Screening & Prevention

Rapid Fire

RF101-3 - The Digital Rectal Exam and Prostate Cancer Screening in Primary Care: Yay or Nay?

Thursday, November 23
11:25 AM - 11:40 AM

Should family physicians continue to perform the Digital Rectal Exam (DRE) in primary care for screening of prostate cancer in asymptomatic men?

This question continues to pose controversy and confusion, not only for primary care physicians but also for our patients. The DRE has traditionally been a routine clinical skill to perform during "annual health exams" for men over the age of 50 (and for certain physicains, men over the age of 40). Current guidelines put out by varied associations are conflicting and controversial. The Canadian Task Force, for example, recommends against routinely offering the DRE to men for prostate cancer screening. The American Urological Association, on the other hand, recommends routine DREs in the prostate cancer setting.

Our group set forth to perform a literature review and meta-analysis to help answer the following question: Is the DRE effective when performed by family physicians in screening for prostate cancer in primary care? Our search revealed that the evidence to support the use of DREs in this setting was limited and generally poor. The results demonstrated that the DRE is not sensitive and has a poor positive predictive value rendering it's use questionable, if at all helpful in screening for prostate cancer.

This presentation will prompt discussion around the current controversy surrounding the use of the DRE in primary care and what the evidence shows from our recent literature and meta-analysis.

Learning Objectives:

Jason R. Profetto

Family and Academic Physician
McMaster University, Profetto-Savatteri Family Medicine

Dr. Jason Profetto is a Family and Academic Physician. He currently practices at Profetto-Savatteri Family Practice in Stoney Creek, Ontario. He is very involved with McMaster's Medical School and is currently the Chair of Clinical Skills for the Undergraduate Medical Program. He teaches students and residents of all levels. He does a variety of public speaking and presentations, both academically and in the community. He is a avid chess player, athlete and proud father/husband. Currently he is working on publishing his book "In The Trenches; The Daily Grind of Family and Academic Medicine". Dr. Profetto's current research interests include: clinical skills, the learning environment, diversity training in medical education and general medical education pedagogy.

Presentation(s):

Send Email for Jason Profetto

Jason R. Profetto

Family and Academic Physician
McMaster University, Profetto-Savatteri Family Medicine

Dr. Jason Profetto is a Family and Academic Physician. He currently practices at Profetto-Savatteri Family Practice in Stoney Creek, Ontario. He is very involved with McMaster's Medical School and is currently the Chair of Clinical Skills for the Undergraduate Medical Program. He teaches students and residents of all levels. He does a variety of public speaking and presentations, both academically and in the community. He is a avid chess player, athlete and proud father/husband. Currently he is working on publishing his book "In The Trenches; The Daily Grind of Family and Academic Medicine". Dr. Profetto's current research interests include: clinical skills, the learning environment, diversity training in medical education and general medical education pedagogy.

Presentation(s):

Send Email for Jason Profetto

Jason R. Profetto

Family and Academic Physician
McMaster University, Profetto-Savatteri Family Medicine

Dr. Jason Profetto is a Family and Academic Physician. He currently practices at Profetto-Savatteri Family Practice in Stoney Creek, Ontario. He is very involved with McMaster's Medical School and is currently the Chair of Clinical Skills for the Undergraduate Medical Program. He teaches students and residents of all levels. He does a variety of public speaking and presentations, both academically and in the community. He is a avid chess player, athlete and proud father/husband. Currently he is working on publishing his book "In The Trenches; The Daily Grind of Family and Academic Medicine". Dr. Profetto's current research interests include: clinical skills, the learning environment, diversity training in medical education and general medical education pedagogy.

Presentation(s):

Send Email for Jason Profetto


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