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. ; ... More +
Rim, Sun Hee ; Hall, Ingrid J. ; Richards, Thomas B. ; Thompson, Trevor D. ; Richardson, Lisa C. ; Ross, Louie E. ; Plescia, Marcus ; Less -
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.
Subject:
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Article
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 HHS/United States ;
Place as Subject:
United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:eb83c2f8d6ae53f342a0b5211c06503cf27fdf0c0871b21b772d97441b1faff3
File Type:

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