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05:19
A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
Exploring patient perceptions of PSA screening for prostate cancer: risks, effectiveness, and importance
Scott D Smith1, Richard Birtwhistle
1Hospitalist Group, Kelowna General Hospital, 2268 Pandosy St, Kelowna, BC V1Y 1T2. scott.smith@utoronto.ca
Canadian Family Physician Medecin De Famille Canadien
|September 14, 2012
Summary
Canadian men widely believe prostate-specific antigen (PSA) screening for prostate cancer is safe and important. However, they are largely unaware of potential adverse events, despite limited evidence of its effectiveness.
Area of Science:
- Urology
- Public Health
- Preventive Medicine
Background:
- Prostate cancer screening using prostate-specific antigen (PSA) testing is a common practice.
- Patient beliefs significantly influence screening decisions and adherence.
- Understanding men's perceptions of PSA screening is crucial for informed decision-making.
Purpose of the Study:
- To investigate Canadian men's beliefs about the risks, effectiveness, and importance of routine PSA screening for prostate cancer.
Main Methods:
- A questionnaire-based study was conducted in two primary care clinics in Kingston, Ontario.
- Seventy-two men aged 41-80 participated.
- Beliefs regarding PSA test risk, effectiveness in preventing death, and health importance were assessed.
Main Results:
- Of 57 participants, 95% perceived PSA screening as not risky.
- 68% believed PSA testing was effective at preventing prostate cancer death.
- 79% considered routine PSA testing important for their health.
Conclusions:
- Canadian men generally hold favorable views on PSA screening for prostate cancer.
- Awareness of potential adverse events associated with PSA testing appears low.
- These positive perceptions persist despite limited evidence supporting screening effectiveness.
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