ArticleBMC family practice2007
The PSA testing dilemma: GPs' reports of consultations with asymptomatic men: a qualitative study.
Article in BMC family practice, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Perspectives of healthcare providers on osteoporosis, falls and fracture risk: a systematic review and thematic synthesis of qualitative studies.Archives of osteoporosis · 2024Pooled it
- Urologists' and general practitioners' knowledge, beliefs and practice relevant for opportunistic prostate cancer screening: a PRISMA-compliant systematic review.Frontiers in medicine · 2024Pooled it
- Article
- Optimising the use of the prostate- specific antigen blood test in asymptomatic men for early prostate cancer detection in primary care: report from a UK clinical consensus.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Article
- Article
- Delivering the unexpected-Information needs for PSA screening from Men's perspective: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Early detection of prostate cancer using prostate-specific antigen testing: an empirical evaluation among general practitioners and urologists.Cancer management and research · 2019Article
- Article
- Cyborgs in the Everyday: Masculinity and Biosensing Prostate Cancer.Science as culture · 2015Article
- Doctors' approaches to PSA testing and overdiagnosis in primary healthcare: a qualitative study.BMJ open · 2015Article
- Danish General Practitioners' Use of Prostate-Specific Antigen in Opportunistic Screening for Prostate Cancer: A Survey Comprising 174 GPs.International journal of family medicine · 2013Article
- Decision-making processes for breast, colorectal, and prostate cancer screening: the DECISIONS survey.Medical decision making : an international journal of the Society for Medical Decision MakingArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Health Service Prostate Cancer Risk Management Programme (PCRMP) has recommended that screening for prostate cancer is available for asymptomatic men, on the understanding that they have been provided with full and balanced information about the advantages and limitations of the prostate-specific antigen (PSA) test. Guidance has been distributed to all GPs in England and Wales to assist in the provision of information to men. This study aimed to elicit GPs' accounts of their discussions with asymptomatic men who consult with concerns about prostate cancer in order to identify the degree to which the PCRMP guidance was reflected in these consultations.
methodsQualitative interview study. Semi-structured telephone interviews with 21 GPs from 18 GP practices in Oxfordshire.
resultsAll GPs reported undertaking some discussion with asymptomatic men about the PSA test. They described focussing most of the discussion on the false-positive and false-negative rates of the test, and the risks associated with a prostate biopsy. They reported less discussion of the potential for diagnosing indolent cancers, the dilemmas regarding treatment options for localised prostate cancer and the potential benefits of testing. Considerable variation existed between GPs in their accounts of the degree of detail given, and GP's presentation of information appeared to be affected by their personal views of the PSA test.
conclusionThe GPs in this study appear to recognise the importance of discussions regarding PSA testing; however, a full and balanced picture of the associated advantages and limitations does not seem to be consistently conveyed. Factors specific to PSA testing which appeared to have an impact on the GPs' discussions were the GP's personal opinions of the PSA test, and the need to counter men's primarily positive views of the benefits of PSA testing. Awareness of the impact of their views on the consultations may help GPs give men a more balanced presentation of the benefits and limitations of the PSA test.
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