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Attitudes and Knowledge of Primary Care Physicians Regarding Prostate Cancer Screening

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Abstract

Recently, several prospective randomized prostate cancer screening studies have been reported. We report the results of a questionnaire administered to primary care physicians (PCPs) to determine their attitudes on prostate cancer screening and compared these results to those obtained when the same questionnaire was administered to a different large cohort of PCPs in 2006 prior to the reporting of these randomized studies. A 24-item questionnaire designed to assess prostate cancer knowledge and screening attitudes was administered to PCPs within central Florida and those PCPs attending a state conference. Completed surveys were returned and analyzed. All reported p values were two-sided, and those p values less than 0.05 were considered to be statistically significant. Seven hundred and eighty PCPs received the study questionnaire, and 168 (22 %) PCPs returned the completed questionnaire. Sixty-eight percent of responders stated that they recommend prostate cancer screening to >75 % of their patients over the age of 50 years, up from 47 % in 2006 (p < 0.001). Seventy-four percent of responders felt screening was effective. The overall mean score of the knowledge survey was 66 %, which was similar to the cohort from 2006. Knowledge scores were not associated with screening attitudes and behaviors. On multivariate analysis, practice setting and percentage of Medicaid patients in the practice were associated with attitude scores. Our current findings imply that despite the recent landmark studies published on prostate cancer screening, PCPs’ screening attitudes have changed minimally over the past 5 years.

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Abbreviations

PCP:

Primary care physician

PSA:

Prostate-specific antigen

PCLO:

Prostate, lung, colorectal, and ovarian

ERSPC:

The European Randomized Study of Screening for Prostate Cancer

DRE:

Digital rectal examination

USPSTF:

US Preventive Services Task Force

References

  1. Catalona WJ, Smith DS, Ratliff TL, Basler JW (1993) Detection of organ-confined prostate cancer is increased through prostate-specific antigen-based screening. JAMA 270(8):948–954

    Article  CAS  PubMed  Google Scholar 

  2. Viani GA, Stefano EJ, Afonso SL (2009) Higher-than-conventional radiation doses in localized prostate cancer treatment: a meta-analysis of randomized, controlled trials. Int J Radiat Oncol Biol Phys 74(5):1405–1418

    Article  PubMed  Google Scholar 

  3. Ficarra V, Novara G, Artibani W, Cestari A, Galfano A, Graefen M, Guazzoni G, Guillonneau B, Menon M, Montorsi F, Patel V, Rassweiler J, Van Poppel H (2009) Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol 55(5):1037–1063

    Article  PubMed  Google Scholar 

  4. Antonarakis ES, Blackford AL, Garrett-Mayer E, Eisenberger MA (2007) Survival in men with nonmetastatic prostate cancer treated with hormone therapy: a quantitative systematic review. J Clin Oncol 25(31):4998–5008

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Colli JL, Amling CL (2008) Exploring causes for declining prostate cancer mortality rates in the United States. Urol Oncol 26(6):627–633

    Article  PubMed  Google Scholar 

  6. Schröder FH, Hugosson J, Roobol MJ, Tammela TL, Ciatto S, Nelen V, Kwiatkowski M, Lujan M, Lilja H, Zappa M, Denis LJ, Recker F, Páez A, Määttänen L, Bangma CH, Aus G, Carlsson S, Villers A, Rebillard X, van der Kwast T, Kujala PM, Blijenberg BG, Stenman UH, Huber A, Taari K, Hakama M, Moss SM, de Koning HJ, Auvinen A, ERSPC Investigators (2012) Prostate-cancer mortality at 11 years of follow-up. N Engl J Med 366(11):981–990, Erratum in N Engl J Med. 2012 May 31;366(22):2137

    Article  PubMed  Google Scholar 

  7. Hugosson J, Carlsson S, Aus G, Bergdahl S, Khatami A, Lodding P, Pihl CG, Stranne J, Holmberg E, Lilja H (2010) Mortality results from the Göteborg randomised population-based prostate-cancer screening trial. Lancet Oncol 11((8)):725–732, Epub 2010 Jul 2

    Article  PubMed Central  PubMed  Google Scholar 

  8. Andriole GL, Crawford ED, Grubb RL 3rd, Buys SS, Chia D, Church TR, Fouad MN, Gelmann EP, Kvale PA, Reding DJ, Weissfeld JL, Yokochi LA, O’Brien B, Clapp JD, Rathmell JM, Riley TL, Hayes RB, Kramer BS, Izmirlian G, Miller AB, Pinsky PF, Prorok PC, Gohagan JK, Berg CD, PLCO Project Team (2009) Mortality results from a randomized prostate-cancer screening trial. N Engl J Med 360(13):1310–1319

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Philips GK, Reinier K, Ashikaga T et al (2005) Attitudes and beliefs of primary care physicians regarding prostate and colorectal cancer screening in a rural state. J Cancer Educ 20:167–172

    Article  PubMed  Google Scholar 

  10. Curran V, Solberg S, Mathews M et al (2005) Prostate cancer screening attitudes and continuing education needs of primary care physicians. J Cancer Educ 20:162–166

    Article  PubMed  Google Scholar 

  11. Pendleton J, Curry RW, Kaserian A, Chang M, Anai S, Nakamura K, Abdoush P, Rosser CJ (2008) Knowledge and attitudes of primary care physicians regarding prostate cancer screening. J Natl Med Assoc 100(6):666–670

    PubMed  Google Scholar 

  12. Siegel R, Naishadham D, Jemal A (2012) Cancer statistics 2012. CA Cancer J Clin 62(1):10–29

    Article  PubMed  Google Scholar 

  13. Moyer VA, on behalf of the U.S. Preventive Services Task Force (2012) Screening for prostate cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 157(2):120–134

    Article  PubMed  Google Scholar 

  14. AAFP (2013) AAFP, USPSTF issue final recommendation against routine PSA-based screening for prostate cancer. http://www.aafp.org/online/en/home/publications/news/news-now/health-of-the-public/20120522psascreenrec.html. Accessed September 4, 2012.

  15. Schrag D, Hanger M (2007) Medical oncologists’ views on communicating with patients about chemotherapy costs: a pilot survey. J Clin Oncol 25(2):233–237

    Article  PubMed  Google Scholar 

  16. Florida Department of Health (2012) Physician workforce annual report 2012. http://www.doh.state.fl.us/Workforce/Workforce/Annual_Reports/PhysicianWorkforceAnnualReport2012.pdf. Accessed July 31, 2013.

  17. Kellerman SE, Herold J (2001) Physician response to surveys. A review of the literature. Am J Prev Med 20(1):61–67

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

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Conflict of Interest

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. College of Medicine, University of Central Florida, Orlando, FL, 32827, USA

    Kelly Johnson & Charles J. Rosser

  2. Department of Biostatistics, University of Florida, Gainesville, FL, 32611, USA

    Myron Chang & Yilun Sun

  3. Section of Urologic Oncology, MD Anderson Cancer Center Orlando, 1400 S. Orange Ave, Orlando, FL, 32806, USA

    Makito Miyake & Charles J. Rosser

Authors
  1. Kelly Johnson
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  2. Myron Chang
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  3. Yilun Sun
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  4. Makito Miyake
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  5. Charles J. Rosser
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Correspondence to Charles J. Rosser.

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Johnson, K., Chang, M., Sun, Y. et al. Attitudes and Knowledge of Primary Care Physicians Regarding Prostate Cancer Screening. J Canc Educ 28, 679–683 (2013). https://doi.org/10.1007/s13187-013-0533-6

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  • DOI: https://doi.org/10.1007/s13187-013-0533-6

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