The PSA Testing Dilemma: GPs' Reports of Consultations with Asymptomatic Men
Author Information
Author(s): Alison Clements, Eila Watson, Tanvi Rai, Colleen Bukach, Brian Shine, Joan Austoker
Primary Institution: Cancer Research UK Primary Care Education Research Group, Department of Primary Health Care, University of Oxford
Hypothesis
To identify the degree to which the PCRMP guidance was reflected in GP consultations with asymptomatic men regarding PSA testing.
Conclusion
GPs recognize the importance of discussions about PSA testing, but do not consistently convey a full and balanced picture of its advantages and limitations.
Supporting Evidence
- All GPs reported discussing PSA testing with asymptomatic men.
- There was considerable variation in the detail provided by GPs during consultations.
- Many GPs emphasized the risks of false-positive and false-negative results.
- Few GPs discussed the potential for diagnosing indolent cancers.
Takeaway
Doctors talk to men about prostate cancer tests, but they don't always explain everything clearly, especially the risks and benefits.
Methodology
Qualitative interview study with semi-structured telephone interviews.
Potential Biases
GPs' personal opinions about PSA testing influenced the information they provided.
Limitations
The study had a small sample size and was limited to one regional area, which may not capture all experiences.
Participant Demographics
{"gender":{"male":15,"female":6},"time_practicing_years":{"<5":3,"5-15":6,"16-25":7,">25":5},"age_years":{"30-39":6,"40-49":6}}
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website