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

Health Services Research & Managerial Epidemiology

Sun HeeRim¹ 

关键词: prostate-specific antigen test use;    primary care physician practices;    prostate cancer screening;    prostate cancer;    health literacy;   

DOI  :  10.1177/2333392814562909

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

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 ...

【 授权许可】

CC BY