{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T21:05:53Z","timestamp":1774127153991,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Prostate cancer is one of the most common types of cancer in men and could occur without symptoms. Screening has been debated but remains controversial and, in most countries, organized population\u2010based screening does not exist. The aim of this study was to describe men's experiences of receiving a prostate cancer diagnosis after opportunistic screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study is a secondary analysis from interviews with 17 men (aged 56\u201380 years) who had undergone curative treatment for prostate cancer. Data were collected in an urban region of Sweden through interviews conducted face to face or by telephone. An inductive content analysis was used with Consolidated criteria for Reporting Qualitative research as a reporting checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two main categories were identified. <jats:italic>Screening is a lifesaver enclosed by ethical dilemmas<\/jats:italic> reflects how men considered screening as a lifesaving test. Testing was surrounded by injustice and an eagerness to encourage other men to undergo screening. <jats:italic>Facing challenges during diagnosis<\/jats:italic> reflects the men's experiences of being in an unknown field yet expected to engage in decision\u2010making concerning appropriate treatment. Receiving the diagnosis rendered mixed emotions about having a cancer disease, that the treatment could cause lifelong symptom distress and the men described being hesitant to talk about their diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings highlight men's opinions about screening and that the lack of routine screening represents injustice. The men considered this as an ethical question of lifesaving justice, while stakeholders may argue that screening could lead to unnecessary suffering and overtreatment. Men do not always talk openly about their diagnosis, linked to the fact that it concerns intimate areas. It is important to balance the information in relation to shared decision\u2010making regarding treatment. Health care professionals have an ethical responsibility to support and coach the patient in their decision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>This study was based on interviews with men who had experienced a diagnosis of prostate cancer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13567","type":"journal-article","created":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T06:01:42Z","timestamp":1658988102000},"page":"2485-2491","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Men's experiences of receiving a prostate cancer diagnosis after opportunistic screening\u2014A qualitative descriptive secondary analysis"],"prefix":"10.1111","volume":"25","author":[{"given":"Linda","family":"Gellerstedt","sequence":"first","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Nursing, Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Langius\u2010Ekl\u00f6f","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Nursing, Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazmije","family":"Kelmendi","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Nursing, Karolinska Institutet  Stockholm Sweden"},{"name":"Stockholm County Council, Academic Primary Health Care Center  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4544-9798","authenticated-orcid":false,"given":"Kay","family":"Sundberg","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Nursing, Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0553-199X","authenticated-orcid":false,"given":"\u00c5sa G.","family":"Craftman","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Nursing, Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Nursing Science Sophiahemmet University  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2018.2706"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-015-0025-6"},{"key":"e_1_2_12_5_1","unstructured":"Cancer EOfRaTo. Prostate cancer: the silent man's disease. Accessed October 28.https:\/\/www.eortc.org\/blog\/2017\/11\/17\/prostate-cancer-the-silent-mans-disease\/"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/21681805.2020.1797871"},{"key":"e_1_2_12_7_1","unstructured":"The National Board of Health and Welfare.\u00a0Screening f\u00f6r prostatacancer Rekommendation och bed\u00f6mningsunderlag. Socialstyrelsen [In Swedish] Screening for prostate cancer Recommendation and assessment.\u00a02018."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2019.12.009"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.3712"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00348-X"},{"key":"e_1_2_12_11_1","unstructured":"Institute for Quality and Efficiency in Health Care. Institute for Quality and Efficiency in HealthCare: Extracts.Prostate cancer screening with a PSA test: IQWiG Reports\u2014Commission No S19\u201001. Institute for Quality and Efficiency in Health Care (IQWiG)\u00a9 IQWiG (Institute for Quality and Efficiency in Health Care).\u00a02020."},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djq099"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7248"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.8033"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000401"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00221-3"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-020-01355-z"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988318780851"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0188258"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3721"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-018-0717-6"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2017.09.007"},{"key":"e_1_2_12_23_1","volume-title":"Nursing Research: Generating and Assessing Evidence for Nursing Practice","author":"Polit D","year":"2016"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-181"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2017.06.002"},{"key":"e_1_2_12_28_1","doi-asserted-by":"crossref","unstructured":"World Medical Association. 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