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Related Experiment Videos

Breast screening practices among primary physicians: reality and potential.

B K Rimer1, B Trock, A Balshem

  • 1Fox Chase Cancer Center, Philadelphia, PA 19111.

The Journal of the American Board of Family Practice
|January 1, 1990
PubMed
Summary

Physician screening practices for breast cancer, including mammograms and clinical breast exams (CBE), fall short of recommended guidelines. Patient-related barriers significantly hinder physicians' adoption of these vital cancer screenings.

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Area of Science:

  • Oncology
  • Public Health
  • Primary Care Medicine

Background:

  • Regular screening mammograms and clinical breast examinations (CBE) can significantly reduce breast cancer mortality.
  • Barriers related to patients and physicians limit the widespread acceptance and utilization of mammography for breast cancer screening.

Purpose of the Study:

  • To assess primary care physicians' knowledge, attitudes, beliefs, and current breast screening practices.
  • To identify physician-perceived barriers to ordering mammograms and performing CBE.

Main Methods:

  • A survey was conducted among 300 primary care physicians.
  • The survey assessed physicians' practices regarding mammography and CBE for women aged 50-75 years.

Main Results:

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  • Only 71% of physicians ordered mammograms for all women aged 50-75, below recommended guidelines.
  • Approximately 46% of physicians performed CBE on all women aged 50-75.
  • Identified barriers included inadequate patient insurance, unclear radiology reports, patient reluctance, worry, and embarrassment.

Conclusions:

  • Physician adherence to recommended breast cancer screening guidelines is suboptimal.
  • Patient-related factors represent significant obstacles to the effective implementation of breast cancer screening by physicians.