Gynaecology Research Today is a free monthly online journal that collates and summarizes the latest research about Gynaecology, including details on pap smears, laparoscopy, ultrasound, hysteroscopy.

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

Wallace AE, MacKenzie TA, Weeks WB

VA Outcomes Group REAP, VA Medical Center, White River Junction, VT 05009-0001, USA. amy.e.wallace@dartmouth.edu

OBJECTIVE: 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. STUDY DESIGN: 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. RESULTS: 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. CONCLUSION: Regardless of specialty type or training degree, women's health care providers should adhere to breast cancer screening guidelines during preventive care visits.

Published 8 March 2006 in Am J Obstet Gynecol, 194(3): 744-8.
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