSA screening. In adjusted analysis, SDM was a significant predictor of PSA screening (aOR:2.65, 95%CIs:2.36-2.98, p<0.001). The interaction between race/ethnicity and SDM on the receipt of PSA screening was significant (pint=0.001), meaning that the effect of race on the odds of PSA screening varied based on SDM. Among those who did not report SDM, both non-Hispanic Black (OR:0.77, 95%CIs: 0.61–0.97, p=0.026) and Hispanic (OR:0.51, 95%CIs: 0.39–0.68, p<0.001) men were significantly less likely to undergo PSA screening than non-Hispanic white men. On the contrary, among respondents who reported SDM, we found no race-based differences in the odds of PSA screening (Figure 1). CONCLUSIONS: SDM was a significant predictor of PSA screening use and has a direct impact on reducing disparities in PSA screening among racial and ethnic groups. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1049 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nicola Frego More articles by this author Muhieddine labban More articles by this author benjamin v. Stone More articles by this author Mara Koelker More articles by this author Edoardo Beatrici More articles by this author Dejan K. Filipas More articles by this author Giovanni Lughezzani More articles by this author Nicolò Maria Buffi More articles by this author Firas Abdollah More articles by this author Nora Y. Osman More articles by this author Sonja R. Solomon More articles by this author Stuart R. Lipsitz More articles by this author Adam S. Kibel More articles by this author Jesse D. Sammon More articles by this author Quoc-dien trinh More articles by this author alexander p. Cole More articles by this author Expand All Advertisement PDF downloadLoading ...