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EDITORIAL COMMENT

      Current United States Preventative Services Task Force (USPSTF) guidelines endorse shared decision making (SDM) for PSA screening.
      • Kearns JT
      • Holt SK
      • Wright JL
      • et al.
      PSA screening, prostate biopsy, and treatment of prostate cancer in the years surrounding the USPSTF recommendation against prostate cancer screening.
      However, current evidence shows marked variation and underutilization in SDM for prostate cancer screening, especially amongst more vulnerable patient populations.
      • Jiang C
      • Fedewa SA
      • Wen Y
      • et al.
      Shared decision making and prostate-specific antigen based prostate cancer screening following the 2018 update of USPSTF screening guideline.
      Although poorly studied, race and ethnicity, levels of education, income, and health literacy likely all play an important role in the adoption of SDM and, hence, account at least in part for the discrepancy between guideline recommendations and current practice.
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      References

        • Kearns JT
        • Holt SK
        • Wright JL
        • et al.
        PSA screening, prostate biopsy, and treatment of prostate cancer in the years surrounding the USPSTF recommendation against prostate cancer screening.
        Cancer. 2018; 124: 2733-2739
        • Jiang C
        • Fedewa SA
        • Wen Y
        • et al.
        Shared decision making and prostate-specific antigen based prostate cancer screening following the 2018 update of USPSTF screening guideline.
        Prostate Cancer Prostatic Dis. 2021; 24: 77-80
        • Nguyen D-D
        • Trinh Q-D
        • Cole AP
        • et al.
        Impact of health literacy on shared decision making for prostate-specific antigen screening in the United States.
        Cancer. 2021; 127: 249-256
        • Makarov DV
        • Feuer Z
        • Ciprut S
        • et al.
        Randomized trial of community health worker-led decision coaching to promote shared decision-making for prostate cancer screening among Black male patients and their providers.
        Trials. 2021; 22: 128