A survey of physician beliefs and self-reported practices concerning screening for early detection of cancer

Clasen, Carla; Vernon, Sally W.; Mullen, Patricia Dolan; Jackson, Gilchrist L.

doi:10.1016/0277-9536(94)90046-9

Cited by 25 publications

(16 citation statements)

References 23 publications

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“…However, physicians' practices may reflect caution in ordering tests or a lack of knowledge of the appropriate indications for genetic testing (e.g. paucity of clinical guidelines, best practices or recommendations) [49]. There is significantly sufficient amount of evidence that supports the relation of this predictor with RP.…”

Section: Resultsmentioning

confidence: 99%

“…Clasen et al [49] showed a positive association between the outcome expectancies by medical doctors and genetic test-ordering practices. Indeed, genetic testing practices were influenced by the fact that the performance of tests by medical doctors was recognized to decrease mortality or to detect the disease earlier effectively [49]. However, physicians' practices may reflect caution in ordering tests or a lack of knowledge of the appropriate indications for genetic testing (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…The results revealed that feelings of discomfort in GPs when providing care to women with disabilities were strongly associated with providing less frequent breast cancer screenings to this specific group. Moreover, Clasen et al [49] showed that physicians felt discomfort in performing cancer screening tests during patient visits for clinical complaints that were not related to cancer. The evidence regarding this predictor is enough to support its relation with RP.…”

Section: Resultsmentioning

confidence: 99%

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Medical Genetic Counseling for Breast Cancer in Primary Care: A Synthesis of Major Determinants of Physicians' Practices in Primary Care Settings

Jbilou¹,

Halilem²,

Blouin-Bougie³

et al. 2014

Public Health Genomics

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Objectives: This paper aims to identify relevant potential predictors of medical genetic counseling for breast cancer (MGC-BC) in primary care and to develop a comprehensive questionnaire to study MGC-BC. Methods: A scoping review was conducted to identify the predictors of MGC-BC among primary care physicians. Relevant articles were identified in selected databases (PubMed, Embase, CINAHL, ISI Web of Science, PsycINFO, and Cochrane CENTRAL) and 4 selected relevant electronic journals. Results: An inductive analysis of the 193 quantitatively tested variables, conducted by 3 researchers, showed that 6 conceptual categories of determinants, namely (1) demographic, (2) organizational, (3) experiential, (4) professional, (5) psychological, and (6) cognitive, influence MGC-BC practices. Conclusion: There is a scarcity of literature addressing the medical behavior determinants of MGC-BC. Future research is needed to identify effective strategies put into action to support the integration of MGC-BC in primary care medical practices and routines. However, our results shed light on 2 levels of actions that could improve genetic counseling services in primary care: (1) medical training and educational efforts emphasizing family history collection (individual level), and (2) clarification of roles and responsibilities in ordering and referral practices in genetic counseling and genetic testing for better healthcare management (organizational level).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Medical Genetic Counseling for Breast Cancer in Primary Care: A Synthesis of Major Determinants of Physicians' Practices in Primary Care Settings

Jbilou¹,

Halilem²,

Blouin-Bougie³

et al. 2014

Public Health Genomics

View full text Add to dashboard Cite

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“…The variables to be included that might impact screening were identified from a review of the literature on factors impacting use of colorectal cancer -screening tests (13)(14)(15)(16)(17)(19)(20)(21)(22). Among the variables analyzed were demographics, health system enablers, risk factors for colorectal cancer, propensity for screening, and geographic location.…”

Section: Methodsmentioning

confidence: 99%

Use of Colonoscopy for Colorectal Cancer Screening: Evidence from the 2000 National Health Interview Survey

Subramanian

Amonkar

Hunt

2005

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: The use of colonoscopy as a primary screening tool for colorectal cancer is gaining momentum owing to several studies suggesting superior effectiveness and the recent, favorable decision by Medicare to cover all routine screening colonoscopies. This study documents the use of colonoscopy versus other tests to screen for colorectal cancer. Materials and Methods: Data from the 2000 National Health Interview Survey were analyzed. Fecal occult blood test (FOBT), sigmoidoscopy, and colonoscopy done for any reason and for routine screening only were analyzed for those z z À 50 years without previously diagnosed colorectal cancer (n = 12,505). Results: The proportion of the total eligible population receiving any of the recommended tests for all possible reasons and for screening purposes only is 34.6% and 25.1%, respectively. For routine screening purposes, the test most

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“…[2][3][4][5][6] Physicians' cancer screening recommendations are a key factor that determines whether women actually receive cancer screening tests. [7][8][9][10][11] Major guidelines, including those written by the U.S. Preventive Services Task Force (USPSTF), the American College of Obstetrics and Gynecology (ACOG), and the American Cancer Society (ACS), recommend mammography as the only routine screening test for women ≥50 years of age who are not at high risk of breast cancer. [12][13][14][15] The ACS and ACOG recommend magnetic resonance imaging (MRI) as an adjunct to mammography for high-risk women, i.e., those facing a lifetime risk of >20 %.…”

Section: Introductionmentioning

confidence: 99%

Guideline-Inconsistent Breast Cancer Screening for Women over 50: A Vignette-Based Survey

et al. 2013

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A survey of physician beliefs and self-reported practices concerning screening for early detection of cancer

Cited by 25 publications

References 23 publications

Medical Genetic Counseling for Breast Cancer in Primary Care: A Synthesis of Major Determinants of Physicians' Practices in Primary Care Settings

Medical Genetic Counseling for Breast Cancer in Primary Care: A Synthesis of Major Determinants of Physicians' Practices in Primary Care Settings

Use of Colonoscopy for Colorectal Cancer Screening: Evidence from the 2000 National Health Interview Survey

Guideline-Inconsistent Breast Cancer Screening for Women over 50: A Vignette-Based Survey

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