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US Primary Care Physicians’ Prostate Cancer Screening Practices: A Vignette-Based Analysis of Screening Men at High Risk
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Jan 01 2014
Source: Health Serv Res Manag Epidemiol. 1
[PDF-102.03 KB]
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Alternative Title:Health Serv Res Manag Epidemiol
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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.
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Pubmed ID:27104210
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Pubmed Central ID:PMC4836062
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