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Decision aid for prostate cancer screening in Brazil

OBJECTIVE: To present the development and validation processes of a decision aid for prostate cancer screening in Brazil. METHODS: Study with qualitative-participatory design for the elaboration of a decision aid for prostate cancer screening, with the participation of a group of men and physicians...

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Detalles Bibliográficos
Autores principales: dos Santos, Renata Oliveira Maciel, de Abreu, Mirhelen Mendes, Migowski, Arn, Engstrom, Elyne Montenegro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973024/
https://www.ncbi.nlm.nih.gov/pubmed/35416845
http://dx.doi.org/10.11606/s1518-8787.2022056003467
Descripción
Sumario:OBJECTIVE: To present the development and validation processes of a decision aid for prostate cancer screening in Brazil. METHODS: Study with qualitative-participatory design for the elaboration of a decision aid for prostate cancer screening, with the participation of a group of men and physicians inserted in primary health care in 11 Brazilian states. Evidence synthesis, field testing, and use in clinical scenarios were performed to adapt the content, format, language, and applicability towards the needs of the target audience in the years 2018 and 2019. The versions were subsequently evaluated by the participants and modified based on the data obtained. RESULTS: We elaborated an unprecedented tool in Brazil, with information about the tests used in the screening, comparison of their possible benefits and harms and a numerical infographic with the consequences of this practice. We verified the decision aid usability to assist in the communication between the doctor and the man in the context of primary health care, besides identifying the need for greater discussion about sharing decisions in clinical scenarios. CONCLUSION: The tool was easy to use, objective, and has little interference in consultation time. It is a technical-scientific material, produced by research, with the participation of its main target audience and which is available free of charge for use in Brazilian clinical scenarios.