Assessing and managing breast cancer risk: Clinicians' current practice and future needs

被引：39

作者：

Collins, Ian M. ^{[1
]}

Steel, Emma ^{[2
]}

Mann, G. Bruce ^{[3
]}

Emery, Jon D. ^{[4
,5
,6
]}

Bickerstaffe, Adrian ^{[7
]}

Trainer, Alison ^{[8
]}

Butow, Phyllis ^{[9
]}

Pirotta, Marie ^{[4
,5
]}

Antoniou, Antonis C. ^{[10
]}

Cuzick, Jack ^{[11
]}

Hopper, John ^{[7
]}

Phillips, Kelly-Anne ^{[1
,7
,8
,12
]}

Keogh, Louise A. ^{[2
]}

机构：

[1] Peter MacCallum Canc Ctr, Div Canc Med, Melbourne, Vic, Australia

[2] Univ Melbourne, Acad Ctr Hlth Equ, Melbourne Sch Populat & Global Hlth, Carlton, Vic 3010, Australia

[3] Royal Womens Hosp, Melbourne, Vic, Australia

[4] Univ Melbourne, Dept Gen Practice, Melbourne, Vic 3010, Australia

[5] Univ Melbourne, Primary Care Acad Ctr, Melbourne, Vic 3010, Australia

[6] Univ Western Australia, Sch Primary Aboriginal & Rural Hlth Care, Perth, WA 6009, Australia

[7] Univ Melbourne, Ctr Biostat & Epidemiol, Melbourne Sch Populat & Global Hlth, Melbourne, Vic 3010, Australia

[8] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic 3010, Australia

[9] Univ Sydney, Ctr Med Psychol & Evidence Based Decis CeMPED, Sydney, NSW 2006, Australia

[10] Univ Cambridge, Ctr Canc Genet Epidemiol, Dept Publ Hlth & Primary Care, Cambridge, England

[11] Queen Mary Univ London, Ctr Canc Prevent, Wolfson Inst Prevent Med, London, England

[12] Univ Melbourne, St Vincents Hosp, Dept Med, Melbourne, Vic 3010, Australia

来源：

BREAST | 2014年 / 23卷 / 05期

关键词：

Breast cancer; BRCA; Risk reduction; Clinical decision support; Needs assessment; BRCA2 MUTATION CARRIERS; PRIMARY-CARE; DECISION-SUPPORT; FAMILIAL CANCER; WOMEN; PREVENTION; TRIAL; CHEMOPREVENTION; MANAGEMENT; TAMOXIFEN;

D O I：

10.1016/j.breast.2014.06.014

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Decision support tools for the assessment and management of breast cancer risk may improve uptake of prevention strategies. End-user input in the design of such tools is critical to increase clinical use. Before developing such a computerized tool, we examined clinicians' practice and future needs. Twelve breast surgeons, 12 primary care physicians and 5 practice nurses participated in 4 focus groups. These were recorded, coded, and analyzed to identify key themes. Participants identified difficulties assessing risk, including a lack of available tools to standardize practice. Most expressed confidence identifying women at potentially high risk, but not moderate risk. Participants felt a tool could especially reassure young women at average risk. Desirable features included: evidence-based, accessible (e.g. web-based), and displaying absolute (not relative) risks in multiple formats. The potential to create anxiety was a concern. Development of future tools should address these issues to optimize translation of knowledge into clinical practice. (C) 2014 Elsevier Ltd. All rights reserved.

引用

页码：644 / 650

页数：7

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