A new study finds many men receiving prostate specific antigen (PSA) testing do so without a comprehensive shared decision making process, contrary to current guidelines. The American Cancer Society study, appearing in Annals of Family Medicine, finds that in both 2010 and 2015 about 6 in 10 men who reported recent PSA testing said they had received at least one component of shared decision making. Meanwhile, only 1 in 10 with no PSA test reported receiving any component of shared decision making in both 2010 and 2015.
Recommendations for PSA testing have changed in the past several years and vary from organization to organization. But there is widespread consensus that PSA testing should not occur without shared decision making. Previous studies have shown infrequent use of shared decision making for PSA testing. In light of the recommendation modifications increasing the emphasis on shared decision making, researchers led by Stacey Fedewa aimed to identify any changes in shared decision making for PSA testing in recent years.
To find out, they conducted a retrospective cross-sectional study among men 50 and older participating in the 2010 and 2015 National Health Interview Survey (NHIS). They looked for changes in receipt of shared decision
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