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首页> 外文期刊>Journal of general internal medicine >The impact of a suspicious prostate biopsy on patients' psychological, socio-behavioral, and medical care outcomes.
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The impact of a suspicious prostate biopsy on patients' psychological, socio-behavioral, and medical care outcomes.

机译：可疑的前列腺活检对患者的心理，社会行为和医疗结果的影响。

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OBJECTIVE: To evaluate the psychological, socio-behavioral, and medical implications of apparently false-positive prostate cancer screening results. METHODS: One hundred and twenty-one men with a benign prostate biopsy performed in response to a suspicious screening test (biopsy group) and 164 men with a normal prostate-specific antigen (PSA) test result (normal PSA group) responded to a questionnaire 6 weeks, 6 and 12 months after their biopsy or PSA test. RESULTS: The mean (+/-SD) age of respondents was 61+/-9 years (range, 41 to 88 years). One year later, 26% (32/121) of men in the biopsy group reported having worried "a lot" or "some of the time" that they may develop prostate cancer, compared with 6% (10/164) in the normal PSA group (P<.001). Forty-six percent of the biopsy group reported thinking their wife or significant other was concerned about prostate cancer, versus 14% in the normal PSA group (P<.001). Medical record review showed that biopsied men were more likely than those in the normal PSA group to have had at least 1 follow-up PSA test over the year (73% vs 42%, P<.001), more likely to have had another biopsy (15% vs 1%, P<.001), and more likely to have visited a urologist (71% vs 13%, P<.001). CONCLUSION: One year later, men who underwent prostate biopsy more often reported worrying about prostate cancer. In addition, there were related psychological, socio-behavioral, and medical care implications. These hidden tolls associated with screening should be considered in the discussion about the benefits and risks of prostate cancer screening.
机译：目的：评估明显假阳性的前列腺癌筛查结果的心理，社会行为和医学意义。方法：对可疑筛查测试做出反应的一百一十二名前列腺良性活检男性（活检组）和前列腺特异性抗原（PSA）测试结果正常的一百六十四名男性（正常PSA组）对问卷进行了回应活检或PSA检查后6周，6和12个月。结果：受访者的平均（+/- SD）年龄为61 +/- 9岁（范围为41至88岁）。一年后，活检组中有26％（32/121）的男性报告“非常”或“某些时候”担心自己可能会患上前列腺癌，而正常人为6％（10/164） PSA组（P <.001）。活检组中有46％的人认为妻子或重要他人担心前列腺癌，而正常PSA组中这一比例为14％（P <.001）。病历审查显示，活检的男性比正常PSA组的男性一年中接受至少1次随访PSA测试的可能性更高（73％vs 42％，P <.001），更有可能接受另一项活检（15％比1％，P <.001），并且更有可能去看泌尿科医师（71％比13％，P <.001）。结论：一年后，进行前列腺穿刺活检的男性更常担心前列腺癌。此外，还涉及相关的心理，社会行为和医疗护理。与前列腺癌筛查有关的益处和风险的讨论中应考虑与筛查有关的这些隐患。

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