Informed Decision Making for Prostate Cancer Screening - A Prospective, Randomized Study of Two Novel Web-based, Electronic Visits
Personalized PSA risk information increased screening decisions among some patients, but digital engagement barriers persist especially for Black men.
This randomized quality-improvement study in 3,200 ethnically diverse Kaiser Permanente members compared a standard informational E-visit to an interactive version incorporating personalized PSA risk estimates by age and race, finding the interactive approach drove more screening decisions and PSA orders among completers. However, only 15.6% completed either visit type, with Black men having the lowest completion rates, highlighting implementation barriers for digital prostate cancer screening decision support.
What the study was
- Study design
- prospective_randomized_quality_improvement
- Category
- early_cancer_detection
- Maturity
- Validated
- Journal
- J Urol
Why it surfaced
Randomized comparison of E-visit modalities for prostate cancer screening decision-making; interactive personalized approach outperforms generic information; equity gaps in completion are critical finding; limited by low overall uptake (15.6%) limiting generalizability.
A plain-language summary of published research — not medical advice. Talk to a clinician about your own care.