美国PSA测试共享决策的流行程度和决定因素
Naeem Bhojani1, Larry E Miller2, Kevin C Zorn1
1Division of Urology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Prostate cancer and prostatic diseases
|April 26, 2024
概括
大多数男性不参与前列腺特异性抗原 (PSA) 测试的共享决策 (SDM). 较低的教育水平显著减少了SDM对话,突出了改善患者-提供者沟通的需要.
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:
- 建议在前列腺特异性抗原 (PSA) 测试中进行共享决策 (SDM).
- 目前,PSA测试的SDM在美国人口中未得到充分利用.
- 本研究调查了影响PSA测试SDM的流行率和因素.
研究的目的:
- 确定美国男性中PSA检测SDM的流行率.
- 确定与缺乏PSA测试SDM相关的关键决定因素.
- 为改善PSA检测患者-医疗服务提供者沟通的策略提供信息.
主要方法:
- 分析了2019年国家健康访谈调查数据.
- 包括40岁以上没有前列腺癌史的男性.
- 多变量后勤回归和机器学习用于识别SDM决定因素.
主要成果:
- 在9723名参与者中,PSA终身检测率为45.9%,一年发病率为29.1%.
- 只有24.1%的人报告了SDM; 62.9%的人从未与医生讨论过PSA测试.
- 年龄较小和教育水平较低是SDM下降的主要决定因素.
结论:
- 尽管有建议,但大多数男性缺乏PSA测试的SDM对话.
- 较低的教育程度与减少的SDM参与度密切相关.
- 增强的患者-提供者沟通策略对于明智的PSA测试决策至关重要.
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