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Peter Vedsted

Association of GPs' risk attitudes, level of empathy, and burnout status with PSA testing in primary care

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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.

I: British Journal of General Practice, Bind 65, Nr. 641, 12.2015, s. e845-51.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{038b9809ce5f45cdbba38668963cd3dd,
title = "Association of GPs' risk attitudes, level of empathy, and burnout status with PSA testing in primary care",
abstract = "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.",
author = "Pedersen, {Anette F} and Carlsen, {Anders H} and Peter Vedsted",
note = "{\textcopyright} British Journal of General Practice 2015.",
year = "2015",
month = dec,
doi = "10.3399/bjgp15X687649",
language = "English",
volume = "65",
pages = "e845--51",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",
number = "641",

}

RIS

TY - JOUR

T1 - Association of GPs' risk attitudes, level of empathy, and burnout status with PSA testing in primary care

AU - Pedersen, Anette F

AU - Carlsen, Anders H

AU - Vedsted, Peter

N1 - © British Journal of General Practice 2015.

PY - 2015/12

Y1 - 2015/12

N2 - 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.

AB - 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.

U2 - 10.3399/bjgp15X687649

DO - 10.3399/bjgp15X687649

M3 - Journal article

C2 - 26541183

VL - 65

SP - e845-51

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

IS - 641

ER -