Cargando…
Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care
BACKGROUND: Rates of prostate specific antigen (PSA) test ordering vary among GPs. AIM: To examine whether GPs’ risk attitude, level of empathy, and burnout status are associated with PSA testing. DESIGN AND SETTING: Register and questionnaire study including 129 solo GPs (active in the Central Denm...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of General Practitioners
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655739/ https://www.ncbi.nlm.nih.gov/pubmed/26541183 http://dx.doi.org/10.3399/bjgp15X687649 |
_version_ | 1782402210510929920 |
---|---|
author | Pedersen, Anette F Carlsen, Anders H Vedsted, Peter |
author_facet | Pedersen, Anette F Carlsen, Anders H Vedsted, Peter |
author_sort | Pedersen, Anette F |
collection | PubMed |
description | BACKGROUND: Rates of prostate specific antigen (PSA) test ordering vary among GPs. AIM: To examine whether GPs’ risk attitude, level of empathy, and burnout status are associated with PSA testing. DESIGN AND SETTING: Register and questionnaire study including 129 solo GPs (active in the Central Denmark Region) and 76 672 of their adult male patients with no history of or current prostate cancer diagnosis. METHOD: PSA tests from 2012 were retrieved from a register and classified as incident (that is, the first PSA test within 24 months), repeated normal, or repeated raised tests. This was merged with information on GPs’ risk attitudes, empathy, and burnout status from a 2012 survey. RESULTS: Patients registered with a GP with a high score on anxiety caused by uncertainty (odds ratio [OR] 1.03, 95% confidence interval [CI] = 1.00 to 1.06, P = 0.025) or concern about bad outcomes (OR 1.04; 95% CI = 1.00 to 1.08, P = 0.034) were more likely to have an incident PSA test, whereas those registered with a GP with increased tolerance for ambiguity were less likely (OR 0.98, 95% CI = 0.96 to 1.00, P = 0.025). Patients registered with a GP reporting high tolerance for ambiguity (OR 0.96, 95% CI = 0.94 to 0.99, P = 0.009) or high propensity to risk-taking (OR 0.97, 95% CI = 0.93 to 1.00, P = 0.047) were less likely to have a repeated normal PSA test. CONCLUSION: Various aspects of GPs’ risk-taking attitudes were associated with patients’ probability of having an incident and a repeated normal PSA test. The probability of having a repeated raised PSA test was not influenced by any of the psychological factors. Burnout and empathy were not associated with PSA testing. |
format | Online Article Text |
id | pubmed-4655739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-46557392015-12-07 Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care Pedersen, Anette F Carlsen, Anders H Vedsted, Peter Br J Gen Pract Research BACKGROUND: Rates of prostate specific antigen (PSA) test ordering vary among GPs. AIM: To examine whether GPs’ risk attitude, level of empathy, and burnout status are associated with PSA testing. DESIGN AND SETTING: Register and questionnaire study including 129 solo GPs (active in the Central Denmark Region) and 76 672 of their adult male patients with no history of or current prostate cancer diagnosis. METHOD: PSA tests from 2012 were retrieved from a register and classified as incident (that is, the first PSA test within 24 months), repeated normal, or repeated raised tests. This was merged with information on GPs’ risk attitudes, empathy, and burnout status from a 2012 survey. RESULTS: Patients registered with a GP with a high score on anxiety caused by uncertainty (odds ratio [OR] 1.03, 95% confidence interval [CI] = 1.00 to 1.06, P = 0.025) or concern about bad outcomes (OR 1.04; 95% CI = 1.00 to 1.08, P = 0.034) were more likely to have an incident PSA test, whereas those registered with a GP with increased tolerance for ambiguity were less likely (OR 0.98, 95% CI = 0.96 to 1.00, P = 0.025). Patients registered with a GP reporting high tolerance for ambiguity (OR 0.96, 95% CI = 0.94 to 0.99, P = 0.009) or high propensity to risk-taking (OR 0.97, 95% CI = 0.93 to 1.00, P = 0.047) were less likely to have a repeated normal PSA test. CONCLUSION: Various aspects of GPs’ risk-taking attitudes were associated with patients’ probability of having an incident and a repeated normal PSA test. The probability of having a repeated raised PSA test was not influenced by any of the psychological factors. Burnout and empathy were not associated with PSA testing. Royal College of General Practitioners 2015-12 2015-11-06 /pmc/articles/PMC4655739/ /pubmed/26541183 http://dx.doi.org/10.3399/bjgp15X687649 Text en © British Journal of General Practice 2015 This is an OpenAccess article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Pedersen, Anette F Carlsen, Anders H Vedsted, Peter Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title | Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title_full | Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title_fullStr | Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title_full_unstemmed | Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title_short | Association of GPs’ risk attitudes, level of empathy, and burnout status with PSA testing in primary care |
title_sort | association of gps’ risk attitudes, level of empathy, and burnout status with psa testing in primary care |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655739/ https://www.ncbi.nlm.nih.gov/pubmed/26541183 http://dx.doi.org/10.3399/bjgp15X687649 |
work_keys_str_mv | AT pedersenanettef associationofgpsriskattitudeslevelofempathyandburnoutstatuswithpsatestinginprimarycare AT carlsenandersh associationofgpsriskattitudeslevelofempathyandburnoutstatuswithpsatestinginprimarycare AT vedstedpeter associationofgpsriskattitudeslevelofempathyandburnoutstatuswithpsatestinginprimarycare |