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

Kadivar, Hajar; Goff, Barbara A.; Phillips, William R.; Andrilla, C. Holly A.; Berg, Alfred O.; Baldwin, Laura Mae

doi:10.1007/s11606-013-2567-1

Cited by 13 publications

(22 citation statements)

References 57 publications

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“…Our results demonstrate a moderate change in professional practice. Adherence to the RCP was higher than reported by comparable studies in France (19) and other countries (20,21). However, these findings must be qualified.…”

Section: A N U S C R I P Tcontrasting

confidence: 58%

Evaluation of adherence to French clinical practice guidelines in the management of pregnancy loss issued by the French College of Obstetricians and Gynecologists, one year after publication: A vignette-based study

Gouic¹,

Lavoué

Mimouni

et al. 2017

Journal of Gynecology Obstetrics and Human Reproduction

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Section: A N U S C R I P Tcontrasting

confidence: 58%

Evaluation of adherence to French clinical practice guidelines in the management of pregnancy loss issued by the French College of Obstetricians and Gynecologists, one year after publication: A vignette-based study

Gouic¹,

Lavoué

Mimouni

et al. 2017

Journal of Gynecology Obstetrics and Human Reproduction

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“…However, for high-risk women, the balance of benefits and harms has been judged to favor annual screening by MRI as one component of a comprehensive cancer surveillance plan. 3,26 The supplemental MRI screening of women with low-toaverage risk suggests that women and/or their physicians 27 use MRI for reasons not identified by our study. Concerns about mammography effectiveness or breast density notification laws may lead women at lower risk to seek advanced imaging, while physicians may be influenced by women's expectations, reimbursement mechanisms, risk aversion in a litigious legal climate, and confidence in the clinical effectiveness of MRI.…”

Section: Discussionmentioning

confidence: 80%

Utilization of breast cancer screening with magnetic resonance imaging in community practice

et al. 2017

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“…Inconsistent breast cancer screening practices in primary care have been previously reported. A survey by Kadivar et al concluded that risk‐averse physicians and those who believed in the clinical effectiveness of MRI were more likely to offer extra breast cancer screening tests . Our results suggest that PCPs order significantly fewer breast MRI than specialists and less frequently calculate a woman's risk of breast cancer.…”

Section: Discussionmentioning

confidence: 63%

Breast MRI ordering practices in a large health care network

et al. 2019

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The purpose of this study was to evaluate providers’ ordering practices and perceptions of breast magnetic resonance imaging (MRI) in an academic network in order to better understand and educate a referral base. An online survey was distributed to primary care providers (PCPs) and specialists in our hospital and community practices. Questions included provider demographics, current ordering practices, challenges to ordering, and perceptions about breast MRI. Of 525 ordering providers, 134 responded (26% response rate). Of 134 providers, 57 (42%) order breast MRI in practice. Of those who do not, the most consistent reason was a lack of familiarity with the use of breast MRI (32/77 [42%] of cases). Of 57 cases, 45 (79%) order less than 10 exams annually. The most frequent indication is for high‐risk screening (40/47 [84%]). PCPs order fewer breast MRI compared with specialists (P = 0.01). Both PCPs and specialists have mixed perceptions of the clinical utility of breast MRI. However, 30% of all providers are ordering more breast MRI since the enactment of breast density legislation in Massachusetts. Furthermore, 29% report they would order breast MRI more often to screen women with dense breasts if there was a low cost option. Referring provider surveys are useful tools for assessing a radiology practice. Our study suggests a growing clinical interest in breast MRI for screening; however, there is a need for provider education on the clinical utility of breast MRI. Increasing the radiologist's role in targeted educational interventions may help improve awareness and lead to more appropriate utilization of resources.

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

Cited by 13 publications

References 57 publications

Evaluation of adherence to French clinical practice guidelines in the management of pregnancy loss issued by the French College of Obstetricians and Gynecologists, one year after publication: A vignette-based study

Evaluation of adherence to French clinical practice guidelines in the management of pregnancy loss issued by the French College of Obstetricians and Gynecologists, one year after publication: A vignette-based study

Utilization of breast cancer screening with magnetic resonance imaging in community practice

Breast MRI ordering practices in a large health care network

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