PMID: 3772615Sep 1, 1986Paper

Performance of cancer screening in a university general internal medicine practice: comparison with the 1980 American Cancer Society Guidelines

Journal of General Internal Medicine
S J McPheeS N Solkowitz

Abstract

The authors evaluated use of seven cancer screening tests by 52 providers in a university general internal medicine practice, using 1980 American Cancer Society (ACS) recommendations as standards for comparison. Performance rates were determined by retrospective medical record reviews of a stratified random sample of 525 patients. In addition, the 48 physicians and four nurse-practitioners in the practice were interviewed to determine their opinions, knowledge and perceived use of the tests. Performance rates were low, significantly below the ACS guidelines for all tests except Pap smear. Providers used the tests significantly more often to evaluate patients with cancer risk factors or for new patients. They significantly overestimated their own performances of six tests. More than a fourth of the providers disagreed with the use of mammography, sigmoidoscopy, pelvic or rectal examinations for screening asymptomatic adults. Their knowledge about cancer screening and the ACS recommendations was highly variable, and frequently quite limited. Providers offered four major reasons for not performing the screening tests: provider forgetfulness, lack of time, inconvenience and logistical difficulties, and patient discomfort or refusal.

References

Jan 1, 1979·Journal of Chronic Diseases·L G DalesM F Collen
Mar 1, 1976·Medical Care·S J Gates, D K Colborn
Mar 1, 1984·American Journal of Public Health·A J Dietrich, H Goldberg
Jun 1, 1984·Medical Care·R N WinickoffG O Barnett
Jan 13, 1983·The New England Journal of Medicine·H WechslerJ O Taylor
Sep 1, 1983·American Journal of Public Health·R N Battista
Apr 1, 1982·Annals of Internal Medicine
Oct 1, 1982·Medical Care·D I CohenD Neuhauser
May 1, 1980·Preventive Medicine·J McCusker, G R Morrow

❮ Previous
Next ❯

Citations

Sep 1, 1992·Journal of General Internal Medicine·M A LevineC B Seelig
Apr 1, 1992·Cancer·R A Smith, S Haynes
Sep 1, 1990·Journal of General Internal Medicine·S J McPhee, J A Bird
Jan 1, 1991·Journal of the American Geriatrics Society·M WeinbergerP J Loehrer
Feb 1, 1990·Journal of Community Health·A LefkowitzD A Cadigan
Oct 15, 1988·Cancer·R R LoveS J McPhee
Mar 1, 1993·Journal of General Internal Medicine·B D McCarthy, M A Moskowitz
Sep 1, 1996·Journal of General Internal Medicine·S F Lewis, N M Jensen
Dec 11, 1987·International Journal of Technology Assessment in Health Care·S A FoxD S Klos
May 8, 1995·Evaluation & the Health Professions·A V NealeL Velez
Feb 14, 2002·Journal of General Internal Medicine·Lorrie ElliottPeter D Friedmann
Mar 1, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·M Rosario FerreiraCharles L Bennett
Jan 21, 2006·Journal of General Internal Medicine·Judith M E WalshEliseo J Pérez-Stable
Jun 6, 2007·Journal of General Internal Medicine·Carmen E GuerraJudy A Shea
Aug 19, 2009·Journal of General Internal Medicine·Joyce W TangVineet M Arora
Dec 19, 2018·The Journal of Bone and Joint Surgery. American Volume·Jian MoShunwu Fan
Jun 16, 2019·International Journal of Public Health·Alexander Leonhard BraunReto Auer
Dec 1, 1992·Journal of Community Health·M M McKinney, K M Marconi
Jun 1, 1989·American Journal of Public Health·R C Burack, J Liang
Jan 1, 1988·Cancer Investigation·E H Wagner, R S Thompson
Aug 1, 1994·Journal of Community Health·R E SchoenR L Braham
Sep 1, 1995·Journal of General Internal Medicine·N C DolanA W Rademaker
Jun 1, 1994·Journal of the American Academy of Nurse Practitioners·L L DickeyD B Kamerow
Oct 1, 1997·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·C O Hershey, J Karuza
Oct 13, 2000·American Journal of Public Health·J MelnikowB K Chan
May 17, 2002·The American Journal of Gastroenterology·Thomas M ShehabPhilip Schoenfeld
Nov 5, 2002·Clinical Nursing Research·Carol Genet KelleyKurt C Stange
Oct 17, 2007·Journal of General Internal Medicine·Carmen E GuerraJudy A Shea
Sep 1, 1986·Journal of General Internal Medicine·R H Fletcher, S W Fletcher
Jul 1, 1987·American Journal of Public Health·N LurieL Lillard
Jun 1, 1996·Australian and New Zealand Journal of Public Health·A HeywoodI Ring
Sep 1, 1995·Journal of the American Geriatrics Society·C J BülaL Z Rubenstein
Jul 1, 1987·American Journal of Public Health·S J McPhee, S A Schroeder

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.