Correlates of screening mammography in a family practice setting.
Correlates of screening mammography in a family practice setting.
复制标题
家庭诊所中筛查乳房 X 光检查的相关性。
作者：
C. Bourguet;V. Gilchrist;M. Kandula
社区家庭实践中心对243名50岁或50岁以上无症状女性的医疗记录进行了审查，以确定转诊为筛查乳房X光检查的比例，并确定转介乳房X光检查的相关因素。考虑了患者的人口学特征、乳腺癌的危险因素以及过去患者-医生接触的特点。在1981年7月1日至1987年7月1日期间，40名女性(16%)接受了目前指派的医生的乳房X光检查推荐。除了两名女性之外，所有的女性实际上都做了乳房X光检查。乳房X光检查转诊的主要预测因素是乳腺癌的已知危险因素：乳腺癌家族史(患病率比[PRR]=9.3，P=.001)和乳腺良性疾病史(PRR=7.9，P=.002)。其他预测因素包括由现任医生进行巴氏测试(PRR=4.1，P=0.03)、患者返回的粪便潜血(PRR=10.2，P=0.03)、曾被现任医生指导戒烟(PRR=10.0，P=0.05)，以及可能是前吸烟者(PRR=4.6，P=0.09)。患者的人口统计特征、其他已知的乳腺癌危险因素(年龄、肥胖、饮酒和孕产史)以及医生的性别都不能预测。
The medical records of 243 asymptomatic women aged 50 years or older were reviewed at a community-based family practice center to determine the proportion who had been referred for a screening mammogram and to identify correlates of mammography referral. Patient demographic characteristics, breast cancer risk factors, and characteristics of past patient-physician encounters were considered. Between July 1, 1981, and July 1, 1987, 40 (16 percent) of the women had received a mammography referral from their currently assigned physician. All but two of the women had actually obtained the mammogram. The primary predictors of mammography referral were the known risk factors for breast cancer: a family history of breast cancer (prevalence rate ratio [PRR] = 9.3, P = .001) and a history of benign breast disease (PRR = 7.9, P = .002). Other predictors included having a Papanicolaou test performed by the current physician (PRR = 4.1, P = .03), having a test for stool occult blood returned by the patient (PRR = 10.2, P = .003), having been instructed in smoking cessation by the current physician (PRR = 10.0, P = .05), and, possibly, being a former smoker (PRR = 4.6, P = .09). Patient demographic characteristics, other known breast cancer risk factors (age, obesity, alcohol use, and pregnancy history), and the sex of the physician were not predictive.