Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study
Abstract Aim: This study aims to assess primary care physicians (PCPs) knowledge and skills regarding prostate cancer early detection (PCa-ED). Materials and methods: A survey about knowledge and skills of PCa-ED was delivered to PCP. Logistic regression analysis was conducted for the propensity of PCP to test prostatic specific antigen (PSA) on asymptomatic men. Results: The survey was completed by 170 PCP. Score on risk factors knowledge was 51.5 ± 15.7% a better score was not associated with conducting PCa-ED (p = 0.674). The 40.6% answered having an institutional program on PCa-ED and 86% having access to PSA testing. Testing PSA on asymptomatic men was found in 40%. Moreover, 61.2% do not performed any digital rectal examination for PCa-ED, and this was not associated with preventing factors such as lack of space, time, and assistance (p > 0.05). Fewer years in practice and being a family medicine resident were associated with a less likelihood of testing PSA in asymptomatic men. The only associated factor in the multivariable model was having access to PSA testing (odds ratio: 3.36 confidence interval 95% 1.54-7.30) p = 0.002). Conclusions: A low rate of PCP performs PCa-ED and using concepts outside evidence-based recommendations. A national program on PCa-ED and continuing medical education for PCP are a promising strategy to improve PCa-ED.
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Academia Mexicana de Cirugía A.C.
2021
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Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2021000200163 |
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oai:scielo:S2444-054X20210002001632021-11-05Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional studyBasulto-Martínez,MarioOjeda-Pérez,Jorge E.Velueta-Martínez,Iván A.Cueto-Vega,Guillermo J.Flores-Tapia,Juan P.González-Losa,María del Refugio Prostate cancer Early detection Men's health primary care Prostatic-specific antigen Digital rectal examination Abstract Aim: This study aims to assess primary care physicians (PCPs) knowledge and skills regarding prostate cancer early detection (PCa-ED). Materials and methods: A survey about knowledge and skills of PCa-ED was delivered to PCP. Logistic regression analysis was conducted for the propensity of PCP to test prostatic specific antigen (PSA) on asymptomatic men. Results: The survey was completed by 170 PCP. Score on risk factors knowledge was 51.5 ± 15.7% a better score was not associated with conducting PCa-ED (p = 0.674). The 40.6% answered having an institutional program on PCa-ED and 86% having access to PSA testing. Testing PSA on asymptomatic men was found in 40%. Moreover, 61.2% do not performed any digital rectal examination for PCa-ED, and this was not associated with preventing factors such as lack of space, time, and assistance (p > 0.05). Fewer years in practice and being a family medicine resident were associated with a less likelihood of testing PSA in asymptomatic men. The only associated factor in the multivariable model was having access to PSA testing (odds ratio: 3.36 confidence interval 95% 1.54-7.30) p = 0.002). Conclusions: A low rate of PCP performs PCa-ED and using concepts outside evidence-based recommendations. A national program on PCa-ED and continuing medical education for PCP are a promising strategy to improve PCa-ED.info:eu-repo/semantics/openAccessAcademia Mexicana de Cirugía A.C.Cirugía y cirujanos v.89 n.2 20212021-04-01info:eu-repo/semantics/articletext/htmlhttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2021000200163en10.24875/ciru.20000232 |
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México |
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Basulto-Martínez,Mario Ojeda-Pérez,Jorge E. Velueta-Martínez,Iván A. Cueto-Vega,Guillermo J. Flores-Tapia,Juan P. González-Losa,María del Refugio |
spellingShingle |
Basulto-Martínez,Mario Ojeda-Pérez,Jorge E. Velueta-Martínez,Iván A. Cueto-Vega,Guillermo J. Flores-Tapia,Juan P. González-Losa,María del Refugio Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
author_facet |
Basulto-Martínez,Mario Ojeda-Pérez,Jorge E. Velueta-Martínez,Iván A. Cueto-Vega,Guillermo J. Flores-Tapia,Juan P. González-Losa,María del Refugio |
author_sort |
Basulto-Martínez,Mario |
title |
Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
title_short |
Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
title_full |
Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
title_fullStr |
Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
title_full_unstemmed |
Prostate cancer early detection among primary care physicians in Mexico: A cross-sectional study |
title_sort |
prostate cancer early detection among primary care physicians in mexico: a cross-sectional study |
description |
Abstract Aim: This study aims to assess primary care physicians (PCPs) knowledge and skills regarding prostate cancer early detection (PCa-ED). Materials and methods: A survey about knowledge and skills of PCa-ED was delivered to PCP. Logistic regression analysis was conducted for the propensity of PCP to test prostatic specific antigen (PSA) on asymptomatic men. Results: The survey was completed by 170 PCP. Score on risk factors knowledge was 51.5 ± 15.7% a better score was not associated with conducting PCa-ED (p = 0.674). The 40.6% answered having an institutional program on PCa-ED and 86% having access to PSA testing. Testing PSA on asymptomatic men was found in 40%. Moreover, 61.2% do not performed any digital rectal examination for PCa-ED, and this was not associated with preventing factors such as lack of space, time, and assistance (p > 0.05). Fewer years in practice and being a family medicine resident were associated with a less likelihood of testing PSA in asymptomatic men. The only associated factor in the multivariable model was having access to PSA testing (odds ratio: 3.36 confidence interval 95% 1.54-7.30) p = 0.002). Conclusions: A low rate of PCP performs PCa-ED and using concepts outside evidence-based recommendations. A national program on PCa-ED and continuing medical education for PCP are a promising strategy to improve PCa-ED. |
publisher |
Academia Mexicana de Cirugía A.C. |
publishDate |
2021 |
url |
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2021000200163 |
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