Abstrakt

Shared Decision-Making in Prostate Cancer Screening: A Review

Miguel Ángel Acosta-Benito

Introduction: Actual guidelines for prostate cancer screening recommend shared decisionmaking in this subject; due to the lack of consensus about if this screening has benefits or has not. Primary care centres are the usual place for this activity. The aim of this revision is to analyze interventions made on share decision-making and the principal problems found in this process.

Materials and methods: A review of the literature was made through a search in Medline Database. Works that evaluated someway the shared decision-making process were obtained. Principal topics on the subject were extracted and summarized.

Results: Eleven works were selected. Most of them versed on the difficulties found in shared decision-making process as preformed ideas on screening effectiveness, lack of knowledge on the last guidelines by physicians, ignorance on real morbidity associated to prostate cancer diagnosis procedures or on mortality related to prostate cancer. There were found some intervention programmes based on short pieces of advice before the medical visit for patients and/or doctors that were positive for activating discussion on the subject.

Conclusion: Doctors need to learn about methods for share decision-making on prostate cancer screening, starting for knowing the last guidelines´ recommendations. Social view of PSA screening must be confronted with structured information about the pros and cons of it. Concise information is useful for this purpose, through written booklets, videos or webbased programmes.