Centre for Primary Care and Health Services Research, University of Manchester, Manchester; Department of Health and Community Sciences, University of Exeter, Exeter.
Department of Public Health and Primary Care, University of Cambridge, Cambridge; Department of Psychology, University of Cambridge, Cambridge.
Br J Gen Pract. 2024 Jul 25;74(745):e527-e533. doi: 10.3399/BJGP.2023.0083. Print 2024 Aug.
Magnetic resonance imaging (MRI) of the prostate is a new, more accurate, non-invasive test for prostate cancer diagnosis.
To understand the acceptability of MRI for patients and GPs for prostate cancer diagnosis.
Qualitative study of men who had undergone a prostate MRI for possible prostate cancer, and GPs who had referred at least one man for possible prostate cancer in the previous 12 months in West London and Devon.
Semi-structured interviews, conducted in person or via telephone, were audio-recorded and transcribed verbatim. Deductive thematic analysis was undertaken using Sekhon's Theoretical Framework of Acceptability, retrospectively for patients and prospectively for GPs.
Twenty-two men (12 from Devon, age range 47-80 years), two patients' partners, and 10 GPs (6 female, age range 36-55 years) were interviewed. Prostate MRI was broadly acceptable for most patient participants, and they reported that it was not a significant undertaking to complete the scan. GPs were more varied in their views on prostate MRI, with a broad spectrum of knowledge and understanding of prostate MRI. Some GPs expressed concerns about additional clinical responsibility and local availability of MRI if direct access to prostate MRI in primary care were to be introduced.
Prostate MRI appears to be acceptable to patients. Some differences were found between patients in London and Devon, mainly around burden of testing and opportunity costs. Further exploration of GPs' knowledge and understanding of prostate MRI could inform future initiatives to widen access to diagnostic testing in primary care.
前列腺磁共振成像（MRI）是一种新的、更准确的、非侵入性的前列腺癌诊断测试。
了解患者和全科医生对前列腺 MRI 用于前列腺癌诊断的可接受性。
对在过去 12 个月内在伦敦西部和德文郡接受过前列腺 MRI 检查的疑似前列腺癌患者，以及至少转诊过一名疑似前列腺癌患者的全科医生进行定性研究。
对 22 名男性（12 名来自德文郡，年龄 47-80 岁）、2 名患者的伴侣，以及 10 名全科医生（6 名女性，年龄 36-55 岁）进行了半结构化访谈，访谈通过面对面或电话进行，并进行了录音和逐字记录。使用 Sekhon 的可接受性理论框架对患者进行回顾性主题分析，对全科医生进行前瞻性主题分析。
大多数患者参与者对前列腺 MRI 表示广泛接受，他们报告说完成扫描并不是一项重大任务。全科医生对前列腺 MRI 的看法则更为多样化，他们对前列腺 MRI 的了解和理解程度也各不相同。一些全科医生对如果在初级保健中引入直接获得前列腺 MRI，他们将承担更多的临床责任和当地 MRI 的可用性表示担忧。
前列腺 MRI 似乎可以被患者接受。伦敦和德文郡的患者之间存在一些差异，主要是围绕检测负担和机会成本。进一步探索全科医生对前列腺 MRI 的了解，可以为未来扩大初级保健中诊断检测的机会提供信息。
