Table 3.
Adjusted association between physician demographics, attitudes, knowledge and physician’s use of methods of breast cancer risk assessment. Models include all the variables in the table as well as physician age, gender and number of patients seen per week.
| Discussed breast cancer risk factors | Used software to calculate breast cancer risk | Ordered or referred for BRCA1/2 testing | ||||
|---|---|---|---|---|---|---|
| OR (95% CI) | P-value | OR (95% CI) | P-value | OR (95% CI) | P-value | |
| Specialty | ||||||
| Internal Medicine (ref) | 1.00 | 1.00 | 1.00 | |||
| Family Practice | 1.47 (0.58 – 3.71) | 0.44 | 0.83 (0.37 – 1.81) | 0.88 | 0.95 (0.57 – 1,59) | 0.86 |
| OB/GYN | 3.35 (1.01 – 11.13) | 0.04 | 5.37 (2.49 – 11.55) | <0.01 | 2.36 (1.24– 4.49) | 0.009 |
| Solo practice | 0.14 (0.04–0.56) | 0.005 | 0.16 (0.02–1.36) | 0.09 | 0.27 (0.07–0.96) | 0.04 |
| Family member with breast cancer | 1.63 (0.41 – 6.39) | 0.53 | 2.76 (1.27 – 5.30) | 0.03 | 1.19 (0.59 – 2.47) | 0.63 |
| Attitudes | ||||||
| Many patients ask for information about their risk of breast cancer | 24.60 (3.44–195.82) | <0.01 | 0.83 (0.42 – 1.61) | 0.37 | 1.52 (0.95 – 2.44) | 0.08 |
| Knowledge | ||||||
| Accuracy score (one point increase) | 1.23 (0.26 – 5.69) | 0.77 | 4.57 (1.17 – 17.08) | 0.03 | 1.82 (0.73 – 4.55) | 0.20 |