A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care: A Pilot Study

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Carlsson, Sigrid,1982Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Urologisk cancerforskning, Malmö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Urological cancer, Malmö,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Memorial Sloan-Kettering Cancer Center,Sahlgrenska Academy (author)

A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care: A Pilot Study

Article/chapterEnglish2024

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2024

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LIBRIS-ID:oai:gup.ub.gu.se/338495
https://gup.ub.gu.se/publication/338495URI
https://doi.org/10.1055/s-0044-1780511DOI
https://lup.lub.lu.se/record/854a421d-f0f0-44b0-bbe6-852f57c606e4URI

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Language:English

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Subject category:art swepub-publicationtype

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Objectives Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting. Methods We pilot-tested a novel decision support tool that was used by 10 primary care physicians (PCPs) for 6 months, followed by a survey. The tool comprised (1) a risk-stratified algorithm, (2) a tool for facilitating shared decision-making (Simple Schema), (3) three best practice advisories (BPAs: <45, 45-75, and >75 years), and (4) a health maintenance module for scheduling automated reminders about PSA rescreening. Results All PCPs found the tool feasible, acceptable, and clear to use. Eight out of ten PCPs reported that the tool made PSA screening conversations somewhat or much easier. Before using the tool, 70% of PCPs felt confident in their ability to discuss PSA screening with their patient, and this improved to 100% after the tool was used by PCPs for 6 months. PCPs found the BPAs for eligible (45-75 years) and older men (>75 years) more useful than the BPA for younger men (<45 years). Among the 10 PCPs, 60% found the Simple Schema to be very useful, and 50% found the health maintenance module to be extremely or very useful. Most PCPs reported the components of the tool to be at least somewhat useful, with 10% finding them to be very burdensome. Conclusion We demonstrated the feasibility and acceptability of the tool, which is notable given the marked low acceptance of existing tools. All PCPs reported that they would consider continuing to use the tool in their clinic and were likely or very likely to recommend the tool to a colleague.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
prostate cancer screening
clinical decision support
electronic health record
pilot study
informatics
concordant care

Added entries (persons, corporate bodies, meetings, titles ...)

Preston, Mark A.Harvard Medical School (author)
Vickers, AndrewMemorial Sloan-Kettering Cancer Center (author)
Malhotra, DeepakHarvard Business School (author)
Ehdaie, BehfarMemorial Sloan-Kettering Cancer Center (author)
Healey, Michael J.Harvard Medical School (author)
Kibel, Adam S.Harvard Medical School (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för urologi (creator_code:org_t)

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In:APPLIED CLINICAL INFORMATICS15:02, s. 274-2811869-0327

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By the author/editor: Carlsson, Sigrid ...; Preston, Mark A.; Vickers, Andrew; Malhotra, Deepak; Ehdaie, Behfar; Healey, Michael ...; show more...; Kibel, Adam S.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

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By the university: University of Gothenburg; Lund University

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