Patients' interest in discussing cancer risk and risk management with primary care physicians
Patients' interest in discussing cancer risk and risk management with primary care physicians
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DOI：
10.1016/j.pec.2004.04.003
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发表时间：
2005-04-01
影响因子：
3.5
通讯作者：
Bastian, L
中科院分区：
文献类型：
--
作者：
Buchanan, AH;Skinner, CS;Bastian, L
人们对患者与初级保健医生讨论癌症风险和风险管理的偏好知之甚少。我们试图确定患者是否愿意讨论这些话题以及哪些因素与这种兴趣相关。参与者（375 名年龄在 40-85 岁之间，具有不同种族和教育水平的患者）在预定的医生就诊之前完成了电话调查。调查包括以下项目：感知健康、感知癌症风险、教育水平，以及参与者是否愿意与医生讨论他们的乳腺癌、卵巢癌或结肠癌风险、他莫昔芬、癌症遗传咨询和结肠癌筛查。与那些不感兴趣的人相比，更多人对讨论每种癌症的风险感兴趣（P < 0.0001）。更多的参与者对讨论乳房 X 光检查 (80%) 和癌症遗传咨询 (60%) 感兴趣，而不是塔诺昔芬 (49%) 或结肠癌筛查方式 (43-53%)。对于许多话题来说，健康状况不佳与未来讨论的兴趣更大有关。较高的教育水平与较低的兴趣相关。 (c) 2004 Elsevier Ireland Ltd. 保留所有权利。
Little is known about patients' preferences for discussing cancer risks and risk management with primary care physicians. We sought to determine whether patients want to discuss such topics and what factors are associated with this interest. Participants (375 patients ages 40-85, of diverse race and education level) completed a telephone survey prior to scheduled physician visits. Survey included items on perceived health, perceived cancer risk, education level, and whether participants would like to discuss with a physician their breast, ovarian or colon cancer risk, tamoxifen, cancer genetic counseling, and colon cancer screening. Greater proportions were interested in discussing risks for each cancer, compared with those who were not (P < 0.0001). More participants were interested in discussing mammograms (80%) and cancer genetic counseling (60%) than tarnoxifen (49%) or colon cancer screening modalities (43-53%). For many topics, poorer perceived health was associated with greater interest in future discussion; higher education level was associated with less interest. (c) 2004 Elsevier Ireland Ltd. All rights reserved.