Kristen Pickles

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Kristen Pickles

PhD Candidate, Centre for Values, Ethics, and the Law in Medicine

Email: kristen [dot] pickles [at] sydney [dot] edu [dot] au

Research interests

My research is investigating the practices and reasoning of General Practitioners (GPs), who are on the front line of Prostate Specific Antigen (PSA) testing of healthy men for prostate cancer risk. I have been interviewing Australian and British GPs to further my understanding of how and why GPs are using the PSA test and how they are communicating this information with men.

Themes

Prostate cancer

Keywords

Prostate cancer, PSA testing, overdiagnosis

Selected publications

Journals

Pickles K, Carter SM, Rychetnik L, McCaffery K, Entwhistle VA. General practitioners’ experiences of, and responses to, uncertainty in prostate cancer screening: insights from a qualitative study.  PLoS ONE. 2016;11(4):e0153299.

McCaffery K, Jansen J, Scherer L, Thornton H, Hersch J, Carter S, Barratt A, Moynihan R, Waller J, Sheridan S, Brodersen  J, Pickles K, Edwards A. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016; 352:1348.

Cust A, Pickles K, Goumas C, Vu T, Schmid H, Nagore E, Kelly J, Aitken JF, Giles GG, Hopper JL, Jenkins, MA, Mann GJ. Accuracy of Self-Reported Nevus and Pigmentation Phenotype Compared with Clinical Assessment in a Population-Based Study of Young Australian Adults. Cancer Epidemiology Biomarkers & Prevention. 2015;24(4):736-743.

Allers K, Essue B, Hackett ML, Muhunthan J, Anderson CS, Pickles K, Scheibe F,  Jan S. The economic impact of epilepsy: a systematic review. BMC Neurology. 2015;15:245.

Degeling C, Rychetnik L, Pickles K, Doust J, Gardiner R, Glasziou P, Newson A, Thomas R, Carter S. “What should happen before asymptomatic men decide whether or not to have a PSA test?” A report on three community juries. Medical Journal of Australia, 2015, 203(8), 335

Pickles K, Carter SM, Rychetnik L. Doctors’ approaches to PSA testing and overdiagnosis in primary healthcare: a qualitative study. BMJ Open. 2015;5:e006367.

Carter SM, Williams J, Parker L, Pickles K, Jacklyn G, Rychetnik L, Barratt A. Screening for cervical, prostate and breast cancer: how should the evidence be interpreted?  American Journal of Preventive Medicine 2015; 49(2),274-85.

Mullan, B, Wong, C, Kothe, E, O’Moore, K, Pickles, K, Sainsbury, K. An examination of the demographic predictors of adolescent breakfast consumption, content, and context. BMC Public Health 2014, 14: 264

Hackett, M. L., and K. Pickles. Frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. International Journal of Stroke, 2014, 9(8):1017-25.

Cust, A. E., Pickles, K. M., Goumas, C., & Vu, T. Accuracy of Self-Report of Nevus and Pigmentation Phenotype Compared to Clinical Assessment in Young Australian Adults (Peer Reviewed Abstract). Cancer Epidemiology Biomarkers & Prevention, 2014, 23(3), 566-566.

Conference Presentations

Pickles K, Carter S, Rychetnik L, McCaffery K, Entwistle V. How doctors experience and respond to uncertainty in prostate cancer screening. International Shared Decision Making (ISDM)/International Society for Evidence Based Healthcare (ISEHC) conference, 19-22 July 2015. The University of Sydney, Sydney Australia (oral presentation).

Pickles K, Carter S, Rychetnik L. Overdiagnosis in prostate cancer screening: An Australian GP perspective. Preventing Overdiagnosis conference: Winding back the harms of too much medicine’, 15-18th September 2014. University of Oxford, Oxford UK (oral presentation).

Pickles, K, Carter, S, Rychetnik, L. Approaches to PSA testing in Australian general practice: a GP perspective on communicating over-diagnosis information. Preventing Overdiagnosis conference: Winding back the harms of too much medicine, 15-18th September, 2014. Oxford University, UK (oral presentation).

Pickles, K, Carter, S, Rychetnik, L. Overdiagnosis in prostate cancer screening: An Australian GP perspective. Preventing Overdiagnosis conference: Winding back the harms of too much medicine, 10-12th September, 2013. Dartmouth University, Hanover, USA (poster presentation).

Pickles, K, Carter, S, Rychetnik, L. PSA testing of asymptomatic men in General Practice. Prostate Cancer World Congress, 6-10th August, 2013. Melbourne Convention and Exhibition Centre, Melbourne, Australia (poster presentation and abstract published British Journal of Urology International).

Hackett ML, Pickles K. The frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. 24th Annual Scientific Meeting of the Stroke Society of Australasia, 31st Jul-2 Aug, 2013. Darwin, Australia (oral presentation).