Tours University, Tours, France.
GRC n°5, Predictive Onco-Urology, APHP, Sorbonne University, Hôpital Pitié-Salpêtrière, Urology, 75013, Paris, France.
World J Urol. 2024 Jan 27;42(1):58. doi: 10.1007/s00345-023-04707-2.
Testicular cancer (TC) predominantly affects young men and early detection enhances survival. However, uncertainty surrounds the impact of population-wide screening. Testicular self-examination (TSE) is a simple detection method but there is a gap in current practices that needs to be assessed. Our goal was to assess the perceptions and knowledge of male subjects in the general population (MP) and general practitioners (GPs) regarding TSE for TC.
Two distinct surveys evaluating knowledge and perceptions of TSE for TC were administered to GPs and MP, aged 15‒45-years. Factors that could favour the realisation of TSE or improve the knowledge of TC were evaluated by multivariable logistic regression.
Overall, 1048 GPs (mean (SD) age: 35.1 ± 10.3 years) and 1032 MP (mean (SD) age: 27 ± 8.2 years) answered the survey. Among the GPs, only 93 (8.9%) performed scrotal examination for TC screening. Although the majority (n = 993, 94.8%) were aware of the age of onset of TC, most (n = 768, 73.3%) did not know the overall survival rate from TC. GPs familiar with the guidelines were more likely to explain TSE to their patients (OR = 2.5 [95% CI 1.5‒4.1]; p < 0.01). Among the MP, 800 (77.5%) admitted that they did not know how to perform TSE and 486 (47.1%) did not know the main symptoms associated with TC. MP who had already undergone TC screening were more likely to be familiar with the main symptoms (OR = 2.1 [95% CI 1.6‒2.7]; p < 0.001) and MP who knew someone with TC or who had already undergone TC screening were more likely to be aware of the correct prevalence of TC (OR = 1.9 [95% CI 1.3‒2.7], p < 0.01; and OR = 1.6 [95% CI 1.2‒2.1], p < 0.01; respectively).
The knowledge of both GPs and MP regarding TC could be improved. TSE screening and knowing someone close with TC improved the awareness of our subjects.
睾丸癌（TC）主要影响年轻男性，早期发现可提高生存率。然而，人群筛查的影响仍存在不确定性。睾丸自我检查（TSE）是一种简单的检测方法，但目前的实践中存在差距，需要进行评估。我们的目标是评估普通人群（MP）和全科医生（GP）中男性对 TC 进行 TSE 的认知和知识。
对年龄在 15-45 岁的 GP 和 MP 进行了两项评估 TC 进行 TSE 的知识和认知的独立调查。使用多变量逻辑回归评估有利于实现 TSE 或提高 TC 知识的因素。
共有 1048 名 GP（平均（SD）年龄：35.1±10.3 岁）和 1032 名 MP（平均（SD）年龄：27±8.2 岁）回答了调查。在 GP 中，只有 93 名（8.9%）进行了 TC 筛查的阴囊检查。尽管大多数（n=993，94.8%）知道 TC 的发病年龄，但大多数（n=768，73.3%）不知道 TC 的总体生存率。熟悉指南的 GP 更有可能向患者解释 TSE（OR=2.5[95%CI 1.5-4.1]；p<0.01）。在 MP 中，800 名（77.5%）承认他们不知道如何进行 TSE，486 名（47.1%）不知道与 TC 相关的主要症状。已经接受过 TC 筛查的 MP 更有可能熟悉主要症状（OR=2.1[95%CI 1.6-2.7]；p<0.001），而认识 TC 患者或已经接受过 TC 筛查的 MP 更有可能了解 TC 的正确患病率（OR=1.9[95%CI 1.3-2.7]，p<0.01；和 OR=1.6[95%CI 1.2-2.1]，p<0.01；分别）。
GP 和 MP 对 TC 的认识都可以提高。TSE 筛查和认识 TC 患者的亲友提高了我们研究对象的意识。
