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Screening by the prostate-specific antigen test: what do the patients know?

P N Diefenbach¹, P A Ganz, A J Pawlow

¹Department of Psychiatry, University of California, Los Angeles (UCLA) School of Medicine, USA.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education

|January 1, 1996

Summary

Many men are unaware of prostate cancer screening using the prostate-specific antigen (PSA) test. Improved patient education is crucial for informed decision-making regarding PSA testing.

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Area of Science:

Urology
Public Health
Health Services Research

Background:

Prostate cancer is the most common cancer in men, with screening recommended for men over 50.
The use of prostate-specific antigen (PSA) testing for screening remains a topic of debate.
Understanding patient awareness of PSA screening is essential for effective public health strategies.

Purpose of the Study:

To assess patient knowledge regarding the prostate-specific antigen (PSA) test.
To identify factors influencing patient understanding of PSA screening.
To evaluate the effectiveness of current information dissemination about PSA tests.

Main Methods:

A 15-item questionnaire was administered to outpatients at two Veterans Administration facilities.

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Data were collected two weeks after patients received PSA screening.

Demographic characteristics were analyzed in relation to PSA test knowledge.

Main Results:

Over 50% of participants had never heard of the PSA test and were unaware they had received it.
Higher education levels were significantly associated with greater PSA test knowledge.
A substantial gap exists in patient awareness and understanding of PSA screening.

Conclusions:

Patients may forget information, or providers may not adequately inform them about PSA screening.
There is a clear need for further research and interventions to enhance patient knowledge of PSA tests.
Improving patient comprehension of prostate cancer screening is vital for informed consent and adherence.