Disparities in subsequent MRIs more pronounced at higher PSA thresholds<\/p>\n<\/h3>\n
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WEDNESDAY, Nov. 17, 2021 (HealthDay News) — Black and Hispanic men are significantly less likely than White men to receive prostate magnetic resonance imaging (MRI) after receiving an elevated prostate-specific antigen (PSA) test score, according to a study published online Nov. 8 in JAMA Network Open<\/em>.<\/p>\n Nino Abashidze, Ph.D., from the University of Wyoming in Laramie, and colleagues<\/em> analyzed data from 794,809 commercially insured men undergoing a PSA test (2011 to 2017) to examine racial and ethnic disparities in patients undergoing prostate MRI after receiving an elevated PSA test result.<\/p>\n The researchers found that compared with White patients, Black patients with PSA levels >4 ng\/mL and >10 ng\/mL were less likely to undergo subsequent prostate MRI (odds ratios [ORs], 0.78 and 0.65, respectively). Similar findings were seen for older Black patients (ages 65 to 74 years) with PSA >4 ng\/mL and >10 ng\/mL (ORs, 0.76 and 0.56, respectively). Subsequent prostate MRI was also less likely among Asian patients with PSA levels >4 ng\/mL (OR, 0.76) and Hispanic patients with PSA levels >10 ng\/mL (OR, 0.77) compared with White patients. There was no association between race and ethnicity and mean time between PSA and MRI.<\/p>\n “These results suggest that racial and ethnic disparities exist in the use of subsequent prostate magnetic resonance imaging, highlighting a need to better understand and mitigate physician decision-making biases and other potential sources of the disparities in the identification and management of prostate cancer,” the authors write.<\/p>\n