Primary care perspective and implementation of a multidisciplinary, institutional prostate cancer screening algorithm embedded in the electronic health record

Urologic Oncology
Alireza AminsharifiThomas J Polascik

Abstract

In response to controversy regarding prostate cancer (CaP) screening recommendations, a consolidated Duke Cancer Institute (DCI) multidisciplinary algorithm for CaP screening was developed and implemented. We conducted an online survey within the year following its implementation to assess primary care provider (PCP) attitudes and adoption as well as to evaluate how this program affects screening rates. A web-based 18-item survey was programmed and was electronically mailed to practicing PCPs at clinics affiliated with the Duke Primary Care system. The survey assessed provider practices and attitudes regarding CaP screening, factors that influenced their general screening recommendations and the confidence related to communicating with patients about screening. The rate of PSA screening before and after implementation of the algorithm was reported across age and race categories. In sum, 94 of 106 respondents (88.6%) reported discussing the benefits and harms of screening and let their patients decide (52.8%) or recommended for (31.1%) or against (4.7%) screening. Three-fourths of respondents followed a specific panel recommendation such as the United States Preventative Services Task Force (USPSTF) (48.1%), DCI (20%), or the Am...Continue Reading

References

Jan 13, 2004·Preventive Medicine·Crystale Purvis CooperCynthia M Jorgensen

Jun 23, 2009·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Sandeep MistryBrian Miles
Sep 30, 2009·Archives of Internal Medicine·Richard M HoffmanMichael J Barry
Nov 22, 2011·World Journal of Urology·Andrew J Vickers, Hans Lilja
Dec 29, 2011·JAMA : the Journal of the American Medical Association·H Gilbert Welch
Jun 16, 2012·European Urology·Marc A Dall'EraMark S Soloway
Jan 16, 2013·Annals of Family Medicine·Robert J VolkStephen J Spann
May 11, 2013·The Journal of Urology·H Ballentine CarterAnthony L Zietman
Apr 11, 2015·BMC Medicine·Eric H Kim, Gerald L Andriole
Jun 10, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Michael W DrazerScott E Eggener
Oct 30, 2016·Lancet·Stephen A Martin, Christine A Sinsky
May 11, 2016·Journal of the National Comprehensive Cancer Network : JNCCN·Peter R CarrollDeborah A Freedman-Cass
Jan 19, 2018·Therapeutic Advances in Urology·Malhar P PatelThomas J Polascik
May 26, 2018·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceChien-Wen Tseng

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Citations

Jul 3, 2021·The Urologic Clinics of North America·Rohith ArcotThomas J Polascik

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