Do Men need Shared Decision-making for PSA Testing?

by Hannah Joy on  March 14, 2018 at 11:36 AM Cancer News
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In the US, there has been no increase in shared decision-making for prostate-specific antigen (PSA) testing. However, discussions have broadened among patients with prostate cancer.
Do Men need Shared Decision-making for PSA Testing?
Do Men need Shared Decision-making for PSA Testing?

Although health care organizations differ in their recommendations for use of prostate-specific antigen (PSA) testing for prostate cancer screening, they agree that the decision to undergo PSA testing should be shared by patients and clinicians.

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The study compared responses to the National Health Interview Survey in 2010 and 2015 among men age 50 and older (n=9598).

In this nationally representative sample, a similar proportion (approximately 60 percent) of men with recent PSA testing reported one or more elements of shared decision-making in both 2010 and 2015.

They also reported a modest shift away from discussions limited to the advantages of PSA testing toward full shared decision-making in which advantages, disadvantages, and uncertainties were discussed (12 percent of recently-tested men in 2010 compared to 17 percent in 2015).

One in 10 men who did not receive PSA testing reported receiving one or more elements of shared decision-making, a number which did not change during the study period.

The results suggest that, contrary to guideline recommendations, many men receiving PSA testing still do not receive shared decision-making and a limited number of men without PSA testing receive one or more shared decision-making elements.

The authors call for new and innovative strategies to achieve more widespread application of shared decision-making for men considering PSA testing.



Source: Eurekalert

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