{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:17:45Z","timestamp":1791875865130,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T00:00:00Z","timestamp":1392163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2014,5,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Prostate\u2010specific antigen (PSA) screening for prostate cancer remains controversial. Most groups recommend informed decision making for men with 10 years of remaining life expectancy. The primary objective of this observational cohort study was to investigate the association between predicted 9\u2010year mortality and prostate cancer screening among American men aged \u226565 years in 2005 and 2010. The second objective was to analyze the proportions of men who discussed screening with their physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data were extracted from the 2005 and 2010 National Health Interview Surveys. Men aged \u226565 years without prostate cancer were divided into predicted 9\u2010year mortality quartiles. The proportions of men confirming a screening PSA within the prior year were determined. Logistic regression was used to compare screening rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Screening rates for men aged \u226565 years were 48% in 2005 and 48% in 2010 (<jats:italic>P<\/jats:italic>\u2009=\u2009.9). Men ages 65 to 74 years who had &lt;27% predicted 9\u2010year mortality were most commonly screened, with 56% screened in 2010, compared with 34% of men aged \u226575 years with &gt;75% predicted 9\u2010year mortality. Approximately 55% of screened men aged \u226575 years who had \u226553% predicted 9\u2010year mortality recalled discussing the advantages of screening, whereas 25% recalled discussing the disadvantages.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Prostate cancer screening with PSA did not differ significantly between 2005 and 2010 for men aged \u226565 years based on predicted 9\u2010year mortality. Approximately 33% of older men with a high likelihood of 9\u2010year mortality were screened despite minimal clinical benefit. Twice as many men recalled discussing the potential advantages of screening compared with the disadvantages. <jats:bold><jats:italic>Cancer<\/jats:italic> 2014;120:1491\u20131498.<\/jats:bold> \u00a9 <jats:italic>2014 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.28600","type":"journal-article","created":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T15:23:56Z","timestamp":1392218636000},"page":"1491-1498","source":"Crossref","is-referenced-by-count":60,"title":["National trends in prostate cancer screening among older American men with limited 9\u2010year life expectancies: Evidence of an increased need for shared decision making"],"prefix":"10.1002","volume":"120","author":[{"given":"Michael W.","family":"Drazer","sequence":"first","affiliation":[{"name":"Department of Medicine University of Chicago Medical Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip M.","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dezheng","family":"Huo","sequence":"additional","affiliation":[{"name":"Department of Health Studies University of Chicago Medical Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara A.","family":"Schonberg","sequence":"additional","affiliation":[{"name":"Department of Medicine Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Dale","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Chicago Medical Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell Z.","family":"Szmulewitz","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Chicago Medical Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott E.","family":"Eggener","sequence":"additional","affiliation":[{"name":"Section of Urology University of Chicago Medical Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-2-201207170-00459"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-149-3-200808050-00008"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21174"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.04.119"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2010.0016"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0810696"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0810084"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.05.024"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.08.054"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1333"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.30.2075"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03523.x"},{"key":"e_1_2_7_14_1","unstructured":"Centers for Disease Control and Prevention.About the National Health Interview Survey. 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