“What should happen before asymptomatic men decide whether or not to have a PSA test?” A report on three community juries

Degeling, Chris, Rychetnik, Lucie, Pickles, Kristen, Thomas, Rae, Doust, Jennifer A., Gardiner, Robert A., Glasziou, Paul, Newson, Ainsley J. and Carter, Stacy M. (2015) “What should happen before asymptomatic men decide whether or not to have a PSA test?” A report on three community juries. Medical Journal of Australia, 203 8: 335.e1-335.e6. doi:10.5694/mja15.00164

Author Degeling, Chris
Rychetnik, Lucie
Pickles, Kristen
Thomas, Rae
Doust, Jennifer A.
Gardiner, Robert A.
Glasziou, Paul
Newson, Ainsley J.
Carter, Stacy M.
Title “What should happen before asymptomatic men decide whether or not to have a PSA test?” A report on three community juries
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 1326-5377
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.5694/mja15.00164
Open Access Status Not Open Access
Volume 203
Issue 8
Start page 335.e1
End page 335.e6
Total pages 6
Place of publication Strawberry Hills, NSW Australia
Publisher Australasian Medical Publishing
Collection year 2016
Language eng
Formatted abstract
Objectives: To elicit the views of well informed community members on the ethical obligations of general practitioners regarding prostate-specific antigen (PSA) testing, and what should be required before a man undergoes a PSA test.

Design and setting: Three community juries held at the University of Sydney over 6 months in 2014.

Participants: Forty participants from New South Wales, of diverse social and cultural backgrounds and with no experience of prostate cancer, recruited through public advertising: two juries of mixed gender and ages; one all-male jury of PSA screening age.

Results: In contrast to Royal Australian College of General Practitioners guidelines, the three juries concluded that GPs should initiate discussions about PSA testing with asymptomatic men over 50 years of age. The mixed juries voted for GPs offering detailed information about all potential consequent benefits and harms before PSA testing, and favoured a cooling-off period before undertaking the test. The all-male jury recommended a staggered approach to providing information. They recommended that written information be available to those who wanted it, but eight of the 12 jurors thought that doctors should discuss the benefits and harms of biopsy and treatment only after a man had received an elevated PSA test result.

Conclusions: Informed jury participants preferred that GPs actively supported individual men in making decisions about PSA testing, and that they allowed a cooling-off period before testing. However, men of screening age argued that uncertain and detailed information should be communicated only after receiving an elevated PSA test result.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2016 Collection
School of Medicine Publications
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