• Olav Thorsen, Eirik Viste, Torgeir Gilje Lid, and Svein R Kjosavik.
• The General Practice and Care Coordination Research Group, Stavanger University Hospital, Stavanger, Norway.
• Scand J Prim Health Care. 2022 Mar 1; 40 (1): 123-128.

ObjectiveTo investigate how GPs use the PSA test as a diagnostic tool in daily practice.DesignQualitative study using focus group interviews, the transcripts being analyzed by systemic text condensation.SubjectsA total of 17 Norwegian GPs in three CME groups.Main Outcome MeasuresExploring GPs' attitudes to national guidelines and the practical use of the PSA test.ResultsDetecting prostate cancer in general practice is a common and important, but difficult diagnostic issue. Our participants experienced uncertainty regarding the test when to use it, how to interpret the results and when to refer to specialist health services.ConclusionThe study revealed a general ambivalence to the use of PSA. Many patients present urological problems, and many are afraid of having cancer. PSA is commonly used, but sometimes generates problems rather than solving them.ImplicationsThe use of the PSA test should be based on a thorough clinical assessment and in close collaboration with the patient.Key pointsMany patients in general practice present urological problems, and many are afraid of having cancer.GPs have a general ambivalence to the use of PSA when to use it, how to interpret the results and when to refer to specialist health services.The use of PSA sometimes generates problems rather than solving them.

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