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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: A cohort study reporting clinical risk factors and individual risk perceptions of prostate cancer: implications for PSA testing
Authors: Forbat, Liz
Place, Morag Anne
Kelly, Daniel
Hubbard, Gill
Boyd, Kenny
Howie, Catherine
Leung, Hing
Contact Email:
Keywords: PSA
prostate cancer
Issue Date: Mar-2013
Publisher: Wiley-Blackwell
Citation: Forbat L, Place MA, Kelly D, Hubbard G, Boyd K, Howie C & Leung H (2013) A cohort study reporting clinical risk factors and individual risk perceptions of prostate cancer: implications for PSA testing, BJU International, 111 (3), pp. 389-395.
Abstract: What's known on the subject? and What does the study add? - Prostate cancer has three known clinical risk factors: age, ethnicity and family history. Men's knowledge of prostate cancer is low. - This study demonstrates that men rely on family and friends to learn about prostate cancer and help them interpret their risk. The findings suggest the need for tailored prostate cancer education, through social networks, to encourage risk-stratified PSA testing, which will lead to earlier diagnosis for those most at risk. OBJECTIVES: - To determine men's perceptions of their risk of developing prostate cancer. - To consider the implications for PSA testing based on individual risk perceptions. PATIENTS AND METHODS: - The research adopted an embedded mixed-method design, using clinical records and a retrospective postal survey. - Patients (N= 474) diagnosed with prostate cancer in a two-year period (2008-2009) in Greater Glasgow were identified from pathology records. - In all, 458 men received a postal survey (16 deceased patients were excluded); 320 men responded (70%). RESULTS: - Analysis indicates that there is no association between known clinical risk factors and men's perceptions of their own risk. - Older men did not display increased perceived risk. Men with a family history of prostate cancer (11%) had no increase in their own perception of risk. - PSA tests are not requested by those who are at greater risk. - The subsample of patients who had requested a test were no more likely to have a family history of prostate cancer. They were more likely, however, to perceive themselves to be at high risk, to have friends with prostate cancer, to be affluent and to have a low grade tumour. CONCLUSIONS: - GPs need to balance men's risk perceptions in discussions about known clinical risk factors. - Men's knowledge of prostate cancer stems largely from interpersonal sources (such as friends/family). - Social networks may consequently offer an additional opportunity to increase awareness of risk-stratified testing.
Type: Journal Article
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Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: HS Research - Stirling
Cardiff University
Cancer Care Research Centre
NHS Greater Glasgow & Clyde
Mathematics - CSM Dept
Beatson West of Scotland Cancer Centre

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