Screening for Prostate Cancer: Sharing the Decision

Toolkit

		Definitions of • shared decision making • informed decision making

You may want to provide the following materials as accompanying handouts to the presentation.

• Tools to Facilitate Shared Decision Making for Prostate Cancer Screening
• Articles on the Effectiveness of Shared Decision Making for Prostate Cancer Screening
• Using Shared Decision Making
• Prostate Cancer Screening Recommendations

1. Tools to Facilitate Shared Decision Making for Prostate Cancer Screening

"Screening for Prostate Cancer: Sharing the Decision"
Centers for Disease Control and Prevention, Atlanta, GA

• CDC has developed a Web-based slide presentation, "Screening for Prostate Cancer: Sharing the Decision," to help physicians explain prostate cancer and screening to patients more effectively.

"Prostate Cancer Screening: A Decision Guide"
Centers for Disease Control and Prevention, Atlanta, GA

• This 17-page guide, "Prostate Cancer Screening: A Decision Guide," discusses the prostate, prostate cancer, and screening tests in an easy-to-read question-and-answer format for men.

"Prostate Cancer Screening: A Decision Guide for African Americans"
Centers for Disease Control and Prevention, Atlanta, GA

• This 17-page guide, "Prostate Cancer Screening: A Decision Guide for African Americans," discusses the prostate, prostate cancer, and screening tests in an easy-to-read question-and-answer format for African American men.

"The PSA Test for Prostate Cancer: Is it Right for Me"
Veterans Affairs Medical Center, VA Upper Midwest Healthcare Network, Minneapolis, MN

• This award-winning 8-page pamphlet, "The PSA Test for Prostate Cancer: Is it Right for Me," provides balanced information about prostate cancer screening and the possible risks and benefits of PSA testing. It encourages patient involvement in the decision–making process.

"Should You Get a PSA Test A Patient–Doctor Decision"
American Academy of Family Physicians, Leawood, KS

• A 2–page handout that discusses the advantages and disadvantages of the PSA test and possible outcomes of testing, and treatment. It is intended to facilitate shared decision making about screening for prostate cancer in men aged 50–65 years.
• Available at http://www.aafp.org/x19497.xml,* or by phone at 1-800-274-2237

"Is a PSA Test Right For You"
The Foundation for Informed Medical Decision–Making, Boston, MA

• This videocassette and booklet are designed for men aged 50 and older who are considering whether or not to have a PSA test. The materials present current medical evidence about PSA testing and the personal perspectives of men who discuss the choices they have made.
• Available at http://www.collaborativecare.net/psaindex.html*

"Your Life—You Decide"
University of Louisville, Louisville, KY

• A 12-page brochure that discusses the benefits and limitations of prostate cancer screening and presents reasons for and against screening.
• Copies of the brochure may be purchased for $10 each, or $200 for 100 copies. To order, please contact Sally Weinrich, PhD, RN, FAAN, at the University of Louisville at 502-852-8782 or via e-mail at sally.weinrich@louisville.edu
  

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2. Articles on the Effectiveness of Shared Decision Making for Prostate Cancer Screening
   
   
1. Briss P, Rimer B, Reilley B, Coates RJ, Lee NC, Mullen P, Corso P, Hutchinson AB, Hiatt R, Kerner J, George P,White C, Gandhi N, Saraiya M, Breslow R, Isham G, Teutsch SM, Hinman AR, Lawrence R. Promoting informed decisions about cancer screening in communities and healthcare systems.* American Journal of Preventive Medicine 2004;26:67-80.
   
   
2. Sheridan SL, Harris RP, Woolf SH, for the Shared Decisionmaking Workgroup, Third U.S. Preventive Services Task Force. Current methods of the U.S. Preventive Services Task Force: a review of the process. American Journal of Preventive Medicine 2004;26(1):56-66.
   
   

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3. Using Shared Decision–Making

IN PROSTATE CANCER

1. Barry MJ. Health Decision Aids to Facilitate Shared Decision Making in Office Practice.* Annals of Internal Medicine 2002;136:127–135.
   
   
2. Chan EC. Promoting Informed Decision Making About Prostate Cancer Screening. Comprehensive Therapy 2001;27:195–201.
   
   
3. Chronic Disease Directors. Prostate Cancer Screening: A Matter of Routine or Patient Choice.*
   
   
4. O’Dell KJ, Volk RJ, Cass AR, Spann SJ. Screening for Prostate Cancer With the Prostate-Specific Antigen Test—Are Patients Making Informed Decisions? The Journal of Family Practice 1999;48:682–688.
   
   
5. Taylor KL, Turner RO, Davis JL III, Johnson L, Schwartz MD, Kerner J, Leak C. Improving Knowledge of the Prostate Cancer Screening Dilemma Among African American Men: An Academic-Community Partnership in Washington, DC. Public Health Reports 2001;116:590–598.
   Abstract: Medline
   

IN GENERAL PRACTICE

1. Barry MJ. Involving Patients in Medical Decisions: How Can Physicians Do Better?* JAMA 1999;282:2356-2357.
   
   
2. Edwards A, Elwyn G. The Potential Benefits of Decision Aids in Clinical Practice.* JAMA 1999;282:779–780.
   
   
3. Feldman-Stewart D, Brundage MD, McConnell BA, MacKillop WJ. Practical Issues in Assisting Shared Decision-Making. Health Expectations 2000;3:46–54.
   
   
4. O'Connor AM, Stacey D, Rovner D, Holmes-Rovner M, Tetroe J, Llewellyn-Thomas H, Entwistle V, Rostom A, Fiset V, Barry M, Jones J. Decision Aids for People Facing Health Treatment or Screening Decisions. Cochrane Database System Review 2001;3:CD001431.
   
   
5. O’Connor AM, Drake ER, Fiset V, Graham ID, Laupacis A, Tugwell P. The Ottawa Patient Decision Aids.* Effective Clinical Practice 1999;2:163–170.
   
   
6. Schwartz LM, Woloshin S. Risk Communication in Clinical Practice: Putting Cancer in Context. Journal of the National Cancer Institute Monographs 1999;25:124–133.
   

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4. Prostate Cancer Screening Recommendations
   
   
1. American Academy of Family Physicians*
   
   
2. American Cancer Society Cancer Detection Guidelines*
   
   
3. American College of Physicians/American Society of Internal Medicine*
   
   
4. American College of Preventive Medicine*
   
   
5. American Medical Association*
   
   
6. American Urological Association
   http://www.cancernetwork.com/journals/oncology/o0002e.htm
   
   
7. U.S. Preventive Services Task Force
   
   

*Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at these links.

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Page last reviewed: Wednesday, September 01, 2004

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