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Showing content from https://pubmed.ncbi.nlm.nih.gov/38168921/ below:

Shared decision-making before prostate cancer screening decisions

Review

Affiliations

• ¹ Department of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, NY, USA.
• ² Icahn School of Medicine at Mount Sinai, New York, NY, USA.
• ³ Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
• ⁴ Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA.
• ⁵ Department of Population Health, New York University, New York, NY, USA.
• ⁶ Department of Urology, New York University and Manhattan Veterans Affairs Medical Center, New York, NY, USA.
• ⁷ Department of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, NY, USA. carlssos@mskcc.org.
• ⁸ Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. carlssos@mskcc.org.
• ⁹ Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. carlssos@mskcc.org.
• ¹⁰ Department of Translational Medicine, Division of Urological Cancers, Medical Faculty, Lund University, Lund, Sweden. carlssos@mskcc.org.

• PMID: 38168921
• PMCID: PMC11250989 (available on 2025-06-01)
• DOI: 10.1038/s41585-023-00840-0

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Review

Kelly R Pekala et al. Nat Rev Urol. 2024 Jun.

• ¹ Department of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, NY, USA.
• ² Icahn School of Medicine at Mount Sinai, New York, NY, USA.
• ³ Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
• ⁴ Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA.
• ⁵ Department of Population Health, New York University, New York, NY, USA.
• ⁶ Department of Urology, New York University and Manhattan Veterans Affairs Medical Center, New York, NY, USA.
• ⁷ Department of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, NY, USA. carlssos@mskcc.org.
• ⁸ Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. carlssos@mskcc.org.
• ⁹ Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. carlssos@mskcc.org.
• ¹⁰ Department of Translational Medicine, Division of Urological Cancers, Medical Faculty, Lund University, Lund, Sweden. carlssos@mskcc.org.

• PMID: 38168921
• PMCID: PMC11250989 (available on 2025-06-01)
• DOI: 10.1038/s41585-023-00840-0

Item in Clipboard

Decisions around prostate-specific antigen screening require a patient-centred approach, considering the benefits and risks of potential harm. Using shared decision-making (SDM) can improve men's knowledge and reduce decisional conflict. SDM is supported by evidence, but can be difficult to implement in clinical settings. An inclusive definition of SDM was used in order to determine the prevalence of SDM in prostate cancer screening decisions. Despite consensus among guidelines endorsing SDM practice, the prevalence of SDM occurring before the decision to undergo or forgo prostate-specific antigen testing varied between 11% and 98%, and was higher in studies in which SDM was self-reported by physicians than in patient-reported recollections and observed practices. The influence of trust and continuity in physician-patient relationships were identified as facilitators of SDM, whereas common barriers included limited appointment times and poor health literacy. Decision aids, which can help physicians to convey health information within a limited time frame and give patients increased autonomy over decisions, are underused and were not shown to clearly influence whether SDM occurs. Future studies should focus on methods to facilitate the use of SDM in clinical settings.

© 2024. Springer Nature Limited.

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Competing Interests:

S.V.C. has received travel reimbursement and honorarium from Ipsen and has served on an advisory board for Prostatype Genomics. The other authors declare no competing interests.

• Limited Evidence of Shared Decision Making for Prostate Cancer Screening in Audio-Recorded Primary Care Visits Among Black Men and their Healthcare Providers.

  Stevens ER, Thomas J, Martinez-Lopez N, Fagerlin A, Ciprut S, Shedlin M, Gold HT, Li H, Davis JK, Campagna A, Bhat S, Warren R, Ubel P, Ravenell JE, Makarov DV. Stevens ER, et al. J Immigr Minor Health. 2024 Oct;26(5):866-877. doi: 10.1007/s10903-024-01606-5. Epub 2024 Jun 1. J Immigr Minor Health. 2024. PMID: 38822923 Free PMC article.

• PROSHADE Protocol: Designing and Evaluating a Decision Aid for Promoting Shared Decision Making in Opportunistic Screening for Prostate Cancer: A Mix-Method Study.

  Lumbreras B, Parker LA, Alonso-Coello P, Mira-Bernabeu J, Gómez-Pérez L, Caballero-Romeu JP, Pertusa-Martínez S, Cebrián-Cuenca A, Moral-Peláez I, López-Garrigós M, Canelo-Aybar C, Ronda E, Guilabert M, Prieto-González A, Hernández-Aguado I. Lumbreras B, et al. Int J Environ Res Public Health. 2022 Jul 22;19(15):8904. doi: 10.3390/ijerph19158904. Int J Environ Res Public Health. 2022. PMID: 35897274 Free PMC article.

• Men's Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis.

  Arvendell M, Phillips L, Delilovic S, Enelius MB, Olsson K, Bolejko A, Akre O, Carlsson S, Richter A, Lantz A. Arvendell M, et al. Eur Urol Open Sci. 2024 Dec 27;71:156-164. doi: 10.1016/j.euros.2024.12.007. eCollection 2025 Jan. Eur Urol Open Sci. 2024. PMID: 39834916 Free PMC article.

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