Literature DB >> 31862335

Cancer Prevention in Primary Care: Perception of Importance, Recognition of Risk Factors and Prescribing Behaviors.

Goli Samimi1, Brandy M Heckman-Stoddard2, Christine Holmberg3, Bethany Tennant4, Bonny Bloodgood Sheppard4, Kisha I Coa4, Shelley S Kay4, Leslie G Ford2, Eva Szabo2, Lori M Minasian2.   

Abstract

PURPOSE: Acceptability and uptake of cancer preventive interventions is associated with physician recommendation, which is dependent on physician familiarity with available preventive options. The goal of this study is to evaluate cancer prevention perceptions, understanding of breast and ovarian cancer risk factors, and prescribing behaviors of primary care physicians.
METHODS: We conducted cross-sectional. Web-based survey of 750 primary care physicians (250 each for obstetrics/gynecology, internal medicine, and family medicine) in the United States. Survey respondents were recruited from an opt-in health care provider panel.
RESULTS: Perception of importance and the practice of recommending general and cancer-specific preventive screenings and interventions significantly differed by provider type. These perceptions and behaviors reflected the demographics of the population that the primary care physicians see within their respective practices. The majority of respondents recognized genetic/hereditary risk factors for breast or ovarian cancer, while epidemiologic or clinical risk factors were less frequently recognized. Prescribing behaviors were related to familiarity with the interventions, with physicians indicating that they more frequently reinforced a specialist's recommendation rather than prescribed a preventive intervention.
CONCLUSIONS: Cancer prevention perceptions, recognition of cancer risk factors, and prescribing behaviors differ among practice types and were related to familiarity with preventive options. Cancer prevention education and risk assessment resources should be more widely available to primary care physicians. Published by Elsevier Inc.

Entities:  

Keywords:  Cancer prevention; Primary care physicians; Survey

Mesh:

Year:  2019        PMID: 31862335      PMCID: PMC7293933          DOI: 10.1016/j.amjmed.2019.11.017

Source DB:  PubMed          Journal:  Am J Med        ISSN: 0002-9343            Impact factor:   4.965


  33 in total

1.  Physicians' attitudes towards prevention: importance of intervention-specific barriers and physicians' health habits.

Authors:  J Cornuz; W A Ghali; D Di Carlantonio; A Pecoud; F Paccaud
Journal:  Fam Pract       Date:  2000-12       Impact factor: 2.267

2.  Primary care: is there enough time for prevention?

Authors:  Kimberly S H Yarnall; Kathryn I Pollak; Truls Østbye; Katrina M Krause; J Lloyd Michener
Journal:  Am J Public Health       Date:  2003-04       Impact factor: 9.308

3.  Breast Cancer Chemoprevention among High-risk Women and those with Ductal Carcinoma In Situ.

Authors:  Laura L Reimers; Parijatham S Sivasubramanian; Dawn Hershman; Mary Beth Terry; Heather Greenlee; Julie Campbell; Kevin Kalinsky; Matthew Maurer; Ramona Jayasena; Rossy Sandoval; Maria Alvarez; Katherine D Crew
Journal:  Breast J       Date:  2015-04-16       Impact factor: 2.431

Review 4.  Barriers to the Use of Breast Cancer Risk Reduction Therapies.

Authors:  Arvind Bambhroliya; Mariana Chavez-MacGregor; Abenaa M Brewster
Journal:  J Natl Compr Canc Netw       Date:  2015-07       Impact factor: 11.908

5.  Acceptability of Localized Cancer Risk Reduction Interventions Among Individuals at Average or High Risk for Cancer.

Authors:  Goli Samimi; Brandy M Heckman-Stoddard; Shelley S Kay; Bonny Bloodgood; Kisha I Coa; Jennifer L Robinson; Bethany Tennant; Leslie G Ford; Eva Szabo; Lori Minasian
Journal:  Cancer Prev Res (Phila)       Date:  2019-03-01

6.  Estimating a reasonable patient panel size for primary care physicians with team-based task delegation.

Authors:  Justin Altschuler; David Margolius; Thomas Bodenheimer; Kevin Grumbach
Journal:  Ann Fam Med       Date:  2012 Sep-Oct       Impact factor: 5.166

7.  NRG Oncology/National Surgical Adjuvant Breast and Bowel Project Decision-Making Project-1 Results: Decision Making in Breast Cancer Risk Reduction.

Authors:  Christine Holmberg; Hanna Bandos; Angela Fagerlin; Therese B Bevers; Tracy A Battaglia; D Lawrence Wickerham; Worta J McCaskill-Stevens
Journal:  Cancer Prev Res (Phila)       Date:  2017-10-04

8.  Tamoxifen as chemoprevention in BRCA1 and BRCA2 mutation carriers with breast cancer: a pilot survey of physicians.

Authors:  Beth N Peshkin; Claudine Isaacs; Clinton Finch; Sheryl Kent; Marc D Schwartz
Journal:  J Clin Oncol       Date:  2003-12-01       Impact factor: 44.544

9.  Primary prevention in general practice - views of German general practitioners: a mixed-methods study.

Authors:  Christine Holmberg; Giselle Sarganas; Nadine Mittring; Vittoria Braun; Lorena Dini; Christoph Heintze; Nina Rieckmann; Rebecca Muckelbauer; Jacqueline Müller-Nordhorn
Journal:  BMC Fam Pract       Date:  2014-05-25       Impact factor: 2.497

Review 10.  Factors affecting uptake and adherence to breast cancer chemoprevention: a systematic review and meta-analysis.

Authors:  S G Smith; I Sestak; A Forster; A Partridge; L Side; M S Wolf; R Horne; J Wardle; J Cuzick
Journal:  Ann Oncol       Date:  2015-12-08       Impact factor: 32.976

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1.  Primary care clinicians' opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study.

Authors:  Melissa L Harry; Ella A Chrenka; Laura A Freitag; Daniel M Saman; Clayton I Allen; Stephen E Asche; Anjali R Truitt; Heidi L Ekstrom; Patrick J O'Connor; Jo Ann M Sperl-Hillen; Jeanette Y Ziegenfuss; Thomas E Elliott
Journal:  BMC Health Serv Res       Date:  2022-01-06       Impact factor: 2.655

2.  Recognition of Factors of Postoperative Complications of Knee Osteoarthritis Patients and Comprehensive Nursing Intervention.

Authors:  Ying Dong; Pei Zhang; Lidan Fan
Journal:  Comput Math Methods Med       Date:  2021-11-23       Impact factor: 2.238

3.  Human Papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial.

Authors:  Melissa L Harry; Stephen E Asche; Laura A Freitag; JoAnn M Sperl-Hillen; Daniel M Saman; Heidi L Ekstrom; Ella A Chrenka; Anjali R Truitt; Clayton I Allen; Patrick J O'Connor; Steven P Dehmer; Joseph A Bianco; Thomas E Elliott
Journal:  Hum Vaccin Immunother       Date:  2022-03-18       Impact factor: 4.526

4.  Assessment of and Interventions for Women at High Risk for Breast or Ovarian Cancer: A Survey of Primary Care Physicians.

Authors:  Goli Samimi; Brandy M Heckman-Stoddard; Christine Holmberg; Bethany Tennant; Bonny Bloodgood Sheppard; Kisha I Coa; Shelley S Kay; Leslie G Ford; Eva Szabo; Lori M Minasian
Journal:  Cancer Prev Res (Phila)       Date:  2020-10-06
  4 in total

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