{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T07:53:50Z","timestamp":1772610830702,"version":"3.50.1"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"02","funder":[{"DOI":"10.13039\/100001299","name":"Prevent Cancer Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100001299","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Institutes of Health\/National Cancer Institute Cancer Center Support Grant","award":["P30-CA008748"],"award-info":[{"award-number":["P30-CA008748"]}]},{"name":"National Institutes of Health\/National Cancer Institute Transition Career Development Award","award":["K22-CA234400"],"award-info":[{"award-number":["K22-CA234400"]}]},{"name":"DiNovi Family Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement.<\/jats:p><jats:p>\n          Methods\u2003A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis.<\/jats:p><jats:p>\n          Results\u2003The survey showed that PCPs followed different guidelines. In total, 7\/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9\/10) had never used a decision aid for PSA screening. Although 70% of PCPs felt confident about their ability to discuss PSA screening, 90% still felt a need for a provider-facing platform to assist in these discussions. Three major themes emerged: (1) confirmatory reactions regarding the importance, innovation, and unmet need for a decision support tool embedded in the electronic health record; (2) issues around implementation and application of the tool in clinic workflow and PCPs' own clinical bias; and (3) attitudes\/reflections regarding discrepant recommendations from various guideline groups that cause confusion.<\/jats:p><jats:p>\n          Conclusion\u2003There was overwhelmingly positive support for the need for a provider-facing decision support tool to assist with PSA-screening decisions in the primary care setting. PCPs appreciated that the tool would allow flexibility for clinical judgment and documentation of shared decision-making. Incorporation of suggestions from this focus group into a second version of the tool will be used in subsequent pilot testing.<\/jats:p>","DOI":"10.1055\/s-0044-1782619","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:22:19Z","timestamp":1712794939000},"page":"282-294","source":"Crossref","is-referenced-by-count":3,"title":["Provider Perceptions of an Electronic Health Record Prostate Cancer Screening Tool"],"prefix":"10.1055","volume":"15","author":[{"given":"Sigrid V.","family":"Carlsson","sequence":"additional","affiliation":[{"name":"Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, United States"},{"name":"Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, United States"},{"name":"Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden"},{"name":"Division of Urological Cancers, Department of Translational Medicine, Medical Faculty, Lund University, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Preston","sequence":"additional","affiliation":[{"name":"Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Vickers","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Organizations, and Markets Unit, Harvard Business School, Boston, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behfar","family":"Ehdaie","sequence":"additional","affiliation":[{"name":"Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Healey","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States"},{"name":"Division of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam S.","family":"Kibel","sequence":"additional","affiliation":[{"name":"Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United 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