US Primary Care Physicians’ Prostate Cancer Screening Practices: A Vignette-Based Analysis of Screening Men at High Risk

Details

• Alternative Title:
  Health Serv Res Manag Epidemiol
• Personal Author:
  Rim, Sun Hee ; Hall, Ingrid J. ; Richards, Thomas B. ; Thompson, Trevor D. ; Richardson, Lisa C. ; Ross, Louie E. ; Plescia, Marcus
• Description:
  Background
  
  Limited information exists on primary care physicians’ (PCPs) use of the prostate-specific antigen (PSA) test by patient risk category. We describe PCP responses to hypothetical patient scenario (PS) involving PSA testing among high-risk asymptomatic men.
  
  Methods
  
  Data were from the 2007 to 2008 National Survey of Primary Care Physicians’ Practices Regarding Prostate Cancer Screening. PS#1: healthy 55-year-old white male with no family history of prostate cancer; PS#2: healthy 45-year-old African American male with no family history of prostate cancer; and PS#3: healthy 50-year-old male with a family history of prostate cancer. Data were analyzed in SAS/SUDAAN.
  
  Results
  
  Most PCPs indicated that they generally discuss the possible benefits/risks of PSA testing with the patient and then recommend the test (PS#1–PS#3 range, 53.4%–68.7%; P < .001); only about 1% reported discussing and then recommending against the test. For PS#3, compared to PS#1 and #2, PCPs were more likely to discuss and recommend the test or attempt to persuade the patient who initially declines the test. For PS#3, all clinicians generally would order/discuss the PSA test and not rely on the patient to ask.
  
  Conclusion
  
  Clinicians treat family history as an important reason to recommend, persuade, and initiate PSA testing.
  
  
• Keywords:
  Health Literacy Primary Care Physician Practices Prostate-specific Antigen Test Use Prostate Cancer Prostate Cancer Screening
• Source:
  Health Serv Res Manag Epidemiol. 1
• Pubmed ID:
  27104210
• Pubmed Central ID:
  PMC4836062
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:eb83c2f8d6ae53f342a0b5211c06503cf27fdf0c0871b21b772d97441b1faff3
• Download URL:
  https://stacks.cdc.gov/view/cdc/39082/cdc_39082_DS1.pdf
• File Type:
  [PDF - 102.03 KB ]