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Related Experiment Videos

Informed consent for PSA screening: does it happen?

D G Federman1, S Goyal, A Kamina

  • 1Section of General Internal Medicine, VA Connecticut Health Care System, West Haven, USA.

Effective Clinical Practice : ECP
|October 28, 1999
PubMed
Summary
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Many patients undergoing prostate-specific antigen (PSA) screening forget they had the test and are unaware of its risks and benefits. Re-evaluating informed consent for PSA screening is recommended.

Area of Science:

  • Urology
  • Public Health
  • Medical Decision Making

Background:

  • Prostate cancer screening using serum prostate-specific antigen (PSA) is a contentious issue in healthcare.
  • Effective patient communication regarding the benefits and risks of PSA testing is crucial for informed decision-making.

Purpose of the Study:

  • To evaluate patient recall of undergoing PSA screening.
  • To determine if patients remembered discussing the advantages and disadvantages of PSA testing with their primary care provider.

Main Methods:

  • A survey was administered to patients who received PSA screening ordered by a primary care practitioner.
  • Patients were queried about their health, knowledge, and attitudes regarding PSA screening and prostate cancer treatment approximately three months post-testing.

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Main Results:

  • Out of 421 patients, 197 responded (46% response rate).
  • 31% of eligible respondents without prostate cancer were unaware their physician ordered a PSA test.
  • Among patients aware of the test, only 47% recalled a discussion about its risks and benefits with their provider.

Conclusions:

  • Patients frequently lack recall of PSA screening facts, including associated risks and benefits.
  • The current methods for obtaining verbal informed consent for PSA screening require re-evaluation for effectiveness.