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The impact of a suspicious prostate biopsy on patients' psychological, socio-behavioral, and medical care outcomes

, : The impact of a suspicious prostate biopsy on patients' psychological, socio-behavioral, and medical care outcomes. Journal of General Internal Medicine 21(7): 715-721

OBJECTIVE: To evaluate the psychological, socio-behavioral, and medical implications of apparently false-positive prostate cancer screening results.METHODS: One hundred and twenty-one men with a benign prostate biopsy performed in response to a suspicious screening test (biopsy group) and 164 men with a normal prostate-specific antigen (PSA) test result (normal PSA group) responded to a questionnaire 6 weeks, 6 and 12 months after their biopsy or PSA test.RESULTS: The mean (+/- SD) age of respondents was 61 +/- 9 years (range, 41 to 88 years). One year later, 26% (32/121) of men in the biopsy group reported having worried "a lot" or "some of the time" that they may develop prostate cancer, compared with 6% (10/164) in the normal PSA group (P < .001). Forty-six percent of the biopsy group reported thinking their wife or significant other was concerned about prostate cancer, versus 14% in the normal PSA group (P < .001). Medical record review showed that biopsied men were more likely than those in the normal PSA group to have had at least I follow-up PSA test over the year (73% vs 42%, P < .001), more likely to have had another biopsy (15% vs 1%, P < .001), and more likely to have visited a urologist (71% vs 13%, P <. 001).CONCLUSION. One year later, men who underwent prostate biopsy more often reported worrying about prostate cancer. In addition, there were related psychological, socio-behavioral, and medical care implications. These hidden tolls associated with screening should be considered in the discussion about the benefits and risks of prostate cancer screening.


PMID: 16808772

DOI: 10.1111/j.1525-1497.2006.00464.x

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