ArticleBMC family practice2009
Primary care physicians' reported use of pre-screening discussions for prostate cancer screening: a cross-sectional survey.
Article in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
20 citing papers in PubMed.
- Exploring shared decision-making in prostate cancer screening within primary health care settings in Portugal: a cross-sectional study.BMC primary care · 2026Article
- Limited Evidence of Shared Decision Making for Prostate Cancer Screening in Audio-Recorded Primary Care Visits Among Black Men and their Healthcare Providers.Journal of immigrant and minority health · 2024Article
- Development and validation of a rapid psychosocial well-being screening tool in patients with metastatic breast cancer.International journal of nursing sciences · 2022Article
- Article
- 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
- Physician behaviors to promote informed decisions for prostate cancer screening: a National Research Network study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2014Article
- US Primary Care Physicians' Prostate Cancer Screening Practices: A Vignette-Based Analysis of Screening Men at High Risk.Health services research and managerial epidemiology · 2014Article
- African american primary care physicians' prostate cancer screening practices.Journal of primary care & community health · 2014Article
- Prostate cancer screening: a complicated puzzle, explanation needed.Journal of general internal medicine · 2013Article
- Prostate cancer screening in men ages 75 and older fell by 8 percentage points after Task Force recommendation.Health affairs (Project Hope) · 2013Article
- Article
- Primary care providers' response to the US Preventive Services Task Force draft recommendations on screening for prostate cancer.Archives of internal medicine · 2012Article
- Prostate cancer screening practices of African-American and non-African-American US primary care physicians: a cross-sectional survey.International journal of general medicine · 2012Article
- The impact of PSA testing frequency on prostate cancer incidence and treatment in older men.Prostate cancer and prostatic diseases · 2011Article
- Discussions about prostate cancer screening between U.S. primary care physicians and their patients.Journal of general internal medicine · 2011Article
- Physicians' attitudes about shared decision making for prostate cancer screening.Family medicine · 2011Article
- Use of electronic medical records to identify patients at risk for prostate cancer in an academic institution.Prostate cancer and prostatic diseases · 2011Article
- Patient-centered discussions about prostate cancer screening: a real-world approach.Annals of internal medicine · 2010Article
- Variations in prostate biopsy practice: A quantitative questionnaire-based study.Canadian Urological Association journal = Journal de l'Association des urologues du CanadaArticle
- Primary care physicians' use of an informed decision-making process for prostate cancer screening.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundProfessional medical organizations recommend individualized patient decision making about prostate cancer screening. Little is known about primary care physicians' use of pre-screening discussions to promote informed decision making for prostate cancer screening. The aim of this study is to explore physicians' use of pre-screening discussions and reasons why physicians would or would not try to persuade patients to be screened if they initially refuse testing.
methodsPrimary care physicians completed a self-administered survey about prostate cancer screening practices for informed decision making.
resultsSixty-six physicians (75.9%) completed the survey, and 63 were used in the analysis. Thirteen physicians (20.6%) reported not using prescreening discussions, 45 (71.4%) reported the use of prescreening discussions, and 3 (4.8%) reported neither ordering the PSA test nor discussing it with patients. Sixty-nine percent of physicians who reported not having discussions indicated they were more likely to screen African American patients for prostate cancer, compared to 50% of physicians who reported the use of discussions (Chi-square(1) = 1.62, p = .20). Similarly, 91% of physicians who reported not having discussions indicated they are more likely to screen patients with a family history of prostate cancer, compared to 46% of those who reported the use of discussion (Chi-square(1) = 13.27, p < .001). Beliefs about the scientific evidence and efficacy of screening, ethical concerns regarding patient autonomy, and concerns about time constraints differed between physicians who would and would not try to persuade a patient to be tested.
conclusionAlthough guidelines recommend discussing the risks and benefits of prostate cancer screening, physicians report varying practice styles. Future research needs to consider the nature of discussions and the degree to which informed decision making is being achieved in clinical practice.
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Registered trials
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