Ruff Peter A, Marotte Jeffrey B, Terris Martha K
Section of Urology, Medical College of Georgia, Augusta, GA 30904, USA.
Mil Med. 2005 Feb;170(2):154-7.
We asked what factors influence primary care providers' decision to screen patients for prostate cancer.
A survey completed by 175 Veterans Affairs primary care providers queried whether patient anxiety, family history, race, and other assorted risk factors increased their likelihood of screening for prostate cancer. Subsequent questions assessed the degree to which various factors, such as age, comorbidities, and lack of interest, decreased their likelihood of screening.
The African American race increased the tendency for screening for 84.6%, followed by a family history of prostate cancer for 73.3%. Life expectancy of less than 5 years substantially decreased the tendency to screen for only 42.3%. Only 28% thought that age of more than 75 years was a deterrent to screening.
Veterans Affairs primary care providers recognize the need to aggressively screen African Americans and men with a family history of prostate cancer. However, they often screen men with a limited life expectancy or advanced age.
我们探究了哪些因素会影响初级保健提供者对患者进行前列腺癌筛查的决策。
一项由175名退伍军人事务部初级保健提供者完成的调查询问了患者焦虑、家族史、种族以及其他各种风险因素是否会增加他们对前列腺癌进行筛查的可能性。随后的问题评估了年龄、合并症和缺乏兴趣等各种因素在多大程度上降低了他们进行筛查的可能性。
非裔美国人种族使筛查倾向增加了84.6%，其次是前列腺癌家族史，为73.3%。预期寿命不足5年使筛查倾向大幅降低，仅为42.3%。只有28%的人认为75岁以上的年龄是筛查的阻碍。
退伍军人事务部初级保健提供者认识到有必要积极筛查非裔美国人和有前列腺癌家族史的男性。然而，他们经常对预期寿命有限或年龄较大的男性进行筛查。
