Conclusions
PCa-ED drops the cancer-specific mortality rate and is mainly performed
by PCP. The lack of access to PSA testing, institutional guidelines and
programs dedicated to PCa-ED, added to a scarce knowledge of PCa and a
presumably suboptimal continuing medical education programs in southeast
Mexico, turns out in a low rate of PCP performing PCa-ED and far from
evidence-based recommendations. The development of a nationwide strategy
for practice and training in PCa-ED tailored to PCP is mandatory for
improving the CaP mortality rate and increase the likelihood of
diagnosing patients with prostate-confined stages trough an informed and
shared-decision making process.