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Table 3 Primary care physician beliefs on screening effectiveness and practice behaviors

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

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Tudiver 2002 NAa
Haggerty 2005 • Approximately 25% of the participating physicians thought that routine mammography screening was recommended for women aged 40–49 years.
Meissner 2011 • 99% of all PCPs reported that for average-risk women 50 years and older, mammography was effective in reducing cancer mortality.
• 96% thought that mammography was at least somewhat effective for women ages 40 to 49 years.
• Over 70% of all physicians who recommended mammography to women ages 40 to 49 years recommended it on an annual basis (69.5% of family medicine/general practitioners, 74.5% of internal medicine specialists, and 79.3% of obstetrician/gynecologists).
• More than 90% of all physicians recommended annual mammography to women aged > 50 years. Family medicine/general practitioners and internal medicine specialists who recommended mammography were more likely to stop recommending screening at a certain age (30.2 and 37.8%, respectively) than obstetrician/gynecologists (14%).
• The age at which MDs no longer recommended screening varied, but less than 10% of physicians of any specialty specified an age that was smaller than 70 years.
Smith 2012 • 46% of family physicians offered routine mammography screening to average-risk women aged 40–49.
• Among physicians who offered screening: 77% reported starting at age 40, while 14% started at age 45. Of these, 44% offered yearly screening, followed by 26% who offered biennial screening. The remainder of physicians offered either annual or biennial screening based on joint physician-patient decisions (17%).
Miller 2014 • 50% of physicians strongly agreed that mammography is an effective test for women aged 40–49 years.
• 81.7% of physicians strongly agreed that mammography is an effective screening test for women aged 50–69 years.
Kiyang 2015 NAa
DuBenske 2017 NAa
Radhakrishnan 2017 • 81% of physicians recommended screening to women aged 40 to 44 years.
• Gynecologists were more likely than family medicine/internal medicine physicians to recommend screening for women in general.
Radhakrishnan 2018 • 88% of physicians recommended screening mammography to women aged 45–49 years.
• Of those physicians, approximately 67% recommended yearly screening for that group of women.
  1. aNA, not applicable