Breast cancer screening in older women

Practices and barriers reported by primary care physicians

M. Weinberger, A. F. Saunders, G. P. Samsa, L. B. Bearon, D. T. Gold, T. Brown, P. Booher, Patrick Loehrer

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

Annual mammography, in combination with clinical breast examinations, can reduce mortality from breast cancer. However, surveys of both patients and physicians suggest that mammography is underutilized. This study examined whether physicians' reported breast cancer screening practices and barriers to mammography varied with patients' age. Data from 576 primary care physicians (internal medicine, family/general practice, and obstetrics/gynecology) who participated in a mailed statewide survery were analyzed. Physicians reported screening elderly women significantly less often than younger women, regardless of family history of breast cancer. With the exception of medical specialty, physicians' demographic and practice characteristics were not associated with reported screening practices. However, physicians' knowledge and beliefs about breast cancer in older women were associated with reported screening practices. When analyzing barriers to ordering mammography, cost to the patient was viewed as a barrier for women of all ages, and pain was viewed as a greater barrier for younger women; otherwise, physicians consistently believed that their elderly patients faced considerably more barriers compared with younger women. Further investigation is required to examine why primary care physicians report age-related differences in both breast screening and barriers to mammography.

Original languageEnglish (US)
Pages (from-to)22-29
Number of pages8
JournalJournal of the American Geriatrics Society
Volume39
Issue number1
StatePublished - 1991

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Primary Care Physicians
Early Detection of Cancer
Mammography
Breast Neoplasms
Physicians
Breast
Family Practice
Internal Medicine
Gynecology
General Practice
Obstetrics
Medicine
Demography
Costs and Cost Analysis
Pain
Mortality

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Weinberger, M., Saunders, A. F., Samsa, G. P., Bearon, L. B., Gold, D. T., Brown, T., ... Loehrer, P. (1991). Breast cancer screening in older women: Practices and barriers reported by primary care physicians. Journal of the American Geriatrics Society, 39(1), 22-29.

Breast cancer screening in older women : Practices and barriers reported by primary care physicians. / Weinberger, M.; Saunders, A. F.; Samsa, G. P.; Bearon, L. B.; Gold, D. T.; Brown, T.; Booher, P.; Loehrer, Patrick.

In: Journal of the American Geriatrics Society, Vol. 39, No. 1, 1991, p. 22-29.

Research output: Contribution to journalArticle

Weinberger, M, Saunders, AF, Samsa, GP, Bearon, LB, Gold, DT, Brown, T, Booher, P & Loehrer, P 1991, 'Breast cancer screening in older women: Practices and barriers reported by primary care physicians', Journal of the American Geriatrics Society, vol. 39, no. 1, pp. 22-29.
Weinberger, M. ; Saunders, A. F. ; Samsa, G. P. ; Bearon, L. B. ; Gold, D. T. ; Brown, T. ; Booher, P. ; Loehrer, Patrick. / Breast cancer screening in older women : Practices and barriers reported by primary care physicians. In: Journal of the American Geriatrics Society. 1991 ; Vol. 39, No. 1. pp. 22-29.
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