© 2014 Elsevier Ltd. 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.
Collins, I. M., Steel, E., Mann, G., Emery, J., Bickerstaffe, A. C., Trainer, A. H., ... Keogh, L. A. (2014). Assessing and managing breast cancer risk: Clinicians' current practice and future needs. BREAST, 23(5), 644-650. https://doi.org/10.1016/j.breast.2014.06.014