Alison Landrey|Daniel D. Matlock|Laura Andrews|Michael Bronsert|Tom Denberg
Shared Decision Making in Prostate-Specific Antigen Testing
University of Colorado Denver|University of Colorado Denver|University of Colorado Denver|University of Colorado Denver
professional societies recommend decision screen prostate cancer involves shared discussion patient provider many men tested without discussion prostate cancer screening decision aids increase patient knowledge participation prostatespecific antigen psa testing decisions ideal circumstances often resource intensive elaborate need evaluation interventions low cost low literacy practical widespread distribution authors evaluated effect mailed lowliteracy informational patient flyer psa test measures shared decision makinga pragmatic randomized controlled trial comparing mailed flyer versus usual care conducted among 303 men aged 50 74 years scheduled annual health maintenance exams 2 general internal medicine clinics university colorado university colorado hospital charts reviewed visits documentation psa screening discussions psa testing rates followup patient surveys assessed include perceived participation psa screening decisions knowledge psa test flyer acceptabilityrates chartdocumented psa discussions low difference flyer control groups 177 136 respectively p 28 rates psa testing also similar groups 625 vs 585 p 48 rates patientreported psa discussions higher documented rates also without differences groups 718 vs 623 p 22 intervention effect psa knowledge scores 355 vs 335 p 60 patients found flyer highly acceptablea mailed lowliteracy informational flyer well received patients effect rates psa discussions psa testing patient knowledge prostate cancer screening