{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:49:14Z","timestamp":1790102954954,"version":"4.0.1"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T00:00:00Z","timestamp":1382659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2014,1,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Cancer screening recommendations vary widely, especially for breast, prostate, and skin cancer screening. Guidelines are provided by the American Cancer Society, the US Preventive Services Task Force, and various professional organizations. The recommendations often differ with regard to age and frequency of screening. The objective of this study was to determine actual rates of screening in the primary care setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data from the National Ambulatory Medical Care Survey were used. Only adult visits to non\u2013federally employed, office\u2010based physicians for preventive care from 2005 through 2010 were examined. Prevalence rates for breast, pelvic, and rectal examinations were calculated, along with the rates for mammograms, Papanicolaou smears, and prostate\u2010specific antigen tests. Factors associated with screening, including age, race, smoking status, and insurance type, were examined using <jats:italic>t<\/jats:italic> tests and chi\u2010square tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>In total, 8521 visits were examined. The rates of most screening examinations and tests were stable over time. Clinical breast examinations took place significantly more than mammography was ordered (54.8% vs 34.6%; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). White patients received more mammography (<jats:italic>P<\/jats:italic>\u2009=\u2009.031), skin examinations (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.010), digital rectal examinations (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.010), and prostate\u2010specific antigen tests (<jats:italic>P<\/jats:italic>\u2009=\u2009.003) than patients of other races. Patients who paid with Medicare or private insurance received more screening than patients who had Medicaid or no insurance (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.010).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Current cancer screening practices in primary care vary significantly. Cancer screening may not follow evidence\u2010based practices and may not be targeting patients considered most at risk. Racial and socioeconomic disparities are present in cancer screening in primary care. <jats:bold><jats:italic>Cancer<\/jats:italic> 2014;120:253\u2013261<\/jats:bold>. \u00a9 <jats:italic>2013 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.28403","type":"journal-article","created":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T14:56:46Z","timestamp":1382713006000},"page":"253-261","source":"Crossref","is-referenced-by-count":40,"title":["Patterns of cancer screening in primary care from 2005 to 2010"],"prefix":"10.1002","volume":"120","author":[{"given":"Kathryn J.","family":"Martires","sequence":"first","affiliation":[{"name":"Department of Graduate Medical Education Scripps Mercy Hospital San Diego California"},{"name":"Department of Dermatology Kaiser Permanente Los Angeles Medical Center Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Kurlander","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine Cleveland Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory J.","family":"Minwell","sequence":"additional","affiliation":[{"name":"Department of Radiology the Johns Hopkins Hospital Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric B.","family":"Dahms","sequence":"additional","affiliation":[{"name":"Department of Graduate Medical Education Scripps Mercy Hospital San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy S.","family":"Bordeaux","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine Cleveland Ohio"},{"name":"Department of Dermatology University Hospitals Case Medical Center Cleveland Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20063"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822c98e5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-10-200911170-00008"},{"key":"e_1_2_7_6_1","volume-title":"Breast Cancer: Prevention and Control","author":"World Health Organization","year":"2013"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-3-200902030-00008"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2007.02.010"},{"key":"e_1_2_7_9_1","volume-title":"Extending Medicare Coverage for Preventive and Other Services","author":"Field MJ","year":"1991"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.04.119"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.11.014"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-2-201207170-00459"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182680517"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-10-201111150-00376"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-11-201212040-00539"},{"key":"e_1_2_7_16_1","unstructured":"National Ambulatory Health Care\/National Hospital Ambulatory Medical Care Survey (NAMCS\/NHAMCS).About the Ambulatory Health Care Surveys. 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