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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.

US$19.90

PMID: 16808772

DOI: 10.1111/j.1525-1497.2006.00464.x


Other references

Anonymous, 2005: New aspects of sugar absorption: transport and sensing C99-C102 SA37-SA40. Journal of Physiology 567(Suppl): 60p-251p

Austin, L.B.; Schuepp, P.H.; Desjardins, R.L., 1987: The feasibility of using airborne CO2 flux measurements for the imaging of the rate of biomass production. The statistical properties of CO2 flux measurements derived from airborne vertical wind and CO2 concn data by the eddy correlation method were examined. The imaging of regions of reduced or enhanced biomass production is complicated by the large f...

Feldman, J.M.; Blalock, J.A., 1979: Urinary free cortisol excretion in patients with metastatic cancer. Many patients with metastatic carcinoma have an increase in urinary excretion of 17-hydroxycorticosteroids (17-OHCS), plasma concentrations of 17-OHCS, plasma total cortisol, plasma nonprotein-bound cortisol, or cortisol production rate. A small p...

Grassi, G.; Orecchia, C.; Grassi, G.B., 1978: Our experience with parietal-cell vagotomy. Casopis Lekaru Ceskych 117(43): 1342-1344

Strassmann, G.S., 1948: Thrombotic aortic occlusion; its occurrence among mentally sick patients. American Journal of Pathology 24(6): 1289-1294

Slobodkina, G.B.; Reysenbach, A-Louise.; Kolganova, T.V.; Novikov, A.A.; Bonch-Osmolovskaya, E.A.; Slobodkin, A.I., 2017: Thermosulfuriphilus ammonigenes gen. nov., sp. nov., a thermophilic, chemolithoautotrophic bacterium capable of respiratory ammonification of nitrate with elemental sulfur. An extremely thermophilic, anaerobic, chemolithoautotrophic bacterium (strain ST65T) was isolated from a deep-sea hydrothermal vent chimney located on the Eastern Lau Spreading Centre in the south-western Pacific Ocean, at a depth of 1870 m. Cel...

Rahman, Z.; Paul, G.K.; Choudhury, A.K., 2012: Ad-hoc percutaneous coronary intervention and staged percutaneous coronary intervention. Percutaneous coronary intervention (PCI) is a catheter based procedure where a catheter system is introduced through a systemic artery under local anesthesia in a stenotic coronary artery by controlled inflation of a distensible balloon. At early...

Nelson, R., 2004: US infant mortality shows first rise in 40 years. Lancet 363(9409): 626-626

Laity, C.; Chater, K.F.; Lewis, C.G.; Buttner, M.J., 1993: Genetic analysis of the phi C31-specific phage growth limitation (Pgl) system of Streptomyces coelicolor A3(2). The phage growth limitation (Pgl) system of Streptomyces coelicolor A3(2) was shown to be specific to phi C31 homo-immune phages, and to be absent from the closely related strain Streptomyces lividans. A 16 kb fragment of S. coelicolor A3(2) DNA w...

Hyson, J.M., 2007: A history of arsenic in dentistry. The history of the use of arsenic in dentistry has been relegated to dental history. Once hailed as a panacea for the relief of pain and the answer to root canal therapy, it soon fell out of use mainly because of its misuse by unskilled and unscru...