Gray R E, Chart P, Carroll J C, Fitch M I, Cloutier-Fisher D
Psychosocial & Behavioural Research Unit, Toronto-Sunnybrook Regional Cancer Centre, Ont.
Cancer Prev Control. 1999 Feb;3(1):61-7.
To describe the knowledge, practices and perspectives of Canadian family physicians regarding ovarian cancer.
A mailed survey questionnaire was followed by a reminder card, a second mailing of the questionnaire and a final reminder card.
A national sample of family physicians was drawn randomly from the membership database of the College of Family Physicians of Canada.
Knowledge related to ovarian cancer. Practices related to the screening and detection of ovarian cancer. Attitudes towards screening for ovarian cancer. Perceived role in the care of women at risk of, or diagnosed with, ovarian cancer. Perceived educational needs of physicians.
A total of 1079 completed questionnaires were returned, providing a response rate of 56.6%. Although most family physicians were aware of the basic facts about ovarian cancer, there were knowledge limitations related to risk factors, familial ovarian cancer syndromes and symptoms. Practices related to asymptomatic women were found to be mostly in accord with current guidelines and recognized the prevailing lack of evidence for the effectiveness of tests. Areas that were troublesome included the role of screening in high-risk women and knowledge about available tests. Most family physicians indicated that they have an important role to play in the care of women after they have been diagnosed with ovarian cancer. They also expressed a high level of interest in obtaining additional information related to ovarian cancer.
This study clearly shows that there is a need for additional research to assist with the development of evidence-based guidelines for women at increased risk of ovarian cancer and for women at no known risk. Pending more definitive evidence, interim guidelines could provide assistance to physicians currently having to make decisions in a context of massive uncertainty. Canadian family physicians would be interested in and would benefit from continuing medical education (CME) initiatives concerning ovarian cancer.
描述加拿大家庭医生关于卵巢癌的知识、实践和观点。
先邮寄调查问卷，之后寄提醒卡，再进行第二次问卷邮寄，最后寄最终提醒卡。
从加拿大家庭医生学院会员数据库中随机抽取全国范围的家庭医生样本。
与卵巢癌相关的知识；与卵巢癌筛查和检测相关的实践；对卵巢癌筛查的态度；在照顾有卵巢癌风险或已被诊断为卵巢癌的女性中所感知到的作用；医生所感知到的教育需求。
共回收1079份完整问卷，回复率为56.6%。尽管大多数家庭医生知晓卵巢癌的基本事实，但在风险因素、家族性卵巢癌综合征和症状方面存在知识局限。发现与无症状女性相关的实践大多符合当前指南，且认识到现有检测有效性证据普遍不足。存在问题的领域包括高危女性筛查的作用以及现有检测的知识。大多数家庭医生表示，在女性被诊断为卵巢癌后，他们在其护理中可发挥重要作用。他们还表达了对获取更多与卵巢癌相关信息的高度兴趣。
本研究清楚表明，需要开展更多研究，以协助制定针对卵巢癌风险增加女性和无已知风险女性的循证指南。在有更确凿证据之前，临时指南可为目前必须在大量不确定性情况下做出决策的医生提供帮助。加拿大家庭医生会对有关卵巢癌的继续医学教育（CME）举措感兴趣并从中受益。
