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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 20, No. 4, 2020, pp. 1870-1874
Bioline Code: hs20149
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 20, No. 4, 2020, pp. 1870-1874

 en Does shared decision making increase prostate screening uptake in countries with a low prevalence of prostate cancer?
Amin, Hussein Saad; Arafa, Mostafafa Ahmed; Farhat, Karim Hamda; Rabah, Danny Munther; Altaweel, Abdulaziz Abdullah & Alhammad, Abdulaziz Hamed


Background: Men over 50 should discuss the benefits and harms of prostate-specific antigen (PSA) testing with their doctors.
Objectives: To investigate whether shared decision making (SDM) increases the uptake of prostate cancer screening practices among Saudi men.
Methods: This community-based study recruited men aged ≥ 50 years between January and April 2019. Sociodemographic characteristics, history, and current medical condition information were collected. SDM information with regards to prostate cancer screening was discussed.
Results: In total, 2034 Saudi men, aged between 50 and 88 years, agreed to participate in the current study. Prostate examination for early detection of cancer was recommended for 35.4% (720) of subjects. Of the subjects, 23.3% (473) reported that the physicians discussed the advantages and benefits of PSA testing, whereas only 5.6% (114) stated that the physicians explained the disadvantages and drawbacks of PSA testing.
Conclusion: Our findings suggest that less than one fourth discussed the advantages and disadvantages of PSA testing with their physicians; of these, less than one third underwent PSA blood tests. Improvements are needed in SDM for and against PSA screening. SDM does not affect the intensity of PSA testing. Primary health care physicians should be actively involved in the SDM process.

Decision making; prostate cancer screening; low prevalence countries.

© Copyright 2020 - Amin HS et al.

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