Slanetz P J, Moore R H, Hulka C A, Halpern E F, Habunek D A, Whitman G J, McCarthy K A, Hall D A, Kopans D B
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.
Radiology. 1997 May;203(2):335-8. doi: 10.1148/radiology.203.2.9114084.
To evaluate the effect of national breast cancer screening guidelines on current physician attitudes toward and practice of screening mammography.
Questionnaire responses from 278 physicians were analyzed. The questionnaire had four sections: general information on physician practice and experience, current use of breast cancer screening, perceptions of screening mammography, and physician awareness of and response to the controversy in breast cancer screening.
In women aged 40-49 years, 144 (52%) of 278 physicians performed annual clinical breast examination and screening mammography every 2 years; 57 (21%) favored annual mammography and clinical breast examination. In women aged 50 years and older, 232 (83%) physicians screened patients annually with clinical breast examination and mammography. Two hundred seventeen (78%) physicians were aware of the recommended changes in screening guidelines; 54 (19%) were not aware of the changes. Of those aware of the changes, 56 (26%) changed to the new guidelines, 150 (69%) did not change, and six (3%) modified their practice somewhat.
Physician practice as regards screening mammography is influenced by national guidelines.
评估国家乳腺癌筛查指南对当前医生对乳腺钼靶筛查的态度及实践的影响。
分析了278名医生的问卷调查回复。问卷有四个部分：医生执业和经验的一般信息、乳腺癌筛查的当前使用情况、对乳腺钼靶筛查的看法，以及医生对乳腺癌筛查争议的认识和反应。
在40 - 49岁的女性中，278名医生中有144名（52%）每两年进行一次年度临床乳腺检查和乳腺钼靶筛查；57名（21%）倾向于每年进行乳腺钼靶检查和临床乳腺检查。在50岁及以上的女性中，232名（83%）医生每年为患者进行临床乳腺检查和乳腺钼靶筛查。217名（78%）医生知晓筛查指南中推荐的变化；54名（19%）不知道这些变化。在知晓这些变化的医生中，56名（26%）改为遵循新指南，150名（69%）未改变，6名（3%）在一定程度上调整了他们的做法。
医生在乳腺钼靶筛查方面的实践受到国家指南的影响。
