Table 1 Key characteristics of included articles
Articlea | Objective | Setting | Year and method of data collection | Relevant outcome measuresb |
|---|---|---|---|---|
Tudiver 2002 | To determine perceptions of family physicians on unclear or conflicting guidelines including mammography for women aged 40–49, and what factors influence their decision to order these tests | Canada | 1999, National mailed survey with case vignettes | Agreement with guideline statements; decision to order screening test; factors that influence this decision |
Haggerty 2005 | To compare the influence of family physicians’ recommendations and patients’ anxiety or expectations on the decision to order screening tests for which guidelines are conflicting, including mammography for women 40 to 49 | Canada | 1999, Secondary analysis of the survey from Tudiver [26] with clinical case vignettes | Decision to order screening test; perceptions of mammography recommendations; physician perception of patients’ anxiety about cancer expectations to be tested |
Meissner 2011 | To explore the mammography screening beliefs, recommendations, and practices of primary care physicians in family medicine, general practice, internal medicine, and obstetrics/gynecology, for average-risk women aged 40–49 and over 50 | USA | September 2006 to May 2007, Nationally representative survey of PCP | Influence of guidelines in clinical practice of PCP; beliefs about the effectiveness of 4 breast cancer screening tests in reducing breast cancer mortality in average-risk women; mammography recommendations to asymptomatic average-risk women; recommended frequency of mammography for women aged 40–49 years and aged > 50 years; age at which PCP no longer recommended screening for healthy women |
Smith 2012 | To determine family medicine residents’ fellows’ and staff physicians’ attitudes and behaviors towards breast cancer screening in average-risk women aged 40 to 49 | Canada, Two academic family practice health centers | No date reportede, Cross-sectional survey | Screening initiation and frequency; reasons for offering and not offering screening; physicians’ perceptions of patients’ needs and understanding regarding mammography screening |
Miller 2014 | To examine family medicine, internal medicine, and obstetrics and gynecology physicians’ beliefs about the effectiveness of different tests for cancer screening in women 40 to 49 and 50–69 | USA, Private practice and hospital | November 2008 to January 2009, survey with data from Women’s Health Survey sent to a nationally representative sample of physicians | Level of agreement with statements that tests were effective in screening for breast cancer; professional organizations influencing physicians’ cancer screening recommendations |
Kiyang 2015 | To assess the intention of family physicians to support women aged 50 to 69 (targeted by the QBCSPc) in making informed decisions about mammography, the determinants of this intention, and the factors that influence family physicians’ adoption of this supporting behavior | Canada | 2010, Questionnaire based on the Theory of Planned Behaviour post-attendance to a lecture on informed decision-making | Physicians’ intentions to support women in making informed decisions about mammography screening; determinants of this intention and the barriers and facilitators to adopting this supportive attitude. |
DuBenske 2017 | To compare women’s and primary care physicians’ (Family medicine, Internal medicine, obstetrics and gynecology) experiences of mammography screening shared decision-making with average-risk women aged 40 to 49. | USA, Academic health center and clinics | 2013, Patient focus groups with women aged 40 to 49 and interviews with primary care physicians | Primary Care Physicians’ and patients’ experiences in mammography screening decision-making |
Radhrakrishnan 2017 | To assess the associations between screening recommendations and (1) physician specialty and (2) organizational trust | USA | 2016, National survey of primary care physicians | Physicians’ screening recommendations; physicians’ most trusted screening guidelines |
Radhakrishnan 2018d | To investigate a broad range of attitudes and beliefs towards mammography screening, using factor analysis to group them into underlying themes | USA | 2016, National survey of primary care physicians | Physician attitudes towards mammography screening for younger (45–49 years) and older (75+ years) women; recommendations for routine mammography |