ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 127
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
Prostate cancer screening: Improving screening and
provider confidence with shared decision making
Dr Michelle Cangiano, Dr Alicia Jacobs, Robert Luebbers
D
E
F
G
H
I
J
K
Larner College of Medicine at the University of Vermont
In 2017, a multidisciplinary team of urologists and primary care physicians at the University of Vermont
Medical Center developed a risk assessed screening and active surveillance prostate cancer protocol
and study called the Modern Approach to Prostate Cancer Screening (MAPS). Our approach is to use
a set of screening clinical decision support (CDS) tools that include a best-practice clinical algorithm,
an EMR-based risk assessment tool for shared decision making and a health maintenance reminder
system. This set of CDS tools has been implemented in all primary care settings.
CDS tools can increase provider confidence in shared decision making for prostate cancer screening.
Our survey results show that CDS tools can improve primary care provider confidence and adherence
to US Preventative Service Task Force (USPSTF)-recommended guidelines for PSA-based screening
in the primary care population, which may lead to improved early detection of disease. Risk-assessed
prostate cancer screening using CDS tools may help detect prostate cancer earlier and prevent either
over-diagnosis or over-treatment.
125