Warshawsky B, Tabib M H, White D
Can Fam Physician. 1989 May;35:1043-6.
Mammography screening is controversial; consequently, physicians' compliance with established recommendations varies. This questionnaire showed that 55.2% of responding physicians have some form of schedule for mammographic screening, but only 7.5% follow the Canadian recommendations exactly. The main reasons for not screening are fears of radiation exposure, concerns about cost-effectiveness, and feelings that mammography does not improve the prognosis of breast cancer. Physicians were more likely to screen by mammography if they were in group practice, female, had completed a family practice residency, and had been in practice 15 or fewer years.
乳房X光筛查存在争议;因此,医生对既定建议的遵守情况各不相同。这份调查问卷显示,55.2%的受访医生有某种形式的乳房X光筛查时间表,但只有7.5%的医生完全遵循加拿大的建议。不进行筛查的主要原因是担心辐射暴露、对成本效益的担忧以及认为乳房X光检查不能改善乳腺癌的预后。如果医生是在团体执业、女性、完成了家庭医学住院实习且执业年限在15年或以下,那么他们更有可能进行乳房X光筛查。