TY - JOUR
T1 - Patient–Provider Communication About Prostate Cancer Screening and Treatment
T2 - New Evidence From the Health Information National Trends Survey
AU - Bhuyan, Soumitra S.
AU - Chandak, Aastha
AU - Gupta, Niodita
AU - Isharwal, Sudhir
AU - LaGrange, Chad
AU - Mahmood, Asos
AU - Gentry, Dan
N1 - Publisher Copyright:
© 2015, © The Author(s) 2015.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - The American Urological Association, American Cancer Society, and American College of Physicians recommend that patients and providers make a shared decision with respect to prostate-specific antigen (PSA) testing for prostate cancer (PCa). The goal of this study is to determine the extent of patient–provider communication for PSA testing and treatment of PCa and to examine the patient specific factors associated with this communication. Using recent data from the Health Information National Trends Survey, this study examined the association of patient characteristics with four domains of patient–provider communication regarding PSA test and PCa treatment: (1) expert opinion of PSA test, (2) accuracy of PSA test, (3) side effects of PCa treatment, and (4) treatment need of PCa. The current results suggested low level of communication for PSA testing and treatment of PCa across four domains. Less than 10% of the respondents report having communication about all four domains. Patient characteristics like recent medical check-up, regular healthcare provider, global health status, age group, marital status, race, annual household income, and already having undergone a PSA test are associated with patient–provider communication. There are few discussions about PSA testing and PCa treatment options between healthcare providers and their patients, which limits the shared decision-making process for PCa screening and treatment as recommended by the current best practice guidelines. This study helps identify implications for changes in physician practice to adhere with the PSA screening guidelines.
AB - The American Urological Association, American Cancer Society, and American College of Physicians recommend that patients and providers make a shared decision with respect to prostate-specific antigen (PSA) testing for prostate cancer (PCa). The goal of this study is to determine the extent of patient–provider communication for PSA testing and treatment of PCa and to examine the patient specific factors associated with this communication. Using recent data from the Health Information National Trends Survey, this study examined the association of patient characteristics with four domains of patient–provider communication regarding PSA test and PCa treatment: (1) expert opinion of PSA test, (2) accuracy of PSA test, (3) side effects of PCa treatment, and (4) treatment need of PCa. The current results suggested low level of communication for PSA testing and treatment of PCa across four domains. Less than 10% of the respondents report having communication about all four domains. Patient characteristics like recent medical check-up, regular healthcare provider, global health status, age group, marital status, race, annual household income, and already having undergone a PSA test are associated with patient–provider communication. There are few discussions about PSA testing and PCa treatment options between healthcare providers and their patients, which limits the shared decision-making process for PCa screening and treatment as recommended by the current best practice guidelines. This study helps identify implications for changes in physician practice to adhere with the PSA screening guidelines.
KW - Prostate-specific antigen (PSA) testing
KW - general health and wellness
KW - health communication
KW - healthcare issues
KW - prostate cancer
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U2 - 10.1177/1557988315614082
DO - 10.1177/1557988315614082
M3 - Article
C2 - 26614441
AN - SCOPUS:85006427536
SN - 1557-9883
VL - 11
SP - 134
EP - 146
JO - American Journal of Men's Health
JF - American Journal of Men's Health
IS - 1
ER -