Crowe Jane, Wootten Addie C, Howard Nicholas
Epworth Healthcare - Australian Prostate Cancer Research Centre, Level 2, 185 Hoddle Street, Richmond, Vic. 3121, Australia.
Aust J Prim Health. 2015;21(1):111-4. doi: 10.1071/PY13078.
The role of the General Practitioner (GP) in testing for and managing men with prostate cancer (PCa) is significant. Very few studies have explored the attitudes and practices of Australian GPs in the context of the role of PCa testing. In this study, a 46-item web-based questionnaire was used to assess self-reported PCa testing attitudes and practices of GPs. This questionnaire was circulated to divisions of general practice and Medicare locals for further distribution to their GP members across Australia. GPs from all states and territories participated, and a total of 136 GPs completed the survey. Of the responding GPs, 57% always or usually offered PCa testing to asymptomatic men ≤ 70 years of age and 60% of GPs always or usually included a digital rectal examination (DRE). Many (80%) of the GPs stated that the current PCa testing guidelines were not clear. PCa testing was offered opportunistically by 56% while 39% offered testing at the patient's request. The results captured in this study represent a snapshot of GP attitudes and practices from across Australia. The results presented indicate a wide variation in the approaches to PCa testing in general practice across Australia, which in most part appear to be related to the lack of clarity of the current prostate cancer testing guidelines.
全科医生（GP）在前列腺癌（PCa）检测和管理男性患者方面的作用重大。很少有研究探讨澳大利亚全科医生在PCa检测角色背景下的态度和做法。在本研究中，使用了一份包含46个条目的网络问卷来评估全科医生自我报告的PCa检测态度和做法。该问卷分发给了全科医学部门和医疗保险当地机构，以便进一步分发给其在澳大利亚各地的全科医生成员。来自所有州和领地的全科医生参与了调查，共有136名全科医生完成了调查。在做出回应的全科医生中，57%总是或通常会为70岁及以下无症状男性提供PCa检测，60%的全科医生总是或通常会进行直肠指检（DRE）。许多（80%）全科医生表示，当前的PCa检测指南不明确。56%的全科医生是机会性地提供PCa检测，而39%是应患者要求提供检测。本研究中获得的结果代表了澳大利亚各地全科医生态度和做法的一个快照。呈现的结果表明，澳大利亚全科医疗中PCa检测方法存在很大差异，在很大程度上这似乎与当前前列腺癌检测指南不够明确有关。
