Evidence map›Paper›PMID 29182649›Full record

SynthesisPloS one2017

Men's perspectives of prostate cancer screening: A systematic review of qualitative studies.

Laura J James, Germaine Wong, Jonathan C Craig, Camilla S Hanson, Angela Ju, Kirsten Howard, Tim Usherwood, Howard Lau, Allison Tong

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Qualitative studies on men with prostate cancer: a systematic meta-synthesis.International journal of qualitative studies on health and well-being · 2025
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  7. Why Most Australians Consider It Valuable to Find Harmless Abnormalities with Diagnostic Tests: A Mixed-Methods Study.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
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  17. Factors Influencing Prostate Cancer Screening Intentions in Lebanese Men.Asian Pacific journal of cancer prevention : APJCP · 2024
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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

9 authors at 3 institutions in 1 country.

Laura J JamesSydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-0635-8420
Germaine WongSydney School of Public Health, The University of Sydney, Sydney, Australia.
Jonathan C CraigSydney School of Public Health, The University of Sydney, Sydney, Australia.
Camilla S HansonSydney School of Public Health, The University of Sydney, Sydney, Australia.
Angela JuSydney School of Public Health, The University of Sydney, Sydney, Australia.
Kirsten HowardCentre for Kidney Research, The Children's Hospital at Westmead, Westmead, Australia.
Tim UsherwoodDepartment of General Practice, Westmead Clinical School, The University of Sydney, Sydney, Australia.
Howard LauDepartment of Urology, Westmead Hospital, Westmead, Australia.
Allison TongSydney School of Public Health, The University of Sydney, Sydney, Australia.
The University of Sydney · AUChildren's Hospital at Westmead · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate cancer is the most commonly diagnosed non-skin cancer in men. Screening for prostate cancer is widely accepted; however concerns regarding the harms outweighing the benefits of screening exist. Although patient's play a pivotal role in the decision making process, men may not be aware of the controversies regarding prostate cancer screening. Therefore we aimed to describe men's attitudes, beliefs and experiences of prostate cancer screening.

methodsSystematic review and thematic synthesis of qualitative studies on men's perspectives of prostate cancer screening. Electronic databases and reference lists were searched to October 2016.

findingsSixty studies involving 3,029 men aged from 18-89 years, who had been screened for prostate cancer by Prostate Specific Antigen (PSA) or Digital Rectal Examination (DRE) and not screened, across eight countries were included. Five themes were identified: Social prompting (trusting professional opinion, motivation from family and friends, proximity and prominence of cancer); gaining decisional confidence (overcoming fears, survival imperative, peace of mind, mental preparation, prioritising wellbeing); preserving masculinity (bodily invasion, losing sexuality, threatening manhood, medical avoidance); avoiding the unknown and uncertainties (taboo of cancer-related death, lacking tangible cause, physiological and symptomatic obscurity, ambiguity of the procedure, confusing controversies); and prohibitive costs.

conclusionsMen are willing to participate in prostate cancer screening to prevent cancer and gain reassurance about their health, particularly when supported or prompted by their social networks or healthcare providers. However, to do so they needed to mentally overcome fears of losing their masculinity and accept the intrusiveness of screening, the ambiguities about the necessity and the potential for substantial costs. Addressing the concerns and priorities of men may facilitate informed decisions about prostate cancer screening and improve patient satisfaction and outcomes.

Indexed as

Attitude to HealthAdolescentAdultAgedAged, 80 and overHumansMaleMiddle AgedProstatic NeoplasmsYoung Adult

Identifiers

PMID29182649
PMCPMC5705146
OpenAlexW2770706036

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.