ArticleAmerican journal of preventive medicine2001
Physician-patient discussions of controversial cancer screening tests.
Article in American journal of preventive medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed.
- Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system.BMC medical informatics and decision making · 2022Trial
- The development of a web- and a print-based decision aid for prostate cancer screening.BMC medical informatics and decision making · 2010Trial
- The effect of limited english proficiency on prostate-specific antigen screening in American men.World journal of urology · 2024Article
- Barriers and facilitators of shared decision-making in prostate cancer screening in primary care: A systematic review.Preventive medicine reports · 2024Review
- Patient Perceptions of Using Clinical Decision Support for Cancer Screening and Prevention: "I wouldn't have thought about getting screened without it."Journal of patient-centered research and reviews · 2021Article
- A Genetic Risk Score to Personalize Prostate Cancer Screening, Applied to Population Data.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Prostate-Specimen Antigen (PSA) Screening and Shared Decision Making Among Deaf and Hearing Male Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Article
- Understanding primary care providers' perceptions of cancer prevention and screening in a predominantly rural healthcare system in the upper Midwest.BMC health services research · 2019Article
- Screening for prostate cancer: are organized screening programs necessary?Translational andrology and urology · 2018Article
- Article
- Patient and Physician Factors Associated with Undisclosed Prostate Cancer Screening in a Sample of Predominantly Immigrant Black Men.Journal of immigrant and minority health · 2017Observational
- Barbershop Prostate Cancer Education: Factors Associated With Client Knowledge.American journal of men's health · 2017Article
- Barbershop Prostate Cancer Education: Factors Associated With Client Knowledge.American journal of men's health · 2017Article
- Patient-reported Limitations to Surgical Buy-in: A Qualitative Study of Patients Facing High-risk Surgery.Annals of surgery · 2017Article
- Primary Care Physicians' Support of Shared Decision Making for Different Cancer Screening Decisions.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- Do Men Receive Information Required for Shared Decision Making About PSA Testing? Results from a National Survey.Journal of cancer education : the official journal of the American Association for Cancer Education · 2016Article
- Muslim immigrant women's views on cervical cancer screening and HPV self-sampling in Ontario, Canada.BMC public health · 2016Article
- Clinician Factors Associated With Prostate-Specific Antigen Screening in Older Veterans With Limited Life Expectancy.JAMA internal medicine · 2016Article
- The knowledge value-chain of genetic counseling for breast cancer: an empirical assessment of prediction and communication processes.Familial cancer · 2016Article
- Breast cancer screening disparities among urban immigrants: a population-based study in Ontario, Canada.BMC public health · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundScreening mammography for younger women and prostate-specific antigen (PSA) measurement have controversial benefits and known potential adverse consequences. While providing informed consent and eliciting patient preference have been advocated for these tests, little is known about how often these discussions take place or about barriers to these discussions.
methodsWe administered a survey to medical house staff and attending physicians practicing primary care. The survey examined physicians' likelihood of discussing screening mammography and PSA testing, and factors influencing the frequency and quality of these discussions.
resultsFor the three scenarios, 16% to 34% of physicians stated that they do not discuss the screening tests. The likelihood of having a discussion was significantly associated with house staff physicians' belief that PSA screening is advantageous; house staff and attending physicians' intention to order a PSA test, and attending physicians' intention to order a mammogram; and a controversial indication for screening. The most commonly identified barriers to discussions were lack of time, the complexity of the topic, and a language barrier.
conclusionsPhysicians report they often do not discuss cancer screening tests with their patients. Our finding that physicians' beliefs and intention to order the tests, and extraneous factors such as time constraints and a language barrier, are associated with discussions indicates that some patients may be inappropriately denied the opportunity to choose whether to screen for breast and prostate cancer.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.