AIMS: Most public health agencies and learned societies agree that the @entity1486 (PSA) test in asymptomatic @entity1 should not be recommended, on account of its potential for harm. Yet PSA is still widely used as a screening test and is not being abandoned. This remains a significant public health issue, and citizens' engagement is needed. This study was designed to produce a deliberation on the PSA screening test by a citizens' jury. METHODS: Fifteen citizens were selected and balanced for sex, age, and education. They received an information booklet and participated in a two-day meeting with experts to reach a deliberation on the question "Should the National Health Service discourage or recommend PSA as an individual screening test for @entity263 in @entity1 55-69 years old?". A facilitator ran the jurors' discussion. RESULTS: All except three of the jurors decided that the National Health Service should discourage the use of PSA as an individual screening test for @entity263 in 55-69 year-old @entity1 . The jury was particularly convinced by the uncertainty of the test outcomes, the utility of the test, and its cost/benefit ratio. Before the meeting 60% of jurors would have recommended the test to a relative, and all the male jurors would have done so. After the meeting these percentages fell to 15% and 12%. CONCLUSIONS: This experience confirms the feasibility and effectiveness of delegating to a group of citizens the responsibility to decide on public health issues on behalf of the community. Public health authorities should invest in information campaigns aimed at the public and in educational initiatives for physicians. This also provided an opportunity to disseminate information on screening, over-diagnosis, and over-treatment.

Involving a Citizens' Jury in Decisions on Individual Screening for XXXX .

@entity1 :: ('9606', 'Species') :: ['men'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate cancer'] @entity1486 :: ('354', 'Gene') :: ['prostate-specific antigen']
@entity263 :: (MESH:D011471,Disease) :: ['Prostate Cancer']
