Prostate Cancer Screening Clinical Trial
Official title:
A Pragmatic Randomized Trial of the Effect of a Mailed Patient Flyer About PSA Testing Prior to an Annual Exam
1. Does a one-page American College of Physicians educational flyer about the pros and
cons of prostate cancer screening sent to men within two weeks of their scheduled
annual health examinations in a general medicine clinic result in a different rate of
prostate cancer screening than among men who were not sent the flyer?
2. Do patients find the flyer useful and understandable?
Context: The use of prostate specific antigen (PSA) screening for prostate cancer is
controversial because of a lack of evidence that such screening saves lives when applied
within a population and because such testing can lead to invasive downstream biopsies and
aggressive treatment that is associated with a high risk of permanent side effects (e.g.
impotence, incontinence). Almost all professional societies (American Cancer Society,
American Urologic Association, American College of Physicians, United States Preventive
Services Task Force) advocate that patients receive education and complete an informed
decision-making discussion with their medical providers about the pros and cons of the PSA
test, as well as their personal preferences, before proceeding with this test.
Unfortunately, despite these recommendations, there is seldom sufficient time during clinic
visits to achieve this goal.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening
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