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    Most men prefer informed decision-making for PCa

    Patients find outreach event beneficial in making screening decision

    Participants in an outreach event for prostate cancer screening preferred education about prostate cancer prior to undergoing screening, and thought the use of an informed decision-making model was beneficial, researchers reported at the Genitourinary Cancers Symposium in Orlando, FL.

    According to first author Puneet Dhillon, DO, prostate cancer screening is a controversial topic and the 2012 U.S. Preventive Services Task Force guidelines do not support prostate cancer screening. However, prostate cancer is the most common cancer in American men, except for skin cancer, and the second leading cause of cancer-related death in men. (At press time, the USPSTF released an updated draft recommendation supporting individualized decision-making in men ages 55-69 years.)

    Puneet Dhillon, DODr. DhillonThe incidence and mortality from prostate cancer is higher in African-American men compared to that in Caucasian men, and African-American men are often diagnosed at a more advanced disease stage and have a poorer 5-year survival rate. This puts them in a higher risk category for being diagnosed with prostate cancer. Health-education programs and culturally appropriate educational outreach efforts, especially targeted for high-risk groups, are needed to reduce these disparities,” said Dr. Dhillon, hematology/oncology fellow at Providence-Providence Park Hospital, Southfield, MI, who worked on the study with Samir Abraksia, MD, of Cleveland Clinic, and co-authors.

    Also see: 18F-choline PET/CT detects PCa recurrences early

    The process of using informed decision-making is included in the guidelines of most organizations including the AUA, the European Association of Urology, and the American College of Preventive Medicine.

    “Clinical investigation has found that physicians find it difficult to provide comprehensive, unbiased education about screening to patients,” Dr. Dhillon told Urology Times. “Empowering men to participate in decision-making in the face of uncertainty about prostate screening represents a major challenge.”

    With this study, Dr. Dhillon and co-authors wanted to examine whether informed decision-making guidelines in a large high-risk group setting can improve knowledge on prostate cancer and screening decisions, and whether these programs ultimately benefit patients.

    The intervention included 106 participants in a 1-day outreach event. Participants were exposed to a 20-minute PowerPoint presentation that was scripted to facilitate consistency and minimize bias affecting screening decision, and was created according to information and guidelines from the American Cancer Society. Patients were given a 15-question pre- and post-test and were offered screening using PSA and digital rectal exam (DRE).

    Next: Most men favor education program


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