ArticleCancer2012
Primary care providers' perspectives on discontinuing prostate cancer screening.
Article in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Influencing Primary Care Practitioners' Cancer Screening Recommendations for Older Adults: a Systematic Review.Journal of general internal medicine · 2023Pooled it
- Federal Housing Assistance and Stage at Cancer Diagnosis Among Older Adults in the US.JAMA network open · 2025Article
- Why do older adults stop cancer screening? Findings from the Medicare Current Beneficiary Survey.Journal of the American Geriatrics Society · 2025Article
- PSA testing in primary care: is it time to change our practice?BMC primary care · 2024Review
- A qualitative study of primary care clinician's approach to ending cervical cancer screening in older women in the United States.Preventive medicine reports · 2023Article
- Perceived Barriers Among Clinicians and Older Adults Aged 65 and Older Regarding Use of Life Expectancy to Inform Cancer Screening: A Narrative Review and Comparison.Medical care research and review : MCRR · 2023Review
- Initial Longitudinal Outcomes of Risk-Stratified Men in Their Forties Screened for Prostate Cancer Following Implementation of a Baseline Prostate-Specific Antigen.The world journal of men's health · 2023Article
- A mixed-methods study of multi-level factors influencing mammography overuse among an older ethnically diverse screening population: implications for de-implementation.Implementation science communications · 2021Article
- Examining primary care physician rationale for not following geriatric choosing wisely recommendations.BMC family practice · 2021Article
- Clinician Perspectives on Overscreening for Cancer in Older Adults With Limited Life Expectancy.Journal of the American Geriatrics Society · 2020Article
- Assessment of Clinician Decision-making on Cancer Screening Cessation in Older Adults With Limited Life Expectancy.JAMA network open · 2020Article
- Examining Generalizability of Older Adults' Preferences for Discussing Cessation of Screening Colonoscopies in Older Adults with Low Health Literacy.Journal of general internal medicine · 2019Article
- Communicating About Stopping Cancer Screening: Comparing Clinicians' and Older Adults' Perspectives.The Gerontologist · 2019Article
- Demographic, health, and attitudinal factors predictive of cancer screening decisions in older adults.Preventive medicine reports · 2019Article
- Factors Related to Prostate-Specific Antigen-Based Prostate Cancer Screening in Primary Care: Retrospective Cohort Study of 120,587 French Men Over the Age of 50 Years.JMIR public health and surveillance · 2018Article
- Linking physician attitudes to their breast cancer screening practices: A survey of US primary care providers and gynecologists.Preventive medicine · 2018Article
- Exploring factors that might influence primary-care provider discussion of and recommendation for prostate and colon cancer screening.International journal of general medicine · 2018Article
- Similar perspectives on prostate cancer screening value and new guidelines across patient demographic and PSA level subgroups: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Older Adults' Views and Communication Preferences About Cancer Screening Cessation.JAMA internal medicine · 2017Article
- Discussion Strategies That Primary Care Clinicians Use When Stopping Cancer Screening in Older Adults.Journal of the American Geriatrics Society · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundClinical guidelines recommend against routine prostate-specific antigen (PSA) screening for older men and for those with lower life expectancies. The authors of this report examined providers' decision-making regarding discontinuing PSA screening.
methodsA survey of primary providers from a large, university-affiliated primary care practice was administered. Providers were asked about their current screening practices, factors that influenced their decision to discontinue screening, and barriers to discontinuing screening. Bivariate and multivariable logistic regression analyses were used to examine whether taking age and/or life expectancy into account and barriers to discontinuing were associated with clinician characteristics and practice styles.
resultsOne hundred twenty-five of 141 providers (88.7%) participated in the survey. Over half (59.3%) took both age and life expectancy into account, whereas 12.2% did not consider either in their decisions to discontinue PSA screening. Providers varied in the age at which they typically stopped screening patients, and the majority (66.4%) reported difficulty in assessing life expectancy. Taking patient age and life expectancy into account was not associated with provider characteristics or practice styles. The most frequently cited barriers to discontinuing PSA screening were patient expectation (74.4%) and time constraints (66.4%). Black providers were significantly less likely than nonblack providers to endorse barriers related to time constraints and clinical uncertainty, although these results were limited by the small sample size of black providers.
conclusionsAlthough age and life expectancy often figured prominently in decisions to use screening, providers faced multiple barriers to discontinuing routine PSA screening.
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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.