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Patient Opinions on Prostate Cancer Screening Are Swayed by the United States Preventative Services Task Force Recommendations
Objective To survey patient opinions on prostate cancer (PCa) screening in light of the United States Preventive Services Task Force recommendation against its use. Methods We conducted a survey of all-comers to urology and primary care clinics. Participants provided demographic information and resp...
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| Published in: | Urology (Ridgewood, N.J.) N.J.), 2014-08, Vol.84 (2), p.295-299 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Maurice, Matthew J Abouassaly, Robert |
| description | Objective To survey patient opinions on prostate cancer (PCa) screening in light of the United States Preventive Services Task Force recommendation against its use. Methods We conducted a survey of all-comers to urology and primary care clinics. Participants provided demographic information and responded to a 5-item questionnaire regarding their opinions on screening before and after reading opposing position statements. Results The overall response rate was 48%. After excluding incomplete questionnaires, 54 surveys were available for analysis. Patients were predominantly white, middle-aged and older, college-educated men with middle-to-upper-middle-class incomes who were seen at urology clinics. Patients rated their “pre” level of understanding of screening recommendations as good or very good (52%), okay (30%), and poor (19%). After reading the information sheets, good or very good understanding of screening recommendations improved (65%; P = .05), and agreement with the importance of screening remained high (80%). However, nearly 20% of patients expressed a more neutral or less favorable attitude toward the risk-benefit ratio of screening ( P = .09). Agreement that men should undergo screening, that screening helps detect cancer, and that screening saves lives remained high, regardless of the exposure. Conclusion Overall, patients favor PCa screening, but heightened awareness of the current controversy raises concerns about its potential harms. PCa screening is a complex issue, and insight into changing public opinion will be crucial to our future discussions with patients who are wrestling with the decision whether to undergo screening. |
| doi_str_mv | 10.1016/j.urology.2014.04.026 |
| format | article |
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Methods We conducted a survey of all-comers to urology and primary care clinics. Participants provided demographic information and responded to a 5-item questionnaire regarding their opinions on screening before and after reading opposing position statements. Results The overall response rate was 48%. After excluding incomplete questionnaires, 54 surveys were available for analysis. Patients were predominantly white, middle-aged and older, college-educated men with middle-to-upper-middle-class incomes who were seen at urology clinics. Patients rated their “pre” level of understanding of screening recommendations as good or very good (52%), okay (30%), and poor (19%). After reading the information sheets, good or very good understanding of screening recommendations improved (65%; P = .05), and agreement with the importance of screening remained high (80%). However, nearly 20% of patients expressed a more neutral or less favorable attitude toward the risk-benefit ratio of screening ( P = .09). Agreement that men should undergo screening, that screening helps detect cancer, and that screening saves lives remained high, regardless of the exposure. Conclusion Overall, patients favor PCa screening, but heightened awareness of the current controversy raises concerns about its potential harms. PCa screening is a complex issue, and insight into changing public opinion will be crucial to our future discussions with patients who are wrestling with the decision whether to undergo screening.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2014.04.026</identifier><identifier>PMID: 24929945</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Attitude to Health ; Biological and medical sciences ; Early Detection of Cancer - utilization ; Gynecology. Andrology. Obstetrics ; Humans ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Patient Education as Topic ; Practice Guidelines as Topic ; Prostatic Neoplasms - diagnosis ; Surveys and Questionnaires ; Tumors ; Tumors of the urinary system ; United States ; Urinary tract. Prostate gland ; Urology ; Young Adult</subject><ispartof>Urology (Ridgewood, N.J.), 2014-08, Vol.84 (2), p.295-299</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-62fea5808e98fbe482aca1b4e5600807afe55960b412e5842a5212f172a6a6bb3</citedby><cites>FETCH-LOGICAL-c520t-62fea5808e98fbe482aca1b4e5600807afe55960b412e5842a5212f172a6a6bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28739861$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24929945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maurice, Matthew J</creatorcontrib><creatorcontrib>Abouassaly, Robert</creatorcontrib><title>Patient Opinions on Prostate Cancer Screening Are Swayed by the United States Preventative Services Task Force Recommendations</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objective To survey patient opinions on prostate cancer (PCa) screening in light of the United States Preventive Services Task Force recommendation against its use. Methods We conducted a survey of all-comers to urology and primary care clinics. Participants provided demographic information and responded to a 5-item questionnaire regarding their opinions on screening before and after reading opposing position statements. Results The overall response rate was 48%. After excluding incomplete questionnaires, 54 surveys were available for analysis. Patients were predominantly white, middle-aged and older, college-educated men with middle-to-upper-middle-class incomes who were seen at urology clinics. Patients rated their “pre” level of understanding of screening recommendations as good or very good (52%), okay (30%), and poor (19%). After reading the information sheets, good or very good understanding of screening recommendations improved (65%; P = .05), and agreement with the importance of screening remained high (80%). However, nearly 20% of patients expressed a more neutral or less favorable attitude toward the risk-benefit ratio of screening ( P = .09). Agreement that men should undergo screening, that screening helps detect cancer, and that screening saves lives remained high, regardless of the exposure. Conclusion Overall, patients favor PCa screening, but heightened awareness of the current controversy raises concerns about its potential harms. PCa screening is a complex issue, and insight into changing public opinion will be crucial to our future discussions with patients who are wrestling with the decision whether to undergo screening.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Early Detection of Cancer - utilization</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Patient Education as Topic</subject><subject>Practice Guidelines as Topic</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Surveys and Questionnaires</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>United States</subject><subject>Urinary tract. Prostate gland</subject><subject>Urology</subject><subject>Young Adult</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFklGLEzEQgBdRvHr6E5S8CPeydZJuspsX5SieCgd32LvnkE1nz_S2SU22lX3xtztLq4IvQmBI-GYmfDNF8ZrDnANX7zbzfYp9fBjnAng1BzpCPSlmXIq61FrLp8UMQENZCS3Pihc5bwBAKVU_L85EpYXWlZwVP2_t4DEM7Gbng48hsxjYbYp5sAOypQ0OE1u5hBh8eGCXCdnqhx1xzdqRDd-Q3Qc_0G018Zky8UDVqOaBQEwH7-j1zuZHdhWTQ_YVXdxuMawJoW4vi2ed7TO-OsXz4v7q493yc3l98-nL8vK6dFLAUCrRoZUNNKibrsWqEdZZ3lYoFUADte1QSq2grbhA2VTCSsFFx2thlVVtuzgvLo51dyl-32MezNZnh31vA8Z9NlxWmjeLWmhC5RF1ZCEn7Mwu-a1No-FgJvVmY07qzaTeAB2hKO_NqcW-3eL6T9Zv1wS8PQE2O9t3ieT6_Jdr6oVuFCfuw5FDEnLwmEx2NCKHa5_QDWYd_X-_8v6fCq6n6VLTRxwxb-I-BbJtuMnCgFlNezKtCa8AFhQWvwAYaLsa</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Maurice, Matthew J</creator><creator>Abouassaly, Robert</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Patient Opinions on Prostate Cancer Screening Are Swayed by the United States Preventative Services Task Force Recommendations</title><author>Maurice, Matthew J ; Abouassaly, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-62fea5808e98fbe482aca1b4e5600807afe55960b412e5842a5212f172a6a6bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Early Detection of Cancer - utilization</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Patient Education as Topic</topic><topic>Practice Guidelines as Topic</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Surveys and Questionnaires</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>United States</topic><topic>Urinary tract. Prostate gland</topic><topic>Urology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maurice, Matthew J</creatorcontrib><creatorcontrib>Abouassaly, Robert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maurice, Matthew J</au><au>Abouassaly, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient Opinions on Prostate Cancer Screening Are Swayed by the United States Preventative Services Task Force Recommendations</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>84</volume><issue>2</issue><spage>295</spage><epage>299</epage><pages>295-299</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective To survey patient opinions on prostate cancer (PCa) screening in light of the United States Preventive Services Task Force recommendation against its use. Methods We conducted a survey of all-comers to urology and primary care clinics. Participants provided demographic information and responded to a 5-item questionnaire regarding their opinions on screening before and after reading opposing position statements. Results The overall response rate was 48%. After excluding incomplete questionnaires, 54 surveys were available for analysis. Patients were predominantly white, middle-aged and older, college-educated men with middle-to-upper-middle-class incomes who were seen at urology clinics. Patients rated their “pre” level of understanding of screening recommendations as good or very good (52%), okay (30%), and poor (19%). After reading the information sheets, good or very good understanding of screening recommendations improved (65%; P = .05), and agreement with the importance of screening remained high (80%). However, nearly 20% of patients expressed a more neutral or less favorable attitude toward the risk-benefit ratio of screening ( P = .09). Agreement that men should undergo screening, that screening helps detect cancer, and that screening saves lives remained high, regardless of the exposure. Conclusion Overall, patients favor PCa screening, but heightened awareness of the current controversy raises concerns about its potential harms. PCa screening is a complex issue, and insight into changing public opinion will be crucial to our future discussions with patients who are wrestling with the decision whether to undergo screening.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>24929945</pmid><doi>10.1016/j.urology.2014.04.026</doi><tpages>5</tpages></addata></record> |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Adolescent Adult Aged Attitude to Health Biological and medical sciences Early Detection of Cancer - utilization Gynecology. Andrology. Obstetrics Humans Male Male genital diseases Medical sciences Middle Aged Nephrology. Urinary tract diseases Patient Education as Topic Practice Guidelines as Topic Prostatic Neoplasms - diagnosis Surveys and Questionnaires Tumors Tumors of the urinary system United States Urinary tract. Prostate gland Urology Young Adult |
| title | Patient Opinions on Prostate Cancer Screening Are Swayed by the United States Preventative Services Task Force Recommendations |
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