Abstract
Current United States Preventative Services Task Force (USPSTF) guidelines endorse shared decision making (SDM) for PSA screening.1 However, current evidence shows marked variation and underutilization in SDM for prostate cancer screening, especially amongst more vulnerable patient populations.2 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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