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Avoidance of Anticipated Regret: The Ordering of Prostate-Specific Antigen Tests

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  • Paul Clay Sorum
  • Etienne Mullet
  • Junseop Shim
  • Sylvie Bonnin-Scaon
  • Gérard Chasseigne
  • Joël Cogneau

Abstract

Objective . When making decisions, people are known to try to minimize the regret that would be provoked by unwanted consequences of these decisions. The authors explored the strength and determinants of such anticipated regret in a study of physicians’ decisions to order prostate-specific antigen (PSA) tests. Methods . 32 US and 33 French primary care physicians indicated the likelihood they would order a PSA for 32 hypothetical men presenting for routine physical exams. They then indicated how much regret they would feel if they found advanced prostate cancer in 12 other patients for whom they had chosen not to order PSAs several years before. The latter patients differed according to age (55, 65, or 75 years), a prior request or not for PSA testing, and no or some irregularity of the prostate on the earlier rectal exam. Results . ANOVA found that regret was higher when the patient had requested a PSA, the prostate was irregular, and the patient was younger. Shape had less effect when the patient had requested a PSA. US physicians had more regret than the French, patient request had a greater impact on the Americans, and increasing patient age reduced regret more among the French. In a 1-way correlation, the regret score was associated with the likelihood of ordering PSAs for both the French (r = 0.64, P

Suggested Citation

  • Paul Clay Sorum & Etienne Mullet & Junseop Shim & Sylvie Bonnin-Scaon & Gérard Chasseigne & Joël Cogneau, 2004. "Avoidance of Anticipated Regret: The Ordering of Prostate-Specific Antigen Tests," Medical Decision Making, , vol. 24(2), pages 149-159, March.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:2:p:149-159
    DOI: 10.1177/0272989X04263163
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    References listed on IDEAS

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    4. Clark, Jack A. & Wray, Nelda & Brody, Baruch & Ashton, Carol & Giesler, Brian & Watkins, Herbert, 1997. "Dimensions of quality of life expressed by men treated for metastatic prostate cancer," Social Science & Medicine, Elsevier, vol. 45(8), pages 1299-1309, October.
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    2. Michenaud, Sébastien & Solnik, Bruno, 2008. "Applying regret theory to investment choices: Currency hedging decisions," Journal of International Money and Finance, Elsevier, vol. 27(5), pages 677-694, September.
    3. Oyakhilome IBHAGUI, 2017. "Optimal Asset Allocation of a Pension Fund: Does The Fear of Regret Matter?," Journal of Economics Library, KSP Journals, vol. 4(2), pages 130-159, June.
    4. Boeri, Marco & Longo, Alberto & Grisolía, José M. & Hutchinson, W. George & Kee, Frank, 2013. "The role of regret minimisation in lifestyle choices affecting the risk of coronary heart disease," Journal of Health Economics, Elsevier, vol. 32(1), pages 253-260.
    5. Berg, Nathan & Biele, Guido & Gigerenzer, Gerd, 2010. "Does consistency predict accuracy of beliefs?: Economists surveyed about PSA," MPRA Paper 26590, University Library of Munich, Germany.
    6. John Buckell & Vrinda Vasavada & Sarah Wordsworth & Dean A. Regier & Matthew Quaife, 2022. "Utility maximization versus regret minimization in health choice behavior: Evidence from four datasets," Health Economics, John Wiley & Sons, Ltd., vol. 31(2), pages 363-381, February.
    7. Mia Djulbegovic & Jason Beckstead & Shira Elqayam & Tea Reljic & Ambuj Kumar & Charles Paidas & Benjamin Djulbegovic, 2015. "Thinking Styles and Regret in Physicians," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-13, August.

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