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首页> 外文期刊>Journal of women’s health >Adherence of Primary Care Physicians to Evidence-Based Recommendations to Reduce Ovarian Cancer Mortality
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Adherence of Primary Care Physicians to Evidence-Based Recommendations to Reduce Ovarian Cancer Mortality

机译：基层医疗医生遵守循证医学建议以减少卵巢癌死亡率

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Ovarian cancer is the deadliest gynecologic cancer. Receipt of treatment from a gynecologic oncologist is an evidence-based recommendation to reduce mortality from the disease. We examined knowledge and application of this evidence-based recommendation in primary care physicians as part of CDC gynecologic cancer awareness campaign efforts and discussed results in the context of CDC National Comprehensive Cancer Control Program (NCCCP). We analyzed primary care physician responses to questions about how often they refer patients diagnosed with ovarian cancer to gynecologic oncologists, and reasons for lack of referral. We also analyzed these physicians' knowledge of tests to help determine whether a gynecologic oncologist is needed for a planned surgery. The survey response rate was 52.2%. A total of 84% of primary care physicians (87% of family/general practitioners, 81% of internists and obstetrician/gynecologists) said they always referred patients to gynecologic oncologists for treatment. Common reasons for not always referring were patient preference or lack of gynecologic oncologists in the practice area. A total of 23% of primary care physicians had heard of the OVA1 test, which helps to determine whether gynecologic oncologist referral is needed. Although referral rates reported here are high, it is not clear whether ovarian cancer patients are actually seeing gynecologic oncologists for care. The NCCCP is undertaking several efforts to assist with this, including education of the recommendation among women and providers and assistance with treatment summaries and patient navigation toward appropriate treatment. Expansion of these efforts to all populations may help improve adherence to recommendations and reduce ovarian cancer mortality.
机译：卵巢癌是最致命的妇科癌症。从妇科肿瘤科医生那里接受治疗是降低疾病死亡率的循证医学推荐。我们在CDC妇科癌症认识运动的一部分中检查了在初级保健医师中基于证据的推荐的知识和应用，并在CDC国家综合癌症控制计划（NCCCP）的背景下讨论了结果。我们分析了初级保健医师对以下问题的回答：他们将诊断为卵巢癌的患者多久转诊给妇科肿瘤科医生以及缺乏转诊的原因。我们还分析了这些医生的测试知识，以帮助确定计划中的手术是否需要妇科肿瘤科医生。调查答复率为52.2％。共有84％的初级保健医师（87％的家庭/全科医生，81％的内科医师和妇产科医生/妇科医生）表示，他们总是将患者转诊至妇科肿瘤科医生进行治疗。不总是转诊的常见原因是患者偏爱或在实践领域缺少妇科肿瘤科医生。共有23％的初级保健医生听说过OVA1测试，这有助于确定是否需要妇科肿瘤科医生转诊。尽管此处报道的转诊率很高，但尚不清楚卵巢癌患者是否真的在找妇科肿瘤科医生进行护理。 NCCCP正在采取多种措施来帮助实现这一目标，包括在妇女和提供者中对推荐进行教育，并提供治疗总结和患者导航以寻求适当的治疗。将这些努力扩展到所有人群可能有助于提高对建议的依从性并降低卵巢癌死亡率。

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