SynthesisAmerican journal of preventive medicine2018
Prostate Cancer Screening Patient Decision Aids: A Systematic Review and Meta-analysis.
Synthesis in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses 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
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Efficacy of decision aid delivery modes in prostate cancer screening: umbrella review and network meta-analysis.BJU international · 2025Pooled it
- Pooled it
- Improving Breast Cancer Outcomes by Enhanced Activities in Early Detection and Diagnosis: An Umbrella Review and Meta-Analyses of Randomised Controlled Trials in High-Income Contexts With Universal Healthcare Coverage.Cancer control : journal of the Moffitt Cancer CenterPooled it
- Effect of Prostate Cancer Education on Saudi Men: Knowledge, Beliefs, and Screening Intentions.Asian Pacific journal of cancer prevention : APJCP · 2024Trial
- Decision aid and cost compensation influence uptake of PSA-based early detection without affecting decisional conflict: a cluster randomised trial.Scientific reports · 2021Trial
- The effect of information on prostate cancer screening decision process: a discrete choice experiment.BMC health services research · 2020Trial
- Psychological distress, decision-making, and health behaviors among prostate cancer survivors with urinary incontinence: A scale- and symptom-level network analysis.Asia-Pacific journal of oncology nursing · 2026Article
- Exploring shared decision-making in prostate cancer screening within primary health care settings in Portugal: a cross-sectional study.BMC primary care · 2026Article
- Comparative Effectiveness of Decision Aids for Cancer-Screening Decision Making: An Overview of Reviews.Journal of general internal medicine · 2024Review
- Shared decision-making before prostate cancer screening decisions.Nature reviews. Urology · 2024Review
- A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care: A Pilot Study.Applied clinical informatics · 2024Article
- Modelling tool to support decision-making in the NHS Health Check programme: workshops, systematic review and co-production with users.Health technology assessment (Winchester, England) · 2021Article
- Effect of a Prostate Cancer Screening Decision Aid for African-American Men in Primary Care Settings.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Preparing African American Men to Make Informed Prostate Cancer Screening Decisions: Development and Pilot Testing of an Interactive Online Decision Aid.JMIR mHealth and uHealth · 2020Article
- Prostate Cancer-based Interventions' Efficacy on Knowledge and Adherence Intention to Healthy Lifestyle among Men.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Patients' views about screening for atrial fibrillation (AF): a qualitative study in primary care.BMJ open · 2020Article
- The Effect of Prostate Cancer Educational Program on the level of Knowledge and Intention to Screen among Jordanian Men in Amman.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Cancer overdiagnosis: a biological challenge and clinical dilemma.Nature reviews. Cancer · 2019Review
- Epidemiology and Implementation of Cancer Prevention in Disparate Populations and Settings.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2019Review
- Patient Communication Preferences for Prostate Cancer Screening Discussions: A Scoping Review.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
5 authors.
Funding
Abstract
contextAlthough screening recommendations for prostate cancer using prostate-specific antigen testing often include shared decision making, the effect of patient decision aids on patients' intention and uptake is unclear. This study aimed to review the effect of decision aids on men's screening intention, screening utilization, and the congruence between intentions and uptake. EVIDENCE ACQUISITION: Data sources were searched through April 6, 2018, and included MEDLINE, Scopus, CENTRAL, CT.gov, Cochrane report, PsycARTICLES, PsycINFO, and reference lists. This study included RCTs and observational studies of decision aids that measured prostate screening intention or behavior. The analysis was completed in April 2018. EVIDENCE SYNTHESIS: Eighteen studies (13 RCTs, four before-after studies, and one non-RCT) reported data on screening intention for ≅8,400 men and screening uptake for 2,385 men. Compared with usual care, the use of decision aids in any format results in fewer men (aged ≥40 years) planning to undergo prostate-specific antigen testing (risk ratio=0.88, 95% CI=0.81, 0.95, p=0.006, I
conclusionsIntegration of decision aids in clinical practice may result in a decrease in the number of men who elect prostate-specific antigen testing, which may in turn reduce screening uptake. To ensure high congruence between intention and screening utilization, providers should not delay the shared decision-making discussion after patients use a decision aid.
Indexed as
Identifiers
What OpenQuestion holds
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.