Project 4: Prostate screening from the perspective of GPs

Project 4: Prostate screening from the perspective of GPs

Work by Kristen Pickles, supervised by Stacy Carter and Lucie Rychetnik

Kristen is investigating the practices and reasoning of GPs, who are on the front line of Prostate Specific Antigen (PSA) testing to screen healthy men for prostate cancer risk. In addition to completing a systematic review of the empirical literature on GPs PSA testing practices, she has been interviewing GPs from a range of practices across Australia and the UK. She will use the interview data to answer the following questions.

Research questions:

How do GPs reason about overdiagnosis, and how is this expressed in their practice?
How do GPs communicate with men and their families about PSA testing?
How does PSA testing vary between jurisdictions (different countries, different kinds of practice, different locations within Australia)?
What professional and moral obligations do GPs and others in the healthcare system have for PSA testing?
How should PSA testing proceed in future?

Publications arising to date from this study are provided below:

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.

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