Association between features of patient-provider discussions and routine prostate-specific antigen testing

PloS One
Joshua M LiaoCheryl R Clark

Abstract

Although the US Preventive Services Task Force recommends against routine prostate cancer screening with prostate-specific antigen (PSA) testing, specialty organizations support screening via shared decision making between providers and selected patients. While discussions about advantages and disadvantages of testing are a feature of patient-centered care, it is unclear how provider recommendations and the presence of a personal doctor influence testing in the presence of such discussions. We used the 2013 Behavioral Risk Factor Surveillance System to identify 1,737 male respondents surveyed about their PSA testing decisions. We describe the prevalence of provider recommendations and utilize weighted multivariable logistic regression models to examine the impact of provider recommendations and presence of a personal doctor on routine testing while accounting for patient-provider discussions about advantages and disadvantages. The majority (70.4%) of respondents reported some form of discussion with providers about testing and most underwent screening in accordance with provider recommendations. In multivariable analyses, men whose providers had never recommended PSA test were less likely to receive screening [OR 0.03, 95% CI (...Continue Reading

References

Mar 5, 2010·CA: a Cancer Journal for Clinicians·Andrew M D WolfUNKNOWN American Cancer Society Prostate Cancer Advisory Committee
Mar 2, 2012·The New England Journal of Medicine·Michael J Barry, Susan Edgman-Levitan
Jul 10, 2013·Annals of Family Medicine·Paul K J HanCarrie N Klabunde
May 23, 2015·American Journal of Preventive Medicine·Jun LiIngrid J Hall
Nov 18, 2015·JAMA : the Journal of the American Medical Association·Ahmedin JemalElizabeth M Ward
Nov 18, 2015·JAMA : the Journal of the American Medical Association·Jesse D SammonQuoc-Dien Trinh

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Citations

Aug 29, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jennifer D AllenDonna L Berry

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