Physician perspectives on the importance of facts men ought to know about prostate-specific antigen testing
Physician perspectives on the importance of facts men ought to know about prostate-specific antigen testing
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DOI：
10.1046/j.1525-1497.2003.20626.x
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发表时间：
2003-05-01
影响因子：
5.7
通讯作者：
Ahn, C
中科院分区：
文献类型：
--
作者：
Chan, ECY;Vernon, SW;Ahn, C
目的：确定医生对男性应该了解的前列腺特异性抗原 (PSA) 筛查的关键事实的重要性的评分，以及不同专业之间是否存在差异。参与者：根据 2000 年版 ABMS 官方认证医学专家名录中的医生专业对全国范围内的内科医生、家庭医生和泌尿科医生进行随机抽样。测量对象：内科医生 (N=139)、家庭医生 (N=160) 和泌尿科医生(N=151) 被要求评价男性使用 5 点李克特量表了解 PSA 筛查的 17 个事实的重要性。主要结果：在 769 名符合资格的医生中，450 名做出了回应，总体回应率为 59%。泌尿科医生和非泌尿科医生对男性了解 17 个关键事实中的 9 个事实的重要性的评价不同。泌尿科医师和非泌尿科医师对反映不确定性的事实存在不同意见的九项陈述中有八项。非泌尿科医生比泌尿科医生更有可能认为反映不确定性的事实对男性来说非常重要。其中包括有关前列腺癌风险、PSA 筛查和治疗的陈述。结论：尽管有专业指南支持明智的决策，但男性应该了解的有关 PSA 检测的事实的重要性因医生专业而异。系统差异可能反映了有关 PSA 检测的专业指南的差异。
Objective: To determine physicians' rating of the importance of key facts men ought to know about prostate-specific antigen (PSA) screening and whether there are differences by specialty.Participants: A nationwide random sample of internists, family physicians, and urologists stratified by physician specialty from The Official ABMS Directory of Board-Certified Medical Specialists 2000 Edition.Measurements: Internists (N=139), family physicians (N=160), and urologists (N=151) were asked to rate how important it is for men to know 17 facts about PSA screening using a 5-point Likert scale.Main Results: Of 769 eligible physicians, 450 responded, for an overall response rate of 59%. Urologists and nonurologists differed in rating how important it was for men to know 9 of the 17 key facts. Eight of the nine statements that urologists and nonurologists disagreed upon concerned facts reflecting uncertainty. Nonurologists were more likely than urologists to rate facts reflecting uncertainty as highly important for men to know. These included statements about prostate cancer risk, screening with PSA, and treatment.Conclusions: Despite professional guidelines supporting informed decision making, the importance of facts men ought to know about PSA testing differ by physician specialty. Systematic differences may reflect differences in professional guidelines about PSA testing.