{"id":"https://openalex.org/W4212901595","doi":"https://doi.org/10.1200/jco.2022.40.6_suppl.240","title":"Low-value prostate cancer screening among young men with private insurance.","display_name":"Low-value prostate cancer screening among young men with private insurance.","publication_year":2022,"publication_date":"2022-02-16","ids":{"openalex":"https://openalex.org/W4212901595","doi":"https://doi.org/10.1200/jco.2022.40.6_suppl.240"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2022.40.6_suppl.240","doi":"https://doi.org/10.1200/jco.2022.40.6_suppl.240","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2022.40.6_suppl.240","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011630938","display_name":"Jeffrey Vehawn","orcid":"https://orcid.org/0000-0001-6358-4128","observed_orcids":["https://orcid.org/0000-0001-6358-4128"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey Vehawn","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069760088","display_name":"Suzanne M. Lange","orcid":"https://orcid.org/0000-0003-4000-819X","observed_orcids":["https://orcid.org/0000-0003-4000-819X"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Suzanne Lange","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013671989","display_name":"Mouneeb M. Choudry","orcid":"https://orcid.org/0000-0003-2526-4275","observed_orcids":["https://orcid.org/0000-0003-2526-4275"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mouneeb Choudry","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090248509","display_name":"Jacob P. Ambrose","orcid":"https://orcid.org/0000-0001-7157-0834","observed_orcids":["https://orcid.org/0000-0001-7157-0834"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacob P. Ambrose","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050519796","display_name":"Benjamin Adam Haaland","orcid":"https://orcid.org/0000-0002-6270-6303","observed_orcids":["https://orcid.org/0000-0002-6270-6303"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin Haaland","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108300007","display_name":"Niraj Paudel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Niraj Paudel","raw_affiliation_strings":["University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052259818","display_name":"Heidi A. Hanson","orcid":"https://orcid.org/0000-0003-0056-196X","observed_orcids":["https://orcid.org/0000-0003-0056-196X"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heidi A. Hanson","raw_affiliation_strings":["Department of Surgery, University of Utah, School of Medicine, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Utah, School of Medicine, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110579727","display_name":"Brock O Neil","orcid":"https://orcid.org/0000-0002-1497-5824","observed_orcids":["https://orcid.org/0000-0002-1497-5824"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I2801159745","display_name":"Huntsman Cancer Institute","ror":"https://ror.org/03v7tx966","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801159745","https://openalex.org/I4210148268"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brock O Neil","raw_affiliation_strings":["Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT;","institution_ids":["https://openalex.org/I223532165","https://openalex.org/I2801159745"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"40","issue":"6_suppl","first_page":"240","last_page":"240"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.9121000170707703,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.9121000170707703,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.07180000096559525,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prostate-cancer-screening","display_name":"prostate cancer screening","score":0.8370000123977661},{"id":"https://openalex.org/keywords/prostate-specific-antigen-testing","display_name":"prostate-specific antigen testing","score":0.8270000219345093},{"id":"https://openalex.org/keywords/low-value-care","display_name":"low-value care","score":0.7749999761581421},{"id":"https://openalex.org/keywords/young-men","display_name":"young men","score":0.9480000138282776},{"id":"https://openalex.org/keywords/private-insurance","display_name":"private insurance","score":0.4970000088214874},{"id":"https://openalex.org/keywords/hypogonadism","display_name":"hypogonadism","score":0.8740000128746033},{"id":"https://openalex.org/keywords/lower-urinary-tract-symptoms","display_name":"lower urinary tract symptoms","score":0.9750000238418579},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7200000286102295},{"id":"https://openalex.org/keywords/infertility","display_name":"infertility","score":0.3840000033378601},{"id":"https://openalex.org/keywords/anxiety-and-depression","display_name":"anxiety and depression","score":0.8640000224113464},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.5270000100135803},{"id":"https://openalex.org/keywords/uspstf-recommendations","display_name":"USPSTF recommendations","score":0.6000000238418579},{"id":"https://openalex.org/keywords/marketscan-claims-data","display_name":"MarketScan claims data","score":0.621999979019165},{"id":"https://openalex.org/keywords/genitourinary-symptoms","display_name":"genitourinary symptoms","score":0.6119999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9324156045913696},{"id":"https://openalex.org/C2780192828","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate cancer","level":3,"score":0.6731438636779785},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.5392218232154846},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5118061900138855},{"id":"https://openalex.org/C2775941076","wikidata":"https://www.wikidata.org/wiki/Q7250979","display_name":"Prostate cancer screening","level":5,"score":0.49211615324020386},{"id":"https://openalex.org/C2781406297","wikidata":"https://www.wikidata.org/wiki/Q409450","display_name":"Prostate-specific antigen","level":4,"score":0.4899219870567322},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.47961175441741943},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4764973521232605},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.45461851358413696},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2022.40.6_suppl.240","doi":"https://doi.org/10.1200/jco.2022.40.6_suppl.240","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2022.40.6_suppl.240","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4225245990","https://openalex.org/W2084783343","https://openalex.org/W2887335957","https://openalex.org/W3130312564","https://openalex.org/W2587773191","https://openalex.org/W3158972157","https://openalex.org/W4364353244","https://openalex.org/W2003178936","https://openalex.org/W3020947472","https://openalex.org/W4235953715"],"abstract_inverted_index":{"240":[0],"Background:":[1],"Debate":[2],"remains":[3],"about":[4],"the":[5,45,75,98,108,145,179,208,345,354,366,388,393,406,409,416,420],"value":[6],"of":[7,47,71,140,147,178,297,358,368,392,396,408,419,423],"Prostate-specific":[8],"antigen":[9],"(PSA)":[10],"based":[11,30],"prostate":[12,31,86,159,352,359],"cancer":[13,32,87,160,360],"screening":[14,33,317],"among":[15],"men":[16,35,80,101,120,196,227,235,251,319],"aged":[17,81,236],"55-69":[18],"(USPSTF":[19],"Grade":[20],"C).":[21],"However,":[22],"no":[23],"professional":[24],"society":[25],"or":[26,278,313],"guideline":[27],"recommends":[28],"PSA":[29,48,91,166,184,222,264,298,316,377],"in":[34,51,62,107,168,186,207,257,361,382],"younger":[36],"than":[37,122],"age":[38,259,363],"40.":[39],"This":[40,300],"study":[41,199],"aims":[42],"to":[43,78,83,95,104,118,135,175,249,268,291,307],"understand":[44],"risk":[46,218,241],"testing":[49,60,167,185],"exposure":[50],"young":[52,169,187],"men,":[53,203],"and":[54,126,143,163,254,351,365,411],"we":[55],"hypothesize":[56],"that":[57],"substantial":[58,338],"low-value":[59,339,376],"occurs":[61],"this":[63,258,336,362,371,383],"population.":[64],"Methods:":[65],"We":[66,171,190],"performed":[67],"a":[68,90,221,263,294,333],"retrospective":[69],"analysis":[70,130],"claims":[72,192],"data":[73,142],"from":[74,93],"MarketScan":[76],"database":[77,109,210],"identify":[79],"18":[82,253],"39":[84],"without":[85],"who":[88,197,261],"received":[89,262],"test":[92],"2008":[94],"2017.":[96],"For":[97],"primary":[99],"analysis,":[100],"were":[102,116,181,205,265],"required":[103],"be":[105,269,308],"continuously":[106,206],"for":[110,193,211,219,226,318],"least":[111,213],"5":[112,138,214,224],"years.":[113,128,215],"Age":[114],"groups":[115],"stratified":[117],"include:":[119],"less":[121],"25,":[123],"25-29,":[124],"30-34,":[125],"35-39":[127,237],"Secondary":[129],"did":[131],"not":[132,303,323,413],"limit":[133],"subjects":[134],"those":[136],"with":[137,165,183,271,293,310,328],"years":[139,225],"continuous":[141],"explored":[144],"association":[146],"Charlson":[148],"Comorbidity":[149],"Index":[150],"(CCI),":[151],"lower":[152,279],"urinary":[153,280],"tract":[154,281],"symptoms,":[155],"erectile":[156],"dysfunction,":[157],"depression/anxiety,":[158],"screening,":[161],"infertility,":[162,311],"hypogonadism":[164,272],"men.":[170,188],"used":[172],"logistic":[173],"regression":[174,245],"determine":[176],"which":[177],"factors":[180],"associated":[182,327],"Results:":[189],"identified":[191],"40,164,773":[194],"adult":[195],"met":[198],"criteria.":[200],"Of":[201],"these":[202],"3,230,748":[204],"Marketscan":[209],"at":[212,239,343],"The":[216,402],"cumulative":[217],"receiving":[220],"over":[223],"under":[228,320,398],"40":[229,321],"is":[230,322,404],"2.5%.":[231],"Stratified":[232],"by":[233,387],"age,":[234],"are":[238],"highest":[240],"(Table).":[242],"Logistic":[243],"multivariable":[244],"showed":[246],"that,":[247],"relative":[248],"all":[250],"between":[252,347],"40,":[255],"patients":[256],"group":[260],"more":[266,305],"likely":[267,306],"diagnosed":[270,309],"(OR":[273,283],"20.55,":[274],"95%":[275,285],"CI":[276,286],"20.39-20.71)":[277],"symptoms":[282],"9.34,":[284],"9.26-9.41).":[287],"Higher":[288],"CCIs":[289],"appeared":[290],"correlate":[292],"decreased":[295],"rate":[296],"testing.":[299,340,378],"population":[301,334],"was":[302,385],"significantly":[304],"depression,":[312],"anxiety.":[314],"Conclusions:":[315],"uncommon,":[324],"especially":[325],"when":[326],"concomitant":[329],"genitourinary":[330],"symptoms.":[331],"At":[332],"level,":[335],"represents":[337],"Interventions":[341],"aimed":[342],"clarifying":[344],"relationship":[346],"common":[348],"urologic":[349],"conditions":[350],"cancer,":[353],"extremely":[355],"low":[356],"incidence":[357],"group,":[364],"lack":[367],"guidelines":[369],"supporting":[370],"practice":[372],"may":[373],"help":[374],"decrease":[375],"Funding:":[379],"Research":[380],"reported":[381],"publication":[384],"supported":[386],"National":[389,394,421],"Cancer":[390],"Institute":[391],"Institutes":[395,422],"Health":[397],"Award":[399],"Number":[400],"K08CA234431.":[401],"content":[403],"solely":[405],"responsibility":[407],"authors":[410],"does":[412],"necessarily":[414],"represent":[415],"official":[417],"views":[418],"Health.[Table:":[424],"see":[425],"text]":[426]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2022-02-24T00:00:00"}