- Patients who see their doctors in the morning are a lot more likely to be referred for screenings for breast and colon cancer than patients with end-of-the-day appointments, a new study suggests.
First, Patel said,"as we go through our day we get tired of making decisions, so we're less likely to do it later in the day. And then, as we go through our day, we tend to run behind schedule so at the end of the day we have less time." As reported in JAMA Network Open, Patel and his colleagues analyzed electronic health records compiled between 2014 and 2016 by 33 primary care practices in Pennsylvania and New Jersey. They found 19,254 patients eligible for breast cancer screening and 33,468 eligible for colon cancer screening.When examining those patients' records, the researchers found that order rates for breast cancer screenings were at their highest at 8AM, at 63.7 percent, and dropped to 47.8 percent at 4PM and 5PM.
The new study is"intriguing and a little provocative but I think we should be cautious before we start posing solutions," said Dr. Albert Wu, an internist and professor of health policy & management at the Johns Hopkins Bloomberg School of Public Health."Correlation is not causality and we should always be cautious jumping to conclusions, particularly those that support a narrative we believe in.
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