Marshall K G
Family Medicine Centre, Queen Elizabeth Hospital, Montreal.
Can Fam Physician. 1993 Nov;39:2385-90.
Many urologists in North America are increasingly enthusiastic about prostatic cancer screening. Annual digital rectal examination is almost universally endorsed, and prostate-specific antigen testing is favored by most. But doctors really should not screen by either method without patients' informed consent. However, the information required for informed consent is complex and contradictory, difficult for physicians to give and for patients to absorb.
北美许多泌尿科医生对前列腺癌筛查的热情日益高涨。几乎所有人都认可每年进行直肠指检,大多数人也倾向于进行前列腺特异性抗原检测。但医生在未经患者知情同意的情况下,真的不应采用这两种方法进行筛查。然而,知情同意所需的信息复杂且相互矛盾,医生难以提供,患者也难以理解。