Table 4 Approaches of GPs in specific case scenarios (n = 88 a, n (%))
Case scenario | Never | Rarely | Sometimes | Often | Always |
PSA test in case of lower urinary tract symptoms | 14 (17.3) | 27 (33.3) | 25 (30.9) | 12 (14.8) | 3 (3.7) |
PSA test in case of unclear discomfort | 10 (11.5) | 16 (18.4) | 40 (46.0) | 18 (20.7) | 3 (3.4) |
DRE before PSA test | 3 (3.4) | 4 (4.5) | 14 (15.9) | 44 (50.0) | 23 (26.1) |
PSA test if DRE suggestive for prostate cancer | 7 (8.0) | 13 (14.8) | 9 (10.2) | 19 (21.6) | 40 (45.5) |
Case scenario | Yes | No | |||
Are there situations where you would not refer a patient, having a PSA level ≥ 3 ng/mL, to a urologist? | 80 (94.1) | 5 (5.9) | |||
If a patient has a normal PSA level, do you check the PSA level after some time again? | 17 (20.2) | 67 (79.8) | |||
Did you perform a DRE on your last patient having lower urinary tract symptoms? | 70 (82.4) | 15 (17.6) | |||
If a patient actively requests PSA screening, I will … | |||||
perform a PSA test without explanation | 1 (1.2) | ||||
inform the patient on the (dis) advantages of the PSA test and order it | 39 (45.9) | ||||
inform the patient on the (dis) advantages of the test and make a new appointment to decide if to order one or not | 30 (35.3) | ||||
not order a PSA test | 8 (9.4) | ||||
Others | 7 (8.2) | ||||