Cancer screening and “informed” patient decision making

What people know at the time they make decisions about having tests for risk of specific cancers is important if they are to be able to make truly informed decisions about the value of these tests. That becomes even more important when we consider the pros and cons of annual, mass, population-based cancer screening tests.

What primary care docs know (and do) about prostate cancer testing

There are no recent guidelines regarding the use of PSA tests and digital rectal exams as tests for risk of prostate cancer issued by any of the national organizations representing primary care physicians. However, a new report has provided data about the current behaviors of members of the primary care community at one academic medical center.

How preconceptions impact prostate cancer management

As Leah wrote in a comment on this blog just the other day, “Yes, the ‘D-word’ is still taboo. Death is UNAMERICAN.” The comment stimulated the thought that our preconceptions have significant impact on how we think about risk, diagnosis, and treatment of prostate cancer — and yet there is really very little good research on [...]

Are educated prostate cancer patients too smart for their own good?

A fascinating paper has just been published in BJU International suggesting that, “Higher education, income and functional capacity were associated with” poorer knowledge about their cancer, poorer understanding about treatment choices, and poorer judgement about survival with and without treatment among a group of 184 patients recently diagnosed with localized prostate cancer.

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