Factors prompting PSA-testing of asymptomatic men in a country with no guidelines: a national survey of general practitioners
2009

Factors Influencing PSA Testing in Asymptomatic Men by GPs in Ireland

Sample size: 3683 publication Evidence: moderate

Author Information

Author(s): Drummond Frances J, Carsin Anne-Elie, Sharp Linda, Comber Harry

Primary Institution: National Cancer Registry, Ireland

Hypothesis

What factors influence general practitioners' practices regarding PSA testing of asymptomatic men in Ireland?

Conclusion

The study found that PSA testing of asymptomatic men is influenced by clinical experience, knowledge gaps, and the personal beliefs of GPs, highlighting the need for better education and national guidelines.

Supporting Evidence

  • 79% of GPs would PSA test asymptomatic men.
  • 34% would test men under 50 years and 51% would test men over 75 years.
  • 91% of respondents supported the development of national PSA testing guidelines.

Takeaway

Most doctors in Ireland test men for prostate cancer even if they don't have symptoms, often because of their own experiences and beliefs.

Methodology

A postal survey was sent to 3,683 GPs, with 1,625 responding, to assess their practices and beliefs regarding PSA testing.

Potential Biases

Respondents may have provided socially desirable answers regarding their PSA testing practices.

Limitations

The study relied on self-reported data from GPs, which may be subject to bias.

Participant Demographics

{"gender":{"male":1094,"female":529},"age":{"≤ 39":305,"40–49":516,"50–59":534,"> 60":253},"time_in_practice":{"≤ 5":139,"6–10":196,"11–20":488,"21–30":480,"> 30":293}}

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-10-3

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