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.