The influence of physician recommendation on XXXX screening.

@entity1 @entity263 @entity1486
PURPOSE: @entity1486 (PSA) screening is controversial, and little is known regarding a physician's effect on a @entity1 's decision to undergo screening. This study's objective was to evaluate the effect of a @entity1 's understanding of the risks and benefits of screening compared to the final recommendation of the provider on the @entity1 's decision to undergo PSA screening. MATERIALS AND METHODS: Using the 2012 Behavioral Risk Factor Surveillance System, @entity1 older than 55 years who did not have a history of @entity263 /prostate "problem" and who reported a PSA test within the preceding year were considered to have undergone screening. The percentages of @entity1 informed and not informed of the risks and benefits of screening and the percentage @entity1 receiving recommendations for PSA screening from their provider were reported. Multivariable complex-sample logistic regression calculated the odds of undergoing screening. RESULTS: In all, 75% of @entity1 were informed of screening benefits; however, 32% were informed of screening risks. After being informed of both, 56% of @entity1 opted for PSA screening if the provider recommended it, compared with only 21% when not recommended. @entity1 receiving a recommendation to undergo PSA testing had higher odds of undergoing screening (odds ratio [OR] = 4.98, 95% CI: 4.53-5.48) compared with those who were only informed about screening benefits (OR = 2.40, 95% CI: 2.18-2.65) or risks (OR = 0.92, 95% CI: 0.86-0.98). Significant limitations include recall and nonresponse bias. CONCLUSIONS: @entity1 ' decision to undergo or forgo PSA screening is heavily influenced by the recommendation of their physician; it is imperative that physicians are cognizant of their biases and facilitate a shared decision-making process.
