The confusion surrounding prostate cancer screening faced by family physicians

Hoag, Nathan; So, Alan

doi:10.5489/cuaj.12123

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Screening for prostate cancer remains controversial (Andriole et al, 2009; Esserman, Shieh, & Thompson, 2009; Friedrich, 2011; Hoag & So, 2012; Schroder et al, 2009; Welch & Albertsen, 2009). As such, patients frequently receive mixed messages including from the medical establishment.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions

2013

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Extensive research has focused on understanding family dynamics of men with prostate cancer. However, little qualitative work has examined the role of family ties on men’s prostate cancer decisions across the spectrum of screening, diagnosis, and treatment. Using data from a larger study, we qualitatively explored the influence of family ties on men’s prostate cancer decisions. Semistructured interviews were conducted with men ages ≥50 ( N = 64), and data were analyzed using a grounded theory approach and a series of immersion/crystallization cycles. Three major themes of spousal/family member influence were identified: (a) spousal/family member alliance marked by open communication and shared decision making, (b) men who actively opposed spouse/family member pressure and made final decisions themselves, and (c) men who yielded to spouse/family member pressure. Our findings provide insights into men’s relational dynamics that are important to consider for the shared decision-making process across the prostate cancer spectrum.

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Section: Discussionmentioning

confidence: 99%

The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions

2013

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“…In an effort to maximize benefits and minimize harm, several government and scientific entities have issued recommendations for the screening of prostate cancer. [6][7][8][9][10][11][12][13][14][15][16][17] Two problems, however, reduce the potential benefit that might derive from the issuing of these guidelines: any existing contradictions among them, 18 or insufficient disclosure or adoption thereof. 19 By means of a systematic review, our study aimed at (1) identifying the most up-to-date guidelines for PCa screening from the main national and international medical and governmental entities; (2) comparing the main recommendations of each one; and then (3) proposing a minimum core set of recommendations representing the majority of the overall recommendations that can be easily assimilated and implemented by the clinician.…”

Section: Introductionmentioning

confidence: 99%

Current guidelines for prostate cancer screening: A systematic review and minimal core proposal

Araújo

Oliveira

2018

Rev. Assoc. Med. Bras.

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Identifying Primary Care Physicians Continuing Education Needs by Examining Clinical Practices, Attitudes, and Barriers to Screening Across Multiple Cancers

et al. 2017

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Population-based cancer screening for cervical, breast, and colorectal cancers improves patient outcomes, yet screening rates remain low for some cancers. Despite studies investigating physician perceptions and practices for screening, many have focused on individual cancers and lack primary care physicians' (PCPs) realities around screening for multiple cancers. We surveyed 887 PCPs in British Columbia (BC) to examine practices, beliefs, barriers, and learning needs towards cancer screening across breast, cervical, colorectal, prostate, as well as hereditary predisposition to cancer. Survey results identified differences in PCPs belief in the benefit of screening for recommended and non-recommended routine cancer screening, PCPs adherence to screening guidelines for some cancers and physician comfort and patient testing requests related to physician gender for gender sensitive tests. Further, across cancers, screening barriers included patients with multiple health concerns (41%), limited time to discuss screening (36%), and lack of physician financial compensation to discuss screening (23%). The study highlighted the need for more physician education on screening programs, referral criteria, follow-up processes, and screening guidelines. Conferences (73%), self-directed (46%), small group workshops (42%), hospital rounds (41%), and online CME/CPD (39%) were highly preferred (4+5) for learning about cancer screening. The results suggest a need to improve awareness and adherence to screening guidelines and recommended practices, as well as to provide educational opportunities which address knowledge and practice gaps for physicians.

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The confusion surrounding prostate cancer screening faced by family physicians

Cited by 6 publications

References 10 publications

The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions

The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions

Current guidelines for prostate cancer screening: A systematic review and minimal core proposal

Identifying Primary Care Physicians Continuing Education Needs by Examining Clinical Practices, Attitudes, and Barriers to Screening Across Multiple Cancers

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