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Accuracy of cancer-risk assessment in primary care practice
1Fox Chase Network, Fox Chase Cancer Center, Philadelphia, PA 19111, USA. M_Cornfeld@fccc.edu
Background:
Primary care physicians (PCPs) are expected to play a central role in assessing cancer risk. This study was designed to evaluate how accurately PCPs would triage individuals at increased risk for cancer when presented with clinical vignettes.
Methods:
Surveys evaluated practice demographics, attitudes, and responses to clinical scenarios. Answers were compared with guidelines and graded for consistency with the risk assessment.
Results:
PCPs were inaccurate in assessing risk (p < 0.0001) and inconsistent in recommending screening (p < 0.001). Older physicians were more consistent (p < 0.02). No attitudinal bias was identified.
Conclusion:
Continuing education of PCPs is important for cancer-risk assessment and management.