ArticleMedical care2011
Multiple clinical practice guidelines for breast and cervical cancer screening: perceptions of US primary care physicians.
Article in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Primary care physicians' cancer screening recommendation practices and perceptions of cancer risk of Asian Americans.Asian Pacific journal of cancer prevention : APJCP · 2013Trial
- Knowledge and Practice Behaviors of Community-Based Resident Physicians Surrounding Cancer Screening.AJPM focus · 2026Article
- Implementation of WHO guidelines for cervical cancer screening, diagnosis and treatment: knowledge and perceptions of health providers from Argentina.BMC cancer · 2024Article
- Primary care Providers' approaches to cervical cancer screening in Muslim females.Preventive medicine reports · 2023Article
- Nationwide Study on Practices Related to Screening Among Greek Paediatricians.The Eurasian journal of medicine · 2020Article
- Survey of primary care physicians' views about breast and ovarian cancer screening for true BRCA1/2 non-carriers.Journal of community genetics · 2020Article
- Mammography Screening Practices in Average-Risk Women Aged 40-49 Years in Primary Care: A Comparison of Physician and Nonphysician Providers in Minnesota.Journal of women's health (2002) · 2020Article
- Nationwide Epidemiological Study of Knowledge, Attitudes, and Practices Study of Greek General Practitioners Related to Screening.International journal of preventive medicine · 2019Article
- The Relationship Between the Supply of Primary Care Physicians and Measures of Breast Health Service Use.Journal of women's health (2002) · 2017Article
- Conflicting health information: a critical research need.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Communication channels to promote evidence-based practice: a survey of primary care clinicians to determine perceived effects.Health research policy and systems · 2016Article
- The Impact of Near-Universal Insurance Coverage on Breast and Cervical Cancer Screening: Evidence from Massachusetts.Health economics · 2016Article
- The knowledge value-chain of genetic counseling for breast cancer: an empirical assessment of prediction and communication processes.Familial cancer · 2016Article
- Provider Attitudes and Screening Practices Following Changes in Breast and Cervical Cancer Screening Guidelines.Journal of general internal medicine · 2016Article
- Physicians' beliefs about effectiveness of cancer screening tests: a national survey of family physicians, general internists, and obstetrician-gynecologists.Preventive medicine · 2014Article
- U.S. Preventive Services Task Force recommendations and cancer screening among female Medicare beneficiaries.Journal of women's health (2002) · 2014Article
- Article
- Physicians' attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients.Health expectations : an international journal of public participation in health care and health policy · 2013Article
- From ABCs to GRADE: Canadian Task Force on Preventive Health Care's new rating system for clinical practice guidelines.Canadian family physician Medecin de famille canadien · 2013Article
- Physicians' beliefs about breast cancer surveillance testing are consistent with test overuse.Medical care · 2013Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundMultiple clinical practice guidelines exist for breast and cervical cancer screening, and differ in aggressiveness with respect to the recommended frequency and target populations for screening.
objectivesTo determine (1) US primary care physicians' (PCPs) perceptions of the influence of different clinical practice guidelines; (2) the relationship between the number, aggressiveness, and agreement of influential guidelines and the aggressiveness of physicians' screening recommendations; and (3) factors associated with guideline perceptions. RESEARCH DESIGN AND
methodsA nationally representative sample of 1212 PCPs was surveyed in 2006-2007. Cross-sectional analyses examined physicians' perceptions of the influence of different breast and cervical cancer screening guidelines, the relationship of guideline perceptions to screening recommendations in response to hypothetical vignettes, and the predictors of guideline perceptions.
resultsAmerican Cancer Society and American College of Obstetricians and Gynecologists guidelines were perceived as more influential than other guidelines. Most physicians (62%) valued multiple guidelines, and conflicting and aggressive rather than conservative guideline combinations. The number, aggressiveness, and agreement of influential guidelines were associated with the aggressiveness of screening recommendations (P < 0.01)-which was highest for physicians valuing multiple-aggressive, lowest for physicians valuing multiple-conservative, and intermediate for physicians valuing multiple-conflicting, single, and no guidelines. Obstetrician/gynecologists specialty predicted valuation of aggressive guidelines (P < 0.001).
conclusionsPCPs' perceptions of cancer screening guidelines vary, relate to screening recommendations in logically-consistent ways, and are predicted by specialty and other factors. The number, aggressiveness, and agreement of valued guidelines are associated with screening recommendations, suggesting that guideline multiplicity is an important problem in clinical decision-making.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.