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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Physician characteristics and beliefs associated with use of pelvic examinations in asymptomatic women
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Physician characteristics and beliefs associated with use of pelvic examinations in asymptomatic women

机译：无症状女性与使用骨盆检查相关的医师特征和信念

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Objective: To examine physicians' beliefs about the pelvic examination and identify physician characteristics associated with routine use of this procedure in the United States. Methods: A total of 1250 United States family/general practitioners, internists, and obstetrician/gynecologists who participated in the 2009 DocStyles survey completed questions on beliefs regarding the utility of routine pelvic examinations for cancer screening. The survey also asked participants how often they performed this procedure as part of a well-woman exam, to screen for ovarian and other gynecologic cancers, to screen for sexually transmitted infections, and as a prerequisite for prescribing hormonal contraception. Results: A total of 68.0% of obstetrician/gynecologists, 39.2% of family/general practitioners, and 18.7% of internists reported routinely performing pelvic examinations for all the purposes examined (< 0.001). Adjusted analyses revealed that the factors most strongly associated with use of pelvic examinations for all purposes were being an obstetrician/gynecologist (odds ratio 8.5; 95% confidence interval 5.8-12.6) and believing that this procedure is useful to screen for gynecologic cancers (odds ratio 3.8; 95% confidence interval 2.6-5.5). Conclusion: Misconceptions about the utility of pelvic examinations to screen for gynecologic cancers are common. More effective strategies to change physicians' beliefs regarding the value of performing pelvic examinations in asymptomatic women are needed.
机译：目的：检查医师对骨盆检查的看法，并确定与美国常规使用该手术相关的医师特征。方法：参加2009年DocStyles调查的总共1250名美国家庭/普通科医生，内科医生和妇产科医生完成了有关常规骨盆检查在筛查癌症中的效用的信念的问题。该调查还询问了参加者，他们作为女性检查的一部分，执行该程序的频率，以筛查卵巢癌和其他妇科癌症，筛查性传播感染，以及开出激素避孕的前提条件。结果：总共68.0％的妇产科医生，39.2％的家庭/普通科医生和18.7％的内科医生报告说，出于所有检查目的，常规进行骨盆检查（<0.001）。调整后的分析表明，与出于所有目的使用骨盆检查最紧密相关的因素是妇产科医生（赔率8.5; 95％置信区间5.8-12.6），并且认为此程序可用于筛查妇科癌症（赔率）比率3.8; 95％置信区间2.6-5.5）。结论：关于盆腔检查用于筛查妇科癌症的误解很普遍。需要更有效的策略来改变医生对无症状女性进行盆腔检查的价值的观念。

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