Evidence map›Paper›PMID 31523558›Full record

ArticleCureus2019

Adherence to the United States Preventative Services Task Force Female Screening Guidelines: An Internal Medicine Residency Program Experience.

Chikezie K Alvarez, Julvet Mbianda, Muhammad Nadeem, Shahryar Anwar Ansari, Ahmed Dirweesh, Mohammad Arsalan, Shaikh Fawwad, Vincent A DeBari, Donald Christmas, Sara L Wallach

Abstract read
In one paragraph

Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. A framework for personalized mammogram screening.Preventive medicine reports · 2021
    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

10 authors.

Chikezie K AlvarezMedicine, St. Francis Medical Center, Trenton, USA.
Julvet MbiandaInternal Medicine, St. Francis Medical Center, Trenton, USA.
Muhammad NadeemInternal Medicine, Hackensack Meridian School of Medicine at Seton Hall University, Nutley, USA.
Shahryar Anwar AnsariInternal Medicine, St. Francis Medical Center, Trenton, USA.
Ahmed DirweeshInternal Medicine, St. Francis Medical Center, Trenton, USA.
Mohammad ArsalanInternal Medicine, Hackensack Meridian School of Medicine at Seton Hall University, Nutley, USA.
Shaikh FawwadInternal Medicine, St. Francis Medical Center, Trenton, USA.
Vincent A DeBariInternal Medicine, St. Francis Medical Center, Trenton, USA.
Donald ChristmasInternal Medicine, Hackensack Meridian School of Medicine at Seton Hall University, Nutley, USA.
Sara L WallachInternal Medicine, Hackensack Meridian School of Medicine at Seton Hall University, Nutley, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Various guidelines exist for female preventative screening tests and medical resident physician adherence to the United States Preventive Services Task Force (USPSTF) guidelines varies. National screening rates for breast cancer and osteoporosis have improved but they are still below the expected target. Material and methods Ambulatory medical clinic records of female patients from the period July 2015 to December 2017 were reviewed for breast cancer and osteoporosis screening. Resident performance and commitment with regards to ordering the aforementioned screening tests according to the USPSTF guidelines were compared to the most recent national screening rates for mammograms and dual-energy X-ray absorptiometry (DXA) scans. Results Of the 1327 charts reviewed, 1025 was included in the study. Of the 545 mammograms performed, 93% of them were indicated according to the USPSTF guidelines (P < 0.0001, 95% CI: 125.9-342.0). A total of 480 mammograms were not ordered, of which 6% were indicated and 93.9% were not indicated. Out of a total of 107 DXA scans performed, 88.7% were correctly indicated (P < 0.0001, 95% CI: 37.11-132.9). Conclusion Resident physician adherence to the USPSTF screening guidelines for breast cancer and DXA scans were higher than the national and state screening rates. Our well-structured educational project (strong faculty mentorship, resident to patient continuity of care and the reasonable resident-clinic load) resulted in higher screening rates.

Indexed as

breast cancer screeningdxa scanmammogramosteoporosis screeningunited states preventive services task force

Identifiers

PMID31523558
PMCPMC6741364

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Registered trials

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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.