TY - JOUR
T1 - Assessing and managing breast cancer risk: Clinicians' current practice and future needs
AU - Collins, I.M.
AU - Steel, E.
AU - Mann, G.
AU - Emery, Jon
AU - Bickerstaffe, A.C.
AU - Trainer, A.H.
AU - Butow, P.N.
AU - Pirotta, M.V.
AU - Antoniou, A.C.
AU - Cuzick, J.M.
AU - Hopper, J.L.
AU - Phillips, K.A.
AU - Keogh, L.A.
PY - 2014
Y1 - 2014
N2 - © 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.
AB - © 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.
U2 - 10.1016/j.breast.2014.06.014
DO - 10.1016/j.breast.2014.06.014
M3 - Article
C2 - 24998452
SN - 0960-9776
VL - 23
SP - 644
EP - 650
JO - BREAST
JF - BREAST
IS - 5
ER -
