2012年USPSTF查PSA指南声明的影响:初级保健提供者实践模式和态度的变化
Alexander Miller1, Jennifer Yates1, Mara M Epstein1
1University of Massachusetts Medical School, Worcester, Massachusetts.
Urology practice
|August 18, 2023
概括
美国预防服务工作组 (USPSTF) 2012年指南声明显著改变了初级保健提供者之间的前列腺特异抗原 (PSA) 查实践. 许多医生改变了他们的查习惯,并对PSA查表示担忧.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 预防医学 预防医学
- 主要护理是指初级护理.
背景情况:
- 2012年美国预防服务工作组 (USPSTF) 准则声明对前列腺癌前列腺特异抗原 (PSA) 查进行了重大改变.
- 这些USPSTF建议对初级保健提供者 (PCP) 关于PSA查的做法和态度的影响仍然不完全理解.
研究的目的:
- 评估2012年USPSTF指南声明对PCP关于前列腺癌的查实践,态度和知识的影响.
- 在发布USPSTF关于PSA查的建议后,描述PCP行为和感知的变化.
主要方法:
- 在一个学术医疗保健系统中,向大约350名PCP分发了一份包含25个问题的电子调查.
- 调查回复是匿名收集的,以确保对PSA查的实践模式和态度提供坦率的反.
主要成果:
- 总共有73名PCP (21%的响应率) 报告说,由于USPSTF的建议,他们的PSA查实践发生了变化.
- 35%的受访者指出,数字直肠检查 (DRE) 使用率有所下降,尽管DRE在指南中没有明确提到.
- 相当一部分的PCP (33%) 认为PSA查在前列腺癌死亡率下降中没有作用,70%的人认为它可能会造成更多伤害,而不是好处,但对错过诊断的医疗法律担忧普遍存在.
结论:
- 2012年USPSTF的声明显然影响了PCP对前列腺癌查的态度和实践模式,即使是在一个学术中心内.
- 需要采取教育举措,以提高PCP对USPSTF声明,美国泌尿病学协会指导方针的理解,以及对PSA查进行适当的患者选择.
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
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:19Standards of Care II
678
Nurses bear specific legal responsibilities under several federal statutes, including:
678
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595