Results
A total of 170 PCP completed the survey. Median age was 33 (29 – 50) years and 58.2% were female. Regarding academic level, 51.8% were general practitioners, 14.7% family medicine physicians, 25.3% family medicine residents in training, and 8.2% social service medical doctors. Factors related to PCa-ED among PCP are summarized intable 1 .
Knowledge of the predictive value of PCa-ED tools
Mean score of risk factors knowledge was 51.5±15.7%. A score above the mean was not associated with testing PSA on asymptomatic men (p=0.674). Risk factors outcomes are summarized in table 2 . Knowledge regarding positive predictive value (PPV) of PSA, DRE and PSA+DRE on PCa-ED ins presented in table 3 .
Institutional programs and skills on PCa-ED
Having an institutional program for PCa-ED was answered by 40.6% of PCP. Moreover, 76% of PCP have access to PSA testing in their work facilities/institution. Only 13.5% were self-perceived as “not well-trained” for PCa-ED. Furthermore, 56% reported carrying out PCa-ED routinely. Testing PSA on asymptomatic was considered as a proxy for PCa-ED and was found on 40% of PCP. The selected age ranges for PSA in asymptomatic men are presented in figure 1.
The 61.2% of PCP answered they do not carry out any DRE for PCa-ED. Moreover, 60.6% lacks proper physical space at their facilities, 44% lacks assistance, and 39.4% lacks time for DRE in daily practice. Nevertheless, these factors were not associated with weather or not carry out a DRE (p=0.196, p=0.122, and p=0.108, respectively).
Factors related to testing PSA in asymptomatic men
Unadjusted logistic regression model found that fewer years in practice and being a family medicine resident were factor related with a less likelihood of testing PSA in asymptomatic men whereas having access to PSA testing and an institutional program on PCa-ED, increased the probability. However, the only factor significantly related in the multivariate model was having access to PSA testing at their work institution, as shown in table 4 .