Evidence map›Paper›PMID 24785399›Full record

Trial reportBMJ open2014

A Community Jury on PSA screening: what do well-informed men want the government to do about prostate cancer screening--a qualitative analysis.

Lucie Rychetnik, Jenny Doust, Rae Thomas, Robert Gardiner, Geraldine Mackenzie, Paul Glasziou

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Public Engagement in Health Policy-Making for Older Adults: A Systematic Search and Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
  6. A community jury study exploring the public acceptability of using risk stratification to determine eligibility for cancer screening.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  7. Article
  8. 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 · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Valuing Healthcare Improvement: Implicit Norms, Explicit Normativity, and Human Agency.Health care analysis : HCA : journal of health philosophy and policy · 2018
    Article
  13. CJCheck Stage 1: development and testing of a checklist for reporting community juries - Delphi process and analysis of studies published in 1996-2015.Health expectations : an international journal of public participation in health care and health policy · 2017
    Article
  14. Article
  15. Mode of prostate cancer detection is associated with the psychological wellbeing of survivors: results from the PiCTure study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  16. Article
  17. Cystic fibrosis: to screen or not to screen? Involving a Citizens' jury in decisions on screening carrier.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Lucie RychetnikSchool of Medicine Sydney, University of Notre Dame Australia, Sydney, New South Wales, Australia.
Jenny Doust
Rae Thomas
Robert Gardiner
Geraldine Mackenzie
Paul Glasziou
Bond University · AURoyal Brisbane and Women's Hospital · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCancer screening policies and programmes should take account of public values and concerns. This study sought to determine the priorities, values and concerns of men who were 'fully informed' about the benefits and harms of prostate-specific antigen (PSA) screening; and empirically examine the value of a community jury in eliciting public values on PSA screening.

settingCommunity jury was convened on the Gold Coast, Queensland (Australia) to consider PSA screening benefits and harms, and whether government campaigns on PSA screening should be conducted.

participants27 men (volunteers) aged 50-70 with no personal history of prostate cancer and willing to attend jury 6-7 April 2013: 12 were randomly allocated to jury (11 attended). OUTCOME MEASURES: A qualitative analysis was conducted of the jury deliberations (audio-recorded and transcribed) to elicit the jury's views and recommendations. A survey determined the impact of the jury process on participants' individual testing decisions compared with control group.

resultsThe jury concluded governments should not invest in programmes focused on PSA screening directed at the public because the PSA test did not offer sufficient reassurance or benefit and could raise unnecessary alarm. It recommended an alternative programme to support general practitioners to provide patients with better quality and more consistent information about PSA screening. After the jury, participants were less likely to be tested in the future compared with the controls, but around half said they would still consider doing so.

conclusionsThe jury's unanimous verdict about government programmes was notable in the light of their divergent views on whether or not they would be screened themselves in the future. Community juries provide valuable insights into the priorities and concerns of men weighing up the benefits and harms of PSA screening. It will be important to assess the degree to which the findings are generalisable to other settings.

Indexed as

Health PolicyPublic OpinionAgedAttitude to HealthEarly Detection of CancerGovernment ProgramsHumansMaleMass ScreeningMiddle AgedProstate-Specific AntigenProstatic NeoplasmsQueenslandRisk AssessmentProstate-Specific AntigenPublic HealthQualitative Research

Identifiers

PMID24785399
PMCPMC4010814
OpenAlexW2027680922

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.