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BACKGROUND Despite the high rate of prostate cancer screening, the accuracy of male patients' self-reports of screening has not been investigated. This study assessed the concordance between patients' self-reports of prostate screening and the medical record. METHODS Focus groups were conducted to obtain male patients' perceptions of prostate cancer screening and salient terminology. A sample of males (n = 276), 40 years of age or older, completed a 15-item questionnaire. Patients' self-reports of PSA and DRE screening were then compared with medical records. RESULTS Results showed that patients' self-reports of DRE and PSA were discordant with the medical record 32 and 29% of the time, respectively. Sensitivity of patients' self-reports for DRE and PSA was 82 and 74%, respectively. Specificity of patients' self-reports for DRE and PSA was 56 and 65%, respectively. One in five patients reported that they were not sure how a doctor checks a man's prostate gland. Only 39% of patients knew that the prostate gland can be checked by a blood test. CONCLUSIONS There were significant differences between patients' self-reports and the medical record. The results should be of concern to primary care practitioners and to those who evaluate the efficacy of prostate cancer screening programs.
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
March 2007,
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
July 2007,
BJU international,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
July 2011,
Journal of primary care & community health,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
January 2002,
Kentucky nurse,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
August 1991,
Hospital & community psychiatry,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
November 2003,
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
June 2005,
Medical care,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
January 2009,
Prostate cancer and prostatic diseases,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
January 2000,
Preventive medicine,
T R Jordan, and
J H Price, and
K A King, and
T Masyk, and
A W Bedell
February 2000,
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology,
