Evidence map›Paper›PMID 25038531›Full record

ArticlePreventive medicine2014

Physicians' beliefs about effectiveness of cancer screening tests: a national survey of family physicians, general internists, and obstetrician-gynecologists.

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

Abstract read
In one paragraph

Article in Preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. When Guidelines Conflict: A Case Study of Mammography Screening Initiation in the 1990s.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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.

Jacqueline W MillerDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: JMiller5@cdc.gov.
Laura-Mae BaldwinDepartment of Family Medicine, University of Washington, Seattle, WA, USA.
Barbara MatthewsDepartment of Family Medicine, University of Washington, Seattle, WA, USA.
Katrina F TriversDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
C Holly AndrillaDepartment of Family Medicine, University of Washington, Seattle, WA, USA.
Denise LishnerDepartment of Family Medicine, University of Washington, Seattle, WA, USA.
Barbara A GoffDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.

Funding

HEALTH PROMOTION RESEARCH CENTERU48DP001911 · DP · UNIVERSITY OF WASHINGTON · PI AU, DAVID H, HARRIS, JEFFREY RANDALL · 2009 to 2013
$14.3M
Intramural CDC HHS CC999999NCCDPHP CDC HHS U48 DP001911NCCDPHP CDC HHS U48DP001911
6 · The paper itself

Abstract

objectiveTo study physicians' beliefs about the effectiveness of different tests for cancer screening.

methodsData were examined from the Women's Health Survey of 1574 Family Medicine, Internal Medicine, and Obstetrics-Gynecology physicians to questions about their level of agreement about the clinical effectiveness of different tests for breast, cervical, ovarian, and colorectal cancer screening among average risk women. Data were weighted to the U.S. physician population based on the American Medical Association Masterfile. Multivariable logistic regression identified physician and practice characteristics significantly associated with physicians' beliefs.

resultsThere were 1574 respondents, representing a 62% response rate. The majority of physicians agreed with the effectiveness of mammography for women aged 50-69years, Pap tests for women aged 21-65years, and colonoscopy for individuals aged ≥50years. A substantial proportion of physicians believed that non-recommended tests were effective for screening (e.g., 34.4% for breast MRI and 69.1% for annual pelvic exam). Physicians typically listed their respective specialty organizations as a top influential organization for screening recommendations.

conclusionsThere were several substantial inconsistencies between physician beliefs in the effectiveness of cancer screening tests and the actual evidence of these tests' effectiveness which can lead both to underuse and overuse of cancer screening tests.

Indexed as

Attitude of Health PersonnelAdultEarly Detection of CancerFemaleGuideline AdherenceHealth Care SurveysHumansMaleMiddle AgedPhysiciansPractice Patterns, Physicians'United StatesBreast cancerCancer screeningCervical cancerColorectal cancerOvarian cancerPhysician beliefs

Identifiers

PMID25038531
PMCPMC4539137

What OpenQuestion holds

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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.