Show simple item record

dc.creatorWolf, Andrew M.D.en
dc.creatorNasser, Jonathan F.en
dc.creatorWolf, Anne M.en
dc.creatorSchorling, John B.en
dc.date.accessioned2015-05-05T18:59:07Zen
dc.date.available2015-05-05T18:59:07Zen
dc.date.created1996-06-24en
dc.date.issued1996-06-24en
dc.identifier10.1001/archinte.156.12.1333en
dc.identifier.bibliographicCitationArchives of Internal Medicine. 1996 Jun 24; 156(12): 1333-1336.en
dc.identifier.issn0003-9926en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=The+Impact+of+Informed+Consent+on+Patient+Interest+In+prostate-Specific+Antigen+Screening&title=Archives+of+Internal+Medicine.++&volume=156&issue=12&pages=1333-1336&date=1996&au=Wolf,+Andrew+M.D.en
dc.identifier.urihttp://dx.doi.org/10.1001/archinte.156.12.1333en
dc.identifier.urihttp://hdl.handle.net/10822/750412en
dc.description.abstractBACKGROUND: Because of the many uncertainties surrounding screening for prostate cancer, authorities recommend that patients be involved in the screening decision. OBJECTIVE: To determine the impact of informed consent on patient interest in undergoing prostate-specific antigen (PSA) screening. METHODS: Men 50 years or older with no prior PSA testing and no history of prostate cancer presenting to 1 of 4 university-affiliated primary care practices were eligible for enrollment. Patients were randomized to receive either a scripted informational intervention simulating an informed consent presentation (intervention group, n = 103) or a single sentence about the PSA (control group, n = 102). The main outcome measure was patient interest in undergoing PSA screening measured on a 5-point Likert scale. RESULTS: Patients who received the informational intervention were significantly less interested in undergoing PSA screening than controls (mean difference in interest, 0.8 on 5-point scale, P less than .001). Informed patients were much less likely to indicate high interest in screening (odds ratio, 0.34; 95% confidence interval, 0.19-0.60; P less than .001). In a multivariate model, family history of prostate cancer was associated with increased interest and advancing age with decreased interest in PSA screening, but the informational intervention remained the strongest predictor of interest. CONCLUSIONS: Among primary care patients of predominantly lower socioeconomic status, those who received informed consent were significantly less interested in PSA screening than those who did not. For physicians who offer the PSA as a screening test, this finding highlights the importance of apprising patients of the associated benefits, burdens, and uncertainties and allowing them to participate in the screening decision.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/96255567en
dc.subjectAttitudesen
dc.subjectCanceren
dc.subjectComparative Studiesen
dc.subjectControl Groupsen
dc.subjectConsenten
dc.subjectDiagnosisen
dc.subjectDisclosureen
dc.subjectEducationen
dc.subjectEvaluationen
dc.subjectEvaluation Studiesen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectInformation Disseminationen
dc.subjectInformed Consenten
dc.subjectMalesen
dc.subjectMass Screeningen
dc.subjectMethodsen
dc.subjectPatient Educationen
dc.subjectPatient Participationen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPrimary Health Careen
dc.subjectProstate Canceren
dc.subjectRisks and Benefitsen
dc.subjectSocioeconomic Factorsen
dc.subjectUncertaintyen
dc.titleThe Impact of Informed Consent on Patient Interest in Prostate-Specific Antigen Screeningen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


This item appears in the following Collection(s)

Show simple item record


Georgetown University Seal
©2009—2022 Bioethics Research Library
Box 571212 Washington DC 20057-1212
202.687.3885