全国范围的前列腺特异性抗原基查和前列腺癌辅导调查
David F Friedlander1,2, Christian P Meyer1,2, Kevin Choi1,2
1Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School (CPM, KC, JH, GR, SRL, QDT), Boston, Massachusetts.
Urology practice
|August 18, 2023
概括
前列腺特异性抗原 (PSA) 查咨询在男性之间有很大差异,影响了知情决策. 年轻的男性和没有癌症病史的人获得PSA测试信息较少.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于前列腺特异性抗原 (PSA) 查存在争议,这是根据2012年美国预防性服务工作组的建议.
- 有限的数据评估了2012年后的PSA咨询模式和患者的看法.
- 这项研究考察了PSA查咨询和患者社会人口统计因素.
研究的目的:
- 评估前列腺特异性抗原查咨询与患者社会人口统计因素之间的关联.
- 了解自2012年以来PSA查和咨询的趋势.
- 发现患者和医疗服务提供者在PSA检测方面的决策不一致.
主要方法:
- 利用了2013年健康信息国家趋势调查的数据.
- 包括768名年龄在40-75岁的男性受访者,没有先前的前列腺癌诊断.
- 使用后勤回归来评估PSA查,咨询和使用的趋势.
主要成果:
- 54.1%的男性报告说曾经进行过PSA测试.
- 具有癌症病史或大学教育的男性更有可能接受测试.
- 年轻的男性 (40-49岁) 测试,讨论PSA或被告知查争议的几率较低.
结论:
- 在PSA查咨询中存在显著的差异.
- 这些差异可能会影响患者和医疗服务提供者的共同决策.
- 需要有针对性的干预措施来确保公平的PSA咨询.
相关概念视频
01:30Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
01:20Disorders of the Male Reproductive System
457
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
457