Physician Knowledge, Attitudes, and Practices Regarding Breast Density
Physician Knowledge, Attitudes, and Practices Regarding Breast Density
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DOI：
10.1089/jwh.2018.7429
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发表时间：
2019-05-07
影响因子：
3.5
通讯作者：
Jandorf, Lina
中科院分区：
文献类型：
--
作者：
Brown, Jordonna;Soukas, Chloe;Jandorf, Lina
背景：许多州都颁布了乳房密度法，要求告知妇女她们的乳房密度状况；然而，目前对于乳房致密的妇女的筛查指南或建议还没有达成共识。目的：评价医生对乳房密度的看法，以及根据乳房密度规律对乳房致密妇女进行乳腺癌筛查的做法。材料和方法：地点：学术医疗中心、社区和私人诊所，主要分布在纽约市。参与者：初级保健提供者(PCP)、放射科医生和妇科医生。研究程序：我们通过匿名的、自我管理的调查，了解医生对乳房致密的女性的筛查知识、态度和做法。进行双变量和多变量分析以评估初级保健医生和专家之间的差异。结果：我们收到了155份回复，其中75%是女性，77%是主治医生，42%是儿科医生，28%是放射科医生，17%是妇科医生，9%是其他。近一半(48%)的受访者不知道乳房密度法，三分之二(67%)的受访者认为他们需要更多关于乳房密度和补充筛查的教育。超过一半的受访者(62%)没有意识到乳房致密会增加患乳腺癌的风险。与专家相比，PCP不太了解他们所在州的乳房密度规律(优势比[OR]0.21；95%可信区间[CI]0.09-0.50)，也不了解乳房致密的女性患乳腺癌的风险增加(OR 0.23；95%CI 0.09-0.60)。结论：乳房密度规律并没有转化为对乳房密度的更多了解，也没有建议对PCP进行补充筛查。
Background: Many states have enacted breast density laws, requiring that women be informed of their breast density status; however there is currently no consensus for screening guidelines or recommendations for women with dense breasts. Objective: To assess physician views about breast density and their practices for breast cancer screening of women with dense breasts in light of breast density laws. Materials and Methods: Setting: Academic medical centers, community and private practices mostly in New York City. Participants: Primary care providers (PCPs), radiologists and gynecologists. Procedure: We conducted the study through anonymous, self-administered surveys about physician knowledge, attitudes, and practices regarding screening of women with dense breasts. Bivariate and multivariate analyses were performed to assess differences between PCPs and specialists. Results: We received 155 responses of which 75% were female, 77% were attending-level physicians, 42% were PCPs, 28% were radiologists, 17% were gynecologists, and 9% other. Almost half of the respondents (48%) were unaware of breast density laws, and two-thirds (67%) felt they needed more education about breast density and supplemental screening. More than half of the respondents (62%) were unaware of the increased risk of breast cancer related to dense breasts. Compared to specialists, PCPs were less aware of their state's breast density laws (odds ratio [OR] 0.21; 95% confidence interval [CI] 0.09-0.50) and of the increased breast cancer risk for women with dense breasts (OR 0.23; 95% CI 0.09-0.60). Conclusion: Breast density laws have not translated into greater knowledge of breast density and recommendations for supplemental screening among PCPs.