Physician and patient characteristics associated with outpatient breast cancer screening recommendations in the United States: analysis of the National Ambulatory Medical Care Survey Data 1996-2004
Physician and patient characteristics associated with outpatient breast cancer screening recommendations in the United States: analysis of the National Ambulatory Medical Care Survey Data 1996-2004
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DOI：
10.1007/s10549-006-9344-3
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发表时间：
2007-05-01
影响因子：
3.8
通讯作者：
Balkrishnan, Rajesh
中科院分区：
文献类型：
--
作者：
Bhosle, Monali;Samuel, Stephen;Balkrishnan, Rajesh
背景乳腺癌筛查的主要目的是在患者出现任何症状之前发现早期癌症。有证据表明，筛查检查，如乳房X光检查和临床乳腺检查（CBE）是有效的早期发现乳腺癌。医生的建议是许多妇女接受筛查的重要原因。本研究探讨了医生和患者的相关因素与医生的建议乳腺癌筛查在美国（US）门诊settings.Methods这个横断面研究使用的数据从全国门诊医疗调查（NAMCS）从1996年至2004年。年龄≥ 40岁的妇女被纳入研究样本。多元Logistic回归分析被用来研究objectives.Results加权分析表明，医生进行了198万CBE，并提出了1.1亿乳腺X线摄影的建议，在研究期间（1996-2004年）。患者的年龄、就诊时间、既往乳腺癌诊断史和保险来源是该人群中筛查建议的重要预测因素。产科医生和妇科医生更有可能进行CBE，并建议乳房X光检查比其他专科physics.Conclusions这些研究结果表明，有一定的差距，在美国门诊设置的妇女乳腺癌筛查的医生建议。
Background The primary goal of breast cancer screening tests is to find cancer at an early stage before a person has any symptoms. Evidence suggests that screening examinations such as mammography and clinical breast examinations (CBE) are effective in early detection of breast cancer. Physician recommendation is an important reason many women undergo screening. This study examined the physician and patients related factors associated with physician recommendations for breast cancer screening in the United States (US) outpatient settings.Methods This cross-sectional study used data from the National Ambulatory Medical Care Survey (NAMCS) from 1996-2004. Women aged >= 40 years were included in the study sample. Multivariate logistic regression analyses were used to study the objectives.Results Weighted analysis indicated that physicians performed 198 million CBEs and made 110 million mammography recommendations over the study period (1996-2004). Patients' age, duration of visits, history of previous breast cancer diagnosis, and source of insurance were significant predictors of screening recommendations in this population. Obstetricians and gynecologists were more likely to perform a CBE and recommend mammography than other specialty physicians.Conclusions These findings indicated that there were certain disparities regarding the physician recommendations of breast cancer screening for women in the US outpatient settings.