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首页> 外文期刊>Journal of women’s health >Breast Cancer Screening Practices for High-Risk Women: A Cross-Sectional Survey of Primary Care Providers
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Breast Cancer Screening Practices for High-Risk Women: A Cross-Sectional Survey of Primary Care Providers

机译：高危女性的乳腺癌筛查实践：初级护理提供者的横断面调查

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Background: Little literature exists on primary care providers' knowledge and preferences toward breast cancer screening for high-risk women. Materials and Methods: A cross-sectional web-based survey of primary care providers in Minnesota was conducted in 2016. The primary aim was to determine the breast cancer screening practices of primary care providers for women at high risk for breast cancer. A multipart questionnaire focused on breast cancer screening practices for high-risk women and perceived risks/benefits of breast cancer screening was administered. Statistical analyses, included descriptive statistics and tests of differences in screening practices and knowledge across key professional characteristics, were conducted. Results: Eight hundred five primary care providers completed the survey (7.7% response). Participants were predominantly female (72.2%); 43.9% were physicians, 11.4% physician assistants, and 44.8% advanced practice registered nurses. One-quarter of providers recommended mammography and breast magnetic resonance imaging (MRI) for high-risk women ages 40-49 years. There were no differences in breast MRI recommendations based on years of experience or practice setting. In high-risk women with prior chest radiation and an increased risk of breast cancer, for whom guidelines recommend mammography and MRI, 75.0% of providers recommended mammography, but only 44.3% recommended breast MRI. Recent continuing education on breast cancer screening was associated with providers being more comfortable giving high-risk screening recommendations (p = 0.002). Conclusions: Most primary care providers believe mammography is helpful in women at high risk for breast cancer. Less than half of practitioners, however, recommend breast MRI to screen women at high risk for breast cancer, despite guidelines promoting the use of breast MRI. Increased provider education is warranted.
机译：背景：初级保健提供者对高危女性的乳腺癌筛查的知识和偏好存在小的文学。材料与方法：2016年开展了明尼苏达州初级护理提供商的基于跨截面网络的调查。主要目的是确定乳腺癌高风险初级护理供应商的乳腺癌筛查做法。施用了一款重点是乳腺癌筛查实践，对高危女性的筛查做法进行施用，并施用乳腺癌筛查的感知风险/益处。统计分析，包括对关键专业特征的筛选行为和知识的描述性统计和差异的测试。结果：八百五个初级保健提供者完成了调查（7.7％的回复）。参与者主要是女性（72.2％）; 43.9％是医生，11.4％的医生助理，高44.8％的高级实践登记护士。四分之一的供应商推荐乳房X线摄影和乳房磁共振成像（MRI）为40-49岁的高危女性。基于多年的经验或实践环境，乳房MRI建议没有差异。在具有先前胸部辐射的高危女性和乳腺癌的风险增加，指引推荐乳房X线摄影和MRI，75.0％的供应商推荐乳房X线摄影，但只有44.3％推荐的乳房MRI。最近对乳腺癌筛查的持续教育与提供者更舒适的提供者有关，给予高风险筛查建议（P = 0.002）。结论：大多数初级护理提供者认为乳房X线乳乳腺术治疗乳腺癌的高风险。然而，尽管促进使用乳房MRI的指导，但不到一半的从业者推荐乳腺MRI以乳腺癌的高风险筛查乳腺癌。增加提供者教育是有保证的。

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