• Hussein Saad Amin, Mostafafa Ahmed Arafa, Karim Hamda Farhat, Danny Munther Rabah, Abdulaziz Abdullah Altaweel, and Abdulaziz Hamed Alhammad.
• Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
• Afr Health Sci. 2020 Dec 1; 20 (4): 187018741870-1874.

BackgroundMen over 50 should discuss the benefits and harms of prostate-specific antigen (PSA) testing with their doctors.ObjectivesTo investigate whether shared decision making (SDM) increases the uptake of prostate cancer screening practices among Saudi men.MethodsThis community-based study recruited men aged ≥ 50 years between January and April 2019. Sociodemographic characteristics, history, and current medical condition information were collected. SDM information with regards to prostate cancer screening was discussed.ResultsIn total, 2034 Saudi men, aged between 50 and 88 years, agreed to participate in the current study. Prostate examination for early detection of cancer was recommended for 35.4% (720) of subjects. Of the subjects, 23.3% (473) reported that the physicians discussed the advantages and benefits of PSA testing, whereas only 5.6% (114) stated that the physicians explained the disadvantages and drawbacks of PSA testing.ConclusionOur findings suggest that less than one fourth discussed the advantages and disadvantages of PSA testing with their physicians; of these, less than one third underwent PSA blood tests. Improvements are needed in SDM for and against PSA screening. SDM does not affect the intensity of PSA testing. Primary health care physicians should be actively involved in the SDM process.© 2020 Amin HS et al.

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