Table 3.
Changes in Proportion of Early Stage Diagnoses for Prostate Cancer (Exposure) Compared to Colorectal Cancer (Controls) at an Academic Medical Center and in the SEER Registry, By Age Group, 2008–2016.
| Prostate Cancer | Colorectal Cancer | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Pre-policy | Post-policy | Pre-policy | Post-policy | |||||||
| Age Group | Total Diagnosed | No. Early Stage (%) | Total Diagnosed | No. Early Stage (%) | Difference, (95% CI) | Total Diagnosed | No. Early Stage (%) | Total Diagnosed | No. Early Stage (%) | Difference, (95% CI) |
| Academic Medical Center | ||||||||||
| All Men | 2,572 | 2,032 (79.0) | 1,397 | 885 (63.4) | −15.6 | 413 | 198 (47.9) | 521 | 279 (53.6) | 5.6a |
| (−18.6, −12.7) | (−0.8, 12.1) | |||||||||
| 35–54 | 332 | 267 (80.4) | 143 | 93 (65.0) | −15.4 | 122 | 48 (39.3) | 168 | 73 (43.5) | 4.1a |
| (−24.3, −6.5) | (−7.4, 15.6) | |||||||||
| 55–74 | 1,895 | 1,488 (78.5) | 1,095 | 691 (63.1) | −15.4 | 203 | 94 (46.3) | 266 | 156 (58.6) | 12.3 |
| (−18.8, −12.0) | (3.3, 21.4) | |||||||||
| 75+ | 345 | 277 (80.3) | 159 | 101 (63.5) | −16.8 | 88 | 56 (63.6) | 87 | 50 (57.5) | −6.2a |
| (−25.3, −8.2) | (−20.6, 8.3) | |||||||||
| SEER | ||||||||||
| All Men | 75,641 | 62,469 (82.6) | 44,904 | 34,875 (77.7) | −4.9 | 20,250 | 8,915 (44.0) | 15,077 | 6,286 (41.7) | −2.3 |
| (−5.4, −4.4) | (−3.4, −1.3) | |||||||||
| 35–54 | 8,587 | 6,901 (80.4) | 4,476 | 3,481 (77.8) | −2.6 | 4,841 | 2,062 (42.6) | 3,802 | 1,576 (41.5) | −1.1a |
| (−4.1, −1.1) | (−3.2, 1.0) | |||||||||
| 55–74 | 53,875 | 44,525 (82.6) | 33,256 | 26,110 (78.5) | −4.1 | 10,437 | 4,661 (44.7) | 8,067 | 3,423 (42.4) | −2.2 |
| (−4.7, −3.6) | (−3.7, −0.8) | |||||||||
| 75+ | 13,179 | 11,043 (83.8) | 7,172 | 5,284 (73.7) | −10.1 | 4,972 | 2,192 (44.1) | 3,208 | 1,287 (40.1) | −4 |
| (−11.3, −8.9) | (−6.2, −1.8) | |||||||||
Notes: All comparisons are between the pre-policy (2008–2011) and post-policy (2013–2016) periods. Time intervals were defined as calendar years and evaluated independently for patient-level eligibility. Differences are unadjusted and evaluated by Chi square test. CI, confidence interval.
p-value - <0.0001 unless otherwise specified;
p-value >0.05