JLE

Médecine

MENU

Généralistes et dépistage du cancer de la prostate : sommes-nous « cohérents » ? Une enquête auprès des médecins généralistes d'Île-de-France Volume 9, numéro 6, Juin 2013

Auteurs
Département d'Enseignement et de Recherche de Médecine Générale ; Université Pierre et Marie Curie ; Paris VI, France - vcalc@hotmail.fr

Background: The issue of screening for prostate cancer is a daily issue in general practice. It makes controversy. Method: Survey by auto and hetero questionnaire with 98 GPs tutors at the University Pierre et Marie Curie Paris VI (65 responses) and their patients (325 responses). Results: The female doctors and more trained doctors were less likely to systematically screen their patients (p = 0.0057 and p = 0.02 respectively), 45% of doctors prescribed PSA alone, 41% associate dosage PSA and digital rectal examination, 28% used transrectal ultrasonography, 37% took into account the family history of the patient. Discussion: Paris GPs surveyed are rather “consistent”. CME contributes to practise “no screening”. The lack of consistency observed in some GPs seems to reflect the uncertainty of the current controversy. Conclusion: This type of investigation could allow a reliable assessment for other practices.