Journal article
Reconciling Primary Care and Specialist Perspectives on Prostate Cancer Screening
Annals of family medicine, Vol.10(6), pp.568-571
11/2012
DOI: 10.1370/afm.1399
PMCID: PMC3495932
PMID: 23149535
Abstract
When specialists propose screening guidelines for primary care clinicians to implement, differences in perspectives between the 2 groups can create conflicts. Two recent specialty organization guidelines illustrate this issue. The American Urological Association guideline panel and National Comprehensive Cancer Network recommend that average-risk men first be counseled about the risks and benefits of prostate-specific antigen screening for prostate cancer at age 40 rather than at the previously recommended age of 50 years. There is no direct evidence, however, that this recommendation has any impact on prostate cancer-specific mortality. To avoid distracting primary care clinicians from providing services with proven benefit and value for patients, professional organizations should follow appropriate standards for developing guidelines. Primary care societies and health care systems should also be encouraged to evaluate the evidence and decide whether implementing the recommendations are feasible and appropriate.
Details
- Title: Subtitle
- Reconciling Primary Care and Specialist Perspectives on Prostate Cancer Screening
- Creators
- Richard M Hoffman - Medicine Service, Albuquerque VA Medical Center, Departments of Medicine and Family and Community Medicine, University of NewMichael J Barry - Harvard Medical School, Boston, MassachusettsRichard G Roberts - Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinHarold C Sox - The Dartmouth Institute, Dartmouth Medical School, Hanover, New Hampshire
- Resource Type
- Journal article
- Publication Details
- Annals of family medicine, Vol.10(6), pp.568-571
- Publisher
- American Academy of Family Physicians
- DOI
- 10.1370/afm.1399
- PMID
- 23149535
- PMCID
- PMC3495932
- ISSN
- 1544-1709
- eISSN
- 1544-1717
- Language
- English
- Date published
- 11/2012
- Academic Unit
- Epidemiology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094750002771
Metrics
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