Article Figures & Data
Tables
- Table 1.
Physician and Practice Characteristics and Use of Methods of Breast Cancer Risk Assessment Strategies During Previous 12 Months
Characteristics Overall (n [%]) Discussed Breast Cancer Risk Factors P Used Software to Calculate Breast Cancer Risk P Ordered or Referred for BRCA1/2 Testing P Yes (n = 312 [88%]) No (n = 39 [12%]) Yes (n = 63 [18%]) No (n = 288 [82%]) Yes (n = 168 [48%]) No (n = 182 [52%]) Physician Age (mean [SD]) 45.6 (11.7) 45.5 (11.4) 45.5 (13.7) .99 46.1 (11.0) 45.3 (11.8) .63 46.0 (11.8) 44.9 (11.5) .14 Male 240 (68) 207 (66) 31 (80) .10 63 (46) 288 (45) .20 112 (67) 126 (69) .64 Specialty .08 <.01 .01 Family medicine 144 (41) 132 (42) 12 (31) 17 (27) 127 (44) 66 (39) 78 (43) Internal medicine 140 (39) 118 (38) 22 (56) 17 (27) 123 (43) 59 (35) 80 (44) Obstetrics/Gynecology 67 (19) 62 (20) 5 (13) 29 (46) 38 (13) 43 (26) 24 (13) Years since medical school graduation (mean [SD]) 17.2 (12.0) 17.1 (11.7) 17.1 (13.9) .99 19.1 (11.7) 16.7 (12.0) .15 17.6 (12.0) 16.6 (11.9) .41 Affiliated with medical school 160 (48) 140 (47) 20 (56) .33 33 (55) 127 (46) .22 81 (48) 79 (43) .21 Family member with breast cancer 42 (12) 39 (13) 3 (8) .38 13 (22) 29 (10) .01 23 (14) 19 (10) .35 Practice Number of other PCPs in practice <.01 .55 .06 0 16 (5) 10 (4) 6 (19) 1 (2) 15 (6) 4 (3) 12 (8) 1 57 (18) 53 (19) 4 (13) 8 (14) 48 (19) 82 (54) 74 (47) 2–5 100 (32) 98 (35) 2 (7) 20 (36) 80 (32) 33 (22) 31 (31) 6–10 64 (21) 56 (20) 8 (26) 11 (20) 53 (21) 12 (8) 6 (4) ≥11 73 (24) 63 (23) 10 (32) 16 (29) 57 (22) 20 (13) 35 (21) Proportion of patients covered by managed care plans .20 .28 .10 <25% 63 (23) 53 (22) 10 (39) 11 (21) 52 (24) 31 (18) 32 (24) 25–49% 62 (23) 59 (24) 3 (12) 8 (15) 54 (25) 35 (21) 27 (25) 50–74% 96 (36) 88 (36) 8 (31) 20 (39) 76 (35) 51 (30) 45 (32) 75–100% 48 (18) 43 (18) 5 (19) 13 (25) 35 (16) 22 (13) 26 (19) Patients per week (average n) .04 .08 .04 <75 116 (35) 95 (33) 21 (62) 15 (25) 101 (37) 45 (27) 71 (39) 75–99 81 (24) 78 (26) 3 (9) 15 (25) 66 (24) 41 (24) 40 (22) 100–139 107 (32) 98 (33) 9 (27) 27 (45) 80 (30) 63 (38) 44 (24) ≥140 28 (8) 27 (9) 1 (3) 3 (5) 25 (9) 11 (7) 7 (9) PCP, primary care physican.
- Table 2.
Physician Knowledge, Attitudes,* and Use of Methods of Breast Cancer Risk Assessment Strategies During Previous 12 Months
Overall N (%) Discussed Breast Cancer Risk Factors P Used Software to Calculate Breast Cancer Risk P Ordered or Referred for BRCA1/2 Testing P Yes (n = 312 [88%]) No (n = 39 [12%]) Yes (n = 63 [18%]) No (n = 288 [82%]) Yes (n = 168 [48%]) No (n = 182 [57%]) Mean knowledge score (SD)† 0.63 (0.24) 0.63 (0.26) 0.63 (0.22) .10 0.71 (0.25) 0.65 (0.26) <.01 0.65 (0.27) 0.61 (0.26) .20 Many patients ask for risk information 124 (35) 121 (39) 1 (3) <.01 17 (27) 105 (37) .15 65 (39) 57 (31) .20 Information about risk creates unnecessary anxiety for many women 48 (14) 43 (14) 5 (13) .39 9 (14) 39 (14) .98 27 (16) 21 (12) .21 Available methods of predicting risk are not accurate enough 46 (13) 44 (14) 2 (5) .09 9 (14) 37 (13) .53 22 (13) 24 (13) .99 Too time consuming to evaluate and discuss risk 37 (11) 31 (10) 6 (15) .20 8 (13) 29 (10) .70 21 (13) 15 (8) .17 Reluctant to use breast cancer risk assessment because a woman at low risk of breast cancer might decide not to undergo mammography screening 22 (6) 20 (6) 2 (5) .56 3 (5) 19 (7) .74 12 (7) 10 (5) .51 * For attitudes, the table shows the n and proportion of physicians who agree or strongly agree with the attitude statement.
† Mean knowledge score is the mean of the proportion of correct responses.
- Table 3.
Adjusted Association Between Physician Demographics, Attitudes, Knowledge, and Use of Methods of Breast Cancer Risk Assessment*
Discussed Breast Cancer Risk Factors Used Software to Calculate Breast Cancer Risk Ordered or Referred for BRCA1/2 Testing Specialty Internal medicine (ref) 1.00 1.00 1.00 Family practice 1.47 (0.58–3.71) 0.83 (0.37–1.81) 0.95 (0.57–1.59) Obstetrics/gynecology 3.35 (1.01–11.13) 5.37 (2.49–11.55) 2.36 (1.24–4.49) Solo practice 0.14 (0.04–0.56) 0.16 (0.02–1.36) 0.27 (0.07–0.96) Family member with breast cancer 1.63 (0.41–6.39) 2.76 (1.27–5.30) 1.19 (0.59–2.47) Attitudes Many patients ask for information about their risk of breast cancer 24.60 (3.44–195.82) 0.83 (0.42–1.61) 1.52 (0.95–2.44) Knowledge Accuracy score (one point increase) 1.23 (0.26–5.69) 4.57 (1.17–17.08) 1.82 (0.73–4.55) * Models include all the variables in the table as well as physician age, sex, and number of patients seen per week.
All data provided as odds ratio (95% CI).
