Prostate cancer screening
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2014
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Abstract
Universal screening for prostate cancer (Pca) using prostate-specific antigen-based testing is not recommended, as the potential harms of screening (overdiagnosis and overtreatment) outweigh potential benefits. The case for Pca screening requires a paradigm shift, which emphasizes the risks of screening over the risks of undetected cancer. Physicians are encouraged to use shared decision making with patients who express an interest in Pca screening, taking into account both the patient's screening preferences and individual risk profile. New models of care informed by the Patient Protection and Affordable Care Act are intended to assist clinicians in providing recommended preventive services. © 2014 Elsevier Inc.
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Scholars@Duke
John William Ragsdale
I have worked at Duke Family Medicine since moving to the area in 2008, initially serving as Medical Director and later as Chief of Family Medicine and Vice Chair of Clinical Services since 2016. I have gained a great deal of personal satisfaction from being involved in patient care, particularly as my administrative roles have expanded. I continue to follow a panel of patients that I have been caring for for many years, along with a longstanding passion for gynecological procedural work, which I have maintained since completing my residency.
Since 2017, I have also collaborated with the Duke Cancer Center to improve care for cancer survivors, with a focus on patients with genitourinary cancers. That work has continued to expand to cover a broader array of cancer survivors and now occupies a larger piece of my clinical work. My interest lies in creating networks and systems that can better respond to and manage the complex and long-term needs of the growing population of cancer survivors.
Viviana Sandra Martinez-Bianchi
Health Disparities, Access to Health Care, Women's Health, Latino Health Care, Chronic Disease Management, Socioeconomic Determinants of Health. Population Health.
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