Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care : A Pilot Study

Carlsson, Sigrid V. LU ; Preston, Mark A. ; Vickers, Andrew ; Malhotra, Deepak ; Ehdaie, Behfar ; Healey, Michael J. and Kibel, Adam S. (2023) In Applied Clinical Informatics 15(2). p.274-281
Abstract

Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting. Methods We pilot-tested a novel decision support tool that was used by 10 primary care physicians (PCPs) for 6 months, followed by a survey. The tool comprised (1) a risk-stratified algorithm, (2) a tool for facilitating shared decision-making (Simple Schema), (3) three best practice advisories (BPAs: <45, 45-75, and >75 years), and (4) a health maintenance module for scheduling automated reminders about PSA rescreening. Results All PCPs found the tool feasible, acceptable, and clear to use. Eight out of ten PCPs reported that the tool made PSA... (More)

Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting. Methods We pilot-tested a novel decision support tool that was used by 10 primary care physicians (PCPs) for 6 months, followed by a survey. The tool comprised (1) a risk-stratified algorithm, (2) a tool for facilitating shared decision-making (Simple Schema), (3) three best practice advisories (BPAs: <45, 45-75, and >75 years), and (4) a health maintenance module for scheduling automated reminders about PSA rescreening. Results All PCPs found the tool feasible, acceptable, and clear to use. Eight out of ten PCPs reported that the tool made PSA screening conversations somewhat or much easier. Before using the tool, 70% of PCPs felt confident in their ability to discuss PSA screening with their patient, and this improved to 100% after the tool was used by PCPs for 6 months. PCPs found the BPAs for eligible (45-75 years) and older men (>75 years) more useful than the BPA for younger men (<45 years). Among the 10 PCPs, 60% found the Simple Schema to be very useful, and 50% found the health maintenance module to be extremely or very useful. Most PCPs reported the components of the tool to be at least somewhat useful, with 10% finding them to be very burdensome. Conclusion We demonstrated the feasibility and acceptability of the tool, which is notable given the marked low acceptance of existing tools. All PCPs reported that they would consider continuing to use the tool in their clinic and were likely or very likely to recommend the tool to a colleague.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
clinical decision support, concordant care, electronic health record, informatics, pilot study, prostate cancer screening
in
Applied Clinical Informatics
volume
15
issue
2
pages
8 pages
publisher
Georg Thieme Verlag
external identifiers
  • scopus:85190467908
  • pmid:38599618
ISSN
1869-0327
DOI
10.1055/s-0044-1780511
language
English
LU publication?
yes
id
854a421d-f0f0-44b0-bbe6-852f57c606e4
date added to LUP
2024-04-30 08:13:21
date last changed
2024-06-25 13:59:52
@article{854a421d-f0f0-44b0-bbe6-852f57c606e4,
  abstract     = {{<p>Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting. Methods We pilot-tested a novel decision support tool that was used by 10 primary care physicians (PCPs) for 6 months, followed by a survey. The tool comprised (1) a risk-stratified algorithm, (2) a tool for facilitating shared decision-making (Simple Schema), (3) three best practice advisories (BPAs: &lt;45, 45-75, and &gt;75 years), and (4) a health maintenance module for scheduling automated reminders about PSA rescreening. Results All PCPs found the tool feasible, acceptable, and clear to use. Eight out of ten PCPs reported that the tool made PSA screening conversations somewhat or much easier. Before using the tool, 70% of PCPs felt confident in their ability to discuss PSA screening with their patient, and this improved to 100% after the tool was used by PCPs for 6 months. PCPs found the BPAs for eligible (45-75 years) and older men (&gt;75 years) more useful than the BPA for younger men (&lt;45 years). Among the 10 PCPs, 60% found the Simple Schema to be very useful, and 50% found the health maintenance module to be extremely or very useful. Most PCPs reported the components of the tool to be at least somewhat useful, with 10% finding them to be very burdensome. Conclusion We demonstrated the feasibility and acceptability of the tool, which is notable given the marked low acceptance of existing tools. All PCPs reported that they would consider continuing to use the tool in their clinic and were likely or very likely to recommend the tool to a colleague.</p>}},
  author       = {{Carlsson, Sigrid V. and Preston, Mark A. and Vickers, Andrew and Malhotra, Deepak and Ehdaie, Behfar and Healey, Michael J. and Kibel, Adam S.}},
  issn         = {{1869-0327}},
  keywords     = {{clinical decision support; concordant care; electronic health record; informatics; pilot study; prostate cancer screening}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{274--281}},
  publisher    = {{Georg Thieme Verlag}},
  series       = {{Applied Clinical Informatics}},
  title        = {{A Provider-Facing Decision Support Tool for Prostate Cancer Screening in Primary Care : A Pilot Study}},
  url          = {{http://dx.doi.org/10.1055/s-0044-1780511}},
  doi          = {{10.1055/s-0044-1780511}},
  volume       = {{15}},
  year         = {{2023}},
}