Details

Autor(en) / Beteiligte

• Collins, Ian M
• Steel, Emma
• Mann, G. Bruce
• Emery, Jon D
• Bickerstaffe, Adrian
• Trainer, Alison
• Butow, Phyllis
• Pirotta, Marie
• Antoniou, Antonis C
• Cuzick, Jack
• Hopper, John
• Phillips, Kelly-Anne
• Keogh, Louise A

Titel

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

Ist Teil von

• Breast (Edinburgh), 2014-10, Vol.23 (5), p.644-650

Ort / Verlag

Netherlands: Elsevier Ltd

Erscheinungsjahr

2014

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals Complete

Beschreibungen/Notizen

• Abstract 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.