Scrutinizing screening: a critical interpretive review of primary care provider perspectives on mammography decision-making with average-risk women

Table 5 Primary care physician perspectives on uncertainty in mammography screening

Article
Tudiver 2002	• Over 65% of physicians found mammography screening guidelines conflicting.
Haggerty 2005	• About 30% of physicians found mammography screening guidelines unclear.
Meissner 2011	NA^a
Smith 2012	NA^a
Miller 2014	NA^a
Kiyang 2015	NA^a
DuBenske 2017	• Physicians are not always aware of all risk factors or using all risk factors in their discussions.
	• Physicians identified ambiguity in the guidelines.
	• Physicians reported less confidence in their ability to know or consider all risk factors for an individual’s risk calculation as well as difficulty making sense of ambiguous, contradictory or changing guidelines.
	• One physician stated he did not feel adept to discuss screening.
Radhakrishnan 2017	NA^a
Radhakrishnan 2018	• The difficulty of reconciling divergent organizational guidelines was strongly associated with recommending screening to women aged 45–49.
Radhakrishnan 2018	• Physicians who trusted the USPSTF guidelines the most had lower potential regret.

ISSN: 2107-6952