Evidence map›Paper›PMID 24519100›Full record

Trial reportJournal of general internal medicine2014

Accuracy of ovarian and colon cancer risk assessments by U.S. physicians.

Laura-Mae Baldwin, Katrina F Trivers, C Holly A Andrilla, Barbara Matthews, Jacqueline W Miller, Denise M Lishner, Barbara A Goff

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical utility of a Web-enabled risk-assessment and clinical decision support program.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Laura-Mae BaldwinDepartment of Family Medicine, University of Washington, Box 354982, Seattle, WA, 98195-4982, USA, lmb@uw.edu.
Katrina F Trivers
C Holly A Andrilla
Barbara Matthews
Jacqueline W Miller
Denise M Lishner
Barbara A Goff
University of Washington · USCenters for Disease Control and Prevention · US

Funding

HEALTH PROMOTION RESEARCH CENTERU48DP001911 · DP · UNIVERSITY OF WASHINGTON · PI AU, DAVID H, HARRIS, JEFFREY RANDALL · 2009 to 2013
$14.3M
NCCDPHP CDC HHS U48 DP001911NCCDPHP CDC HHS U48DP001911
6 · The paper itself

Abstract

backgroundStudies have shown a mismatch between published cancer screening and genetic counseling referral recommendations and physician-reported screening and referral practices. Inaccurate cancer risk assessment is one potential cause of this mismatch.

objectiveTo assess U.S. physicians' ability to accurately determine a woman's colon and ovarian cancer risk level. DESIGN,

participantsCross-sectional survey of U.S. family physicians, general internists, and obstetrician-gynecologists. A twelve-page questionnaire with a vignette of a woman's annual examination included a question about the patient's level of colon and ovarian cancer risk. The final study sample included 1,555 physicians weighted to represent practicing U.S. physicians nationally. MAIN MEASURE: Accuracy of physicians' ovarian and colon cancer risk assessments. KEY

resultsOverall, most physicians accurately assessed women's risk of ovarian (57.0%, CI 54.3, 59.6) and colon cancer (62.0%, CI 59.4, 64.6). However, 27.1% (CI 23.0, 31.6) of physicians overestimated the ovarian cancer risk among women at the same risk as the general population, and 65.1% (CI 60.2, 69.7) underestimated ovarian cancer risk among women at much higher risk than the general population. Physicians overestimated colon more than ovarian cancer risk (38.0%, CI 35.4, 40.6 vs. 27.1%, CI 23.0, 31.6) for women at the same risk as the general population.

conclusionsPhysicians' misestimation of patient ovarian and colon cancer risk may put average risk patients in jeopardy of unnecessary screening and higher risk patients in jeopardy of missed opportunities for prevention or early detection of cancers.

Indexed as

AdultColonic NeoplasmsCross-Sectional StudiesFemaleHumansMaleMiddle AgedOvarian NeoplasmsPhysiciansRisk AssessmentUnited States

Identifiers

PMID24519100
PMCPMC4000350
OpenAlexW2002898321

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.