Women's primary care providers and breast cancer screening: who's following the guidelines?

American Journal of Obstetrics and Gynecology
Amy E WallaceWilliam B Weeks

Abstract

Screening mammography for woman ages 50 to 69 years has resulted in early breast cancer detection and reduced mortality rates. However, the providers who are responsible for women's preventive health care differ in breast cancer screening guideline adherence. We compared screening practices across provider specialty and training degree types. Using a retrospective cohort design, we examined 472 patient records that represented 16 million preventive health care visits among women ages 50 to 69 years from the 2000 National Ambulatory Medical Care Survey. We calculated relative risk ratios for breast examination and mammography during preventive visits across provider specialty and training types. Among specialists, gynecologists are more likely than internists or general/family practitioners to follow breast cancer screening guidelines. Across training degree types, mid-level providers are more likely than medical doctors or osteopaths to adhere to guidelines. Regardless of specialty type or training degree, women's health care providers should adhere to breast cancer screening guidelines during preventive care visits.

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Citations

Jul 24, 2008·Journal of Cancer Survivorship : Research and Practice·Xinhua YuBeth A Virnig
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Sep 6, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Srikanth Kadiyala, Erin C Strumpf
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