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Related Experiment Videos

Screening for prostate cancer: what do general practitioners think?

J Morris1, B McNoe

  • 1Hugh Adam Cancer Epidemiology Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin.

The New Zealand Medical Journal
|May 23, 1997
PubMed
Summary
This summary is machine-generated.

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Most New Zealand general practitioners screen men aged 50+ for prostate cancer using digital rectal examination (DRE) and prostate-specific antigen (PSA), despite limited evidence. Many believe these screening methods are effective for asymptomatic individuals.

Area of Science:

  • Urology
  • General Practice
  • Public Health

Background:

  • Prostate cancer screening using digital rectal examination (DRE) and prostate-specific antigen (PSA) is debated.
  • Guidelines from professional organizations increasingly advise against routine screening due to insufficient evidence.

Purpose of the Study:

  • To assess New Zealand general practitioners' (GPs) perspectives on prostate cancer screening.
  • To determine the current extent of prostate cancer screening practices in New Zealand general practice.

Main Methods:

  • A questionnaire survey was distributed to a random sample of 500 GPs.
  • 317 GPs completed the survey, providing data on their beliefs and screening practices.

Main Results:

Related Experiment Videos

  • Around 50% of GPs believed DRE and PSA are effective screening tools for prostate cancer.
  • A majority of GPs reported screening men aged 50 and over, irrespective of their beliefs on test efficacy.
  • GPs aged 50 and over were more likely to advocate for screening asymptomatic patients.

    • Conclusions:

    • Despite a lack of supporting evidence and evolving guidelines, most surveyed GPs are performing prostate cancer screening.
    • This indicates a potential gap between evidence-based recommendations and current clinical practice in New Zealand.