Braga Raquel, Morais Samantha, Pacheco-Figueiredo Luís, Araújo Natália, Lunet Nuno
Unidade de Saúde Familiar Lagoa - ULS Matosinhos, Matosinhos, Portugal.
Institute of Public Health of the University Porto, EPIUnit ITR, University of Porto, Porto, Portugal.
J Cancer Educ. 2025 Jun 19. doi: 10.1007/s13187-025-02665-4.
Opportunistic prostate cancer (PCa) screening is common worldwide, with physicians playing an important role in its uptake and consequences. This study explores the knowledge, attitudes, and practices of family doctors and urologists in Portugal regarding PCa screening. A national online survey was conducted between November 2020 and February 2021. Family doctors and urologists were reached by email through their national medical associations, for a total of 596 and 63 participants from each group, respectively. Urologists considered themselves more updated with PCa screening practices than family doctors (93.0% vs. 73.1%; p < 0.001). Family doctors were more likely to consider older age (97.2% vs. 90.9%; p = 0.025) and smoking (80.6% vs. 31.7%; p < 0.001) as risk factors for PCa. Most urologists reported following the European Association of Urology Guidelines for PCa screening (90.9%), while family doctors preferred the National Guidelines (73.9%). A higher proportion of urologists believed early diagnosis is essential for improving PCa prognosis (92.9% vs. 67.9%; p < 0.001). Urologists were more likely to recommend prostate-specific antigen (PSA) testing for age group-eligible males (always or almost always: 77.2% vs. 20.4%; p < 0.001) and to perform digital rectal examination (never or rarely: 3.5% vs. 96.2%; p < 0.001). Overall, 65.1% of doctors believed that magnetic resonance imaging could improve the diagnosis of PCa in patients with high PSA levels. Family doctors and urologists differed in their knowledge, attitudes, and practices regarding PCa screening. The latter are more interventive and believe more in the benefits of PCa screening.
机会性前列腺癌（PCa）筛查在全球范围内很普遍，医生在其推广及影响方面发挥着重要作用。本研究探讨了葡萄牙家庭医生和泌尿科医生关于PCa筛查的知识、态度和实践。2020年11月至2021年2月期间进行了一项全国性在线调查。通过其国家医学协会通过电子邮件联系家庭医生和泌尿科医生，每组分别共有596名和63名参与者。泌尿科医生认为自己比家庭医生更了解PCa筛查实践（93.0%对73.1%；p<0.001）。家庭医生更倾向于将老年（97.2%对90.9%；p=0.025）和吸烟（80.6%对31.7%；p<0.001）视为PCa的危险因素。大多数泌尿科医生报告遵循欧洲泌尿外科学会PCa筛查指南（90.9%），而家庭医生更喜欢国家指南（73.9%）。更高比例的泌尿科医生认为早期诊断对于改善PCa预后至关重要（92.9%对67.9%；p<0.001）。泌尿科医生更有可能为符合年龄组的男性推荐前列腺特异性抗原（PSA）检测（总是或几乎总是：77.2%对20.4%；p<0.001），并且进行直肠指检的比例更高（从不或很少：3.5%对96.2%；p<0.001）。总体而言，65.1%的医生认为磁共振成像可以改善高PSA水平患者的PCa诊断。家庭医生和泌尿科医生在PCa筛查的知识、态度和实践方面存在差异。后者更具干预性，并且更相信PCa筛查的益处。
