Patient-Provider Communication about Prostate-Specific Antigen Testing and Prostate Cancer Treatment: Evidence from Health Information National Trends Survey
Methods:This is a cross-sectional observational study using data from cycle 2 and 3 of the fourth edition of Health Information National Trends Survey (HINTS). We examined the association of patient characteristics with four aspects of patient-provider communication regarding PSA test and PCa treatment namely: expert opinion of PSA test, accuracy of PSA test, side effects of PCa treatment, and treatment need of PCa. Study sample included men ≥40 years not suffering from cancer (N=1,706).
Results:Health care providers communicated with patients about controversies around PSA screening, accuracy of the PSA screening, side effects of PCa treatment, and PCa treatment need in 17.2%, 25.4%, 30.7%, and 23.3% of the cases respectively. Patients having a recent routine check-up, regular healthcare provider, better health status, older age, married status, belonging to race other than White and African American, higher annual household income, and already having undergone a PSA test are associated with patient-provider communication.
Conclusion: Fewer discussions about PSA testing occur between providers and their patients, which limits the shared decision-making process for PCa screening. This study helps to identify patient-related barriers in patient-provider communication and thereby informing the providers to improve their practice by considering these factors.
Learning Areas:Communication and informatics
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Evaluate the extent of patient-provider communication for PSA testing and treatment of PCa. Examine the patient specific factors associated with positive patient-provider communication.
Keyword(s): Cancer and Men’s Health, Communication
Qualified on the content I am responsible for because: I was involved in developing the idea described in this abstract, interpreting the results, and discussing the results. As a graduate student, I have been a part of several projects and publications related to local health departments, communication improvement, cancer care and associated mortality, and long term care. Additionally, my medical background gives me a deeper insight of patient care. My research interests include cancer care, maternal and child health, and health administration research.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.