Table 3.
Survey-measured physician factor | Guideline-adherent versus guideline-non- adherent recommendation |
Guideline-adherent versus early recommendation |
||
---|---|---|---|---|
OR, CI | p value | OR, CI | p value | |
Guideline knowledge | 1.5 (1.2–2.0) | 0.003 | 1.5 (1.1–2.1) | 0.02 |
Trainee status | 2.1 (1.1–3.7) | 0.02 | 2.7 (1.3–5.5) | 0.005 |
Belief that guidelines are not appropriately aggressive | 0.7 (0.5–1.0) | 0.04 | 0.7 (0.4–1.1) | 0.12 |
Influenced by guidelines in clinical practice | 1.8 (1.2–2.7) | 0.005 | 1.9 (1.2–3.1) | 0.01 |
Fear of missed cancer | 0.7 (0.5–1.1) | 0.10 | 0.6 (0.4–1.0) | 0.05 |
Increasing concern about malpractice | 0.8 (0.6–1.1) | 0.26 | 0.8 (0.6–1.1) | 0.15 |
Inaccurate estimation of risk of interval HRA | 1.1 (0.9–1.4) | 0.41 | 1.0 (0.8–1.4) | 0.77 |
Factors associated with underutilization were not identified given small number of late recommendations (n = 19)