Protocol: A multi-modal, physician-centered intervention to improve guideline-concordant prostate cancer imaging.

ABSTRACT:

Background

Almost half of Veterans with localized prostate cancer receive inappropriate, wasteful staging imaging. Our team has explored the barriers and facilitators of guideline-concordant prostate cancer imaging and found that (1) patients with newly diagnosed prostate cancer have little concern for radiographic staging but rather focus on treatment and (2) physicians trust imaging guidelines but are apt to follow their own intuition, fear medico-legal consequences, and succumb to influence from imaging-avid colleagues. We used a theory-based approach to design a multi-level intervention strategy to promote guideline-concordant imaging to stage incident prostate cancer.

Methods

We designed the Prostate Cancer Imaging Stewardship (PCIS) intervention: a multi-site, stepped

SUBMITTER: Makarov DV 

PROVIDER: S-EPMC8522153 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature