Physician Adherence to U.S. preventive services task force mammography guidelines

Jennifer Corbelli, Sonya Borrero, Rachel Bonnema, Megan McNamara, Kevin Kraemer, Doris Rubio, Irina Karpov, Melissa McNeil

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: In 2009, the U.S. Preventive Services Task Force (USPSTF) guidelines for screening mammography changed significantly, and are now in direct conflict with screening guidelines of other major national organizations. The extent to which physicians in different primary care specialties adhere to current USPSTF guidelines is unknown. Methods: We conducted a cross-sectional web-based survey completed by 316 physicians in internal medicine, family medicine (FM), and gynecology (GYN) from February to April 2012. Survey items assessed respondents' breast cancer screening recommendations in women of different ages at average risk for breast cancer. We used descriptive statistics to generate response distribution for survey items, and logistic regression models to compare responses among specialties. Findings: The response rate was 55.0% (316/575). A majority of providers in internal medicine (65%), FM (64%), and GYN (92%) recommended breast cancer screening starting at age 40 versus 50. A majority of providers in internal medicine (77%), FM (74%), and GYN (98%) recommended annual versus biennial screening. Gynecologists were significantly more likely than both internists and family physicians to recommend initial mammography at age 40 (p ≤ .0001) and yearly mammography (p= .0003). There were no other differences by respondent demographic. Conclusions: Primary care providers, especially gynecologists, have not implemented USPSTF guidelines. The extent to which these findings may be driven by patient versus provider preferences should be explored. These findings suggest that patients are likely to receive conflicting breast cancer screening recommendations from different providers.

Original languageEnglish (US)
Pages (from-to)E313-E319
JournalWomen's Health Issues
Volume24
Issue number3
DOIs
StatePublished - May 2014

Fingerprint

Advisory Committees
Mammography
physician
medicine
Guidelines
Physicians
Internal Medicine
gynecology
Gynecology
Early Detection of Cancer
Breast Neoplasms
cancer
Medicine
Primary Health Care
Logistic Models
Family Physicians
family physician
descriptive statistics
Demography
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health(social science)
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

Corbelli, J., Borrero, S., Bonnema, R., McNamara, M., Kraemer, K., Rubio, D., ... McNeil, M. (2014). Physician Adherence to U.S. preventive services task force mammography guidelines. Women's Health Issues, 24(3), E313-E319. https://doi.org/10.1016/j.whi.2014.03.003

Physician Adherence to U.S. preventive services task force mammography guidelines. / Corbelli, Jennifer; Borrero, Sonya; Bonnema, Rachel; McNamara, Megan; Kraemer, Kevin; Rubio, Doris; Karpov, Irina; McNeil, Melissa.

In: Women's Health Issues, Vol. 24, No. 3, 05.2014, p. E313-E319.

Research output: Contribution to journalArticle

Corbelli, J, Borrero, S, Bonnema, R, McNamara, M, Kraemer, K, Rubio, D, Karpov, I & McNeil, M 2014, 'Physician Adherence to U.S. preventive services task force mammography guidelines', Women's Health Issues, vol. 24, no. 3, pp. E313-E319. https://doi.org/10.1016/j.whi.2014.03.003
Corbelli J, Borrero S, Bonnema R, McNamara M, Kraemer K, Rubio D et al. Physician Adherence to U.S. preventive services task force mammography guidelines. Women's Health Issues. 2014 May;24(3):E313-E319. https://doi.org/10.1016/j.whi.2014.03.003
Corbelli, Jennifer ; Borrero, Sonya ; Bonnema, Rachel ; McNamara, Megan ; Kraemer, Kevin ; Rubio, Doris ; Karpov, Irina ; McNeil, Melissa. / Physician Adherence to U.S. preventive services task force mammography guidelines. In: Women's Health Issues. 2014 ; Vol. 24, No. 3. pp. E313-E319.
@article{cb123f063d94492bbd26a4aa312597b9,
title = "Physician Adherence to U.S. preventive services task force mammography guidelines",
abstract = "Background: In 2009, the U.S. Preventive Services Task Force (USPSTF) guidelines for screening mammography changed significantly, and are now in direct conflict with screening guidelines of other major national organizations. The extent to which physicians in different primary care specialties adhere to current USPSTF guidelines is unknown. Methods: We conducted a cross-sectional web-based survey completed by 316 physicians in internal medicine, family medicine (FM), and gynecology (GYN) from February to April 2012. Survey items assessed respondents' breast cancer screening recommendations in women of different ages at average risk for breast cancer. We used descriptive statistics to generate response distribution for survey items, and logistic regression models to compare responses among specialties. Findings: The response rate was 55.0{\%} (316/575). A majority of providers in internal medicine (65{\%}), FM (64{\%}), and GYN (92{\%}) recommended breast cancer screening starting at age 40 versus 50. A majority of providers in internal medicine (77{\%}), FM (74{\%}), and GYN (98{\%}) recommended annual versus biennial screening. Gynecologists were significantly more likely than both internists and family physicians to recommend initial mammography at age 40 (p ≤ .0001) and yearly mammography (p= .0003). There were no other differences by respondent demographic. Conclusions: Primary care providers, especially gynecologists, have not implemented USPSTF guidelines. The extent to which these findings may be driven by patient versus provider preferences should be explored. These findings suggest that patients are likely to receive conflicting breast cancer screening recommendations from different providers.",
author = "Jennifer Corbelli and Sonya Borrero and Rachel Bonnema and Megan McNamara and Kevin Kraemer and Doris Rubio and Irina Karpov and Melissa McNeil",
year = "2014",
month = "5",
doi = "10.1016/j.whi.2014.03.003",
language = "English (US)",
volume = "24",
pages = "E313--E319",
journal = "Women's Health Issues",
issn = "1049-3867",
publisher = "Elsevier USA",
number = "3",

}

TY - JOUR

T1 - Physician Adherence to U.S. preventive services task force mammography guidelines

AU - Corbelli, Jennifer

AU - Borrero, Sonya

AU - Bonnema, Rachel

AU - McNamara, Megan

AU - Kraemer, Kevin

AU - Rubio, Doris

AU - Karpov, Irina

AU - McNeil, Melissa

PY - 2014/5

Y1 - 2014/5

N2 - Background: In 2009, the U.S. Preventive Services Task Force (USPSTF) guidelines for screening mammography changed significantly, and are now in direct conflict with screening guidelines of other major national organizations. The extent to which physicians in different primary care specialties adhere to current USPSTF guidelines is unknown. Methods: We conducted a cross-sectional web-based survey completed by 316 physicians in internal medicine, family medicine (FM), and gynecology (GYN) from February to April 2012. Survey items assessed respondents' breast cancer screening recommendations in women of different ages at average risk for breast cancer. We used descriptive statistics to generate response distribution for survey items, and logistic regression models to compare responses among specialties. Findings: The response rate was 55.0% (316/575). A majority of providers in internal medicine (65%), FM (64%), and GYN (92%) recommended breast cancer screening starting at age 40 versus 50. A majority of providers in internal medicine (77%), FM (74%), and GYN (98%) recommended annual versus biennial screening. Gynecologists were significantly more likely than both internists and family physicians to recommend initial mammography at age 40 (p ≤ .0001) and yearly mammography (p= .0003). There were no other differences by respondent demographic. Conclusions: Primary care providers, especially gynecologists, have not implemented USPSTF guidelines. The extent to which these findings may be driven by patient versus provider preferences should be explored. These findings suggest that patients are likely to receive conflicting breast cancer screening recommendations from different providers.

AB - Background: In 2009, the U.S. Preventive Services Task Force (USPSTF) guidelines for screening mammography changed significantly, and are now in direct conflict with screening guidelines of other major national organizations. The extent to which physicians in different primary care specialties adhere to current USPSTF guidelines is unknown. Methods: We conducted a cross-sectional web-based survey completed by 316 physicians in internal medicine, family medicine (FM), and gynecology (GYN) from February to April 2012. Survey items assessed respondents' breast cancer screening recommendations in women of different ages at average risk for breast cancer. We used descriptive statistics to generate response distribution for survey items, and logistic regression models to compare responses among specialties. Findings: The response rate was 55.0% (316/575). A majority of providers in internal medicine (65%), FM (64%), and GYN (92%) recommended breast cancer screening starting at age 40 versus 50. A majority of providers in internal medicine (77%), FM (74%), and GYN (98%) recommended annual versus biennial screening. Gynecologists were significantly more likely than both internists and family physicians to recommend initial mammography at age 40 (p ≤ .0001) and yearly mammography (p= .0003). There were no other differences by respondent demographic. Conclusions: Primary care providers, especially gynecologists, have not implemented USPSTF guidelines. The extent to which these findings may be driven by patient versus provider preferences should be explored. These findings suggest that patients are likely to receive conflicting breast cancer screening recommendations from different providers.

UR - http://www.scopus.com/inward/record.url?scp=84899704384&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84899704384&partnerID=8YFLogxK

U2 - 10.1016/j.whi.2014.03.003

DO - 10.1016/j.whi.2014.03.003

M3 - Article

C2 - 24794545

AN - SCOPUS:84899704384

VL - 24

SP - E313-E319

JO - Women's Health Issues

JF - Women's Health Issues

SN - 1049-3867

IS - 3

ER -