A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting

2016 ◽  
Author(s):  
Jeffrey Wood ◽  
Katherine Crew ◽  
Rita Kukafka ◽  
Joseph Finkelstein
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Care Setting ◽  
Primary Care Setting ◽  
Increase Breast Cancer Risk ◽  
Cancer Risk Assessment ◽  
Breast Cancer Risk Assessment

scholarly journals Performance of the Gail and Tyrer-Cuzick breast cancer risk assessment models in women screened in a primary care setting with the FHS-7 questionnaire

2019 ◽  
Vol 42 (1 suppl 1) ◽  
pp. 232-237 ◽  
Author(s):  
Fernanda Sales Luiz Vianna ◽  
Juliana Giacomazzi ◽  
Cristina Brinckmann Oliveira Netto ◽  
Luciana Neves Nunes ◽  
Maira Caleffi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cancer Risk Assessment ◽  
Risk Assessment Models ◽  
Breast Cancer Risk Assessment

Transitioning to routine breast cancer risk assessment and management in primary care: what can we learn from cardiovascular disease?

2016 ◽  
Vol 22 (3) ◽  
pp. 255 ◽  
Author(s):  
Kelly-Anne Phillips ◽  
Emma J. Steel ◽  
Ian Collins ◽  
Jon Emery ◽  
Marie Pirotta ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Risk Assessment ◽  
Breast Cancer Risk Assessment ◽  
Primary Care Clinicians ◽  
Risk Assessment And Management ◽  
Routine Assessment

To capitalise on advances in breast cancer prevention, all women would need to have their breast cancer risk formally assessed. With ~85% of Australians attending primary care clinics at least once a year, primary care is an opportune location for formal breast cancer risk assessment and management. This study assessed the current practice and needs of primary care clinicians regarding assessment and management of breast cancer risk. Two facilitated focus group discussions were held with 17 primary care clinicians (12 GPs and 5 practice nurses (PNs)) as part of a larger needs assessment. Primary care clinicians viewed assessment and management of cardiovascular risk as an intrinsic, expected part of their role, often triggered by practice software prompts and facilitated by use of an online tool. Conversely, assessment of breast cancer risk was not routine and was generally patient- (not clinician-) initiated, and risk management (apart from routine screening) was considered outside the primary care domain. Clinicians suggested that routine assessment and management of breast cancer risk might be achieved if it were widely endorsed as within the remit of primary care and supported by an online risk-assessment and decision aid tool that was integrated into primary care software. This study identified several key issues that would need to be addressed to facilitate the transition to routine assessment and management of breast cancer risk in primary care, based largely on the model used for cardiovascular disease.

Breast cancer risk assessment and chemoprevention use among VA primary care.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 1543-1543
Author(s):  
Joseph Merriman ◽  
Balmatee Bidassie ◽  
Amanda Kovach ◽  
Marissa Vallette ◽  
Yeun-Hee Anna Park ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Comfort Level ◽  
Cancer Risk Assessment ◽  
Health Providers ◽  
Risk Models ◽  
Breast Cancer Risk Assessment

1543 Background: Despite recommended guidelines and available medicationsto reduce breast cancer risk by up to 50-65%, <5% of the 10 million eligible women are offered chemoprevention in the U.S. The comfort level, practice patterns, and barriers to breast cancer risk assessment and chemoprevention use within the VA have not been reported. Methods: We assessed VA primary care providers using a REDcap survey. We obtained provider demographics, use and comfort level with breast cancer risk models and chemoprevention and knowledge about chemoprevention. Data was analyzed with Fishers exact or chi-square tests. Results: Of the 200 survey respondents, 167 were included for analysis. Overall, 30% used the Gail model monthly or more often, and 1.5 % prescribed chemoprevention in the last 2 years. Fewer than 30% correctly answered chemoprevention knowledge questions. Designated women's health providers were more comfortable with risk assessment and chemoprevention (p<.046, p<.004) and used risk models more often (p<.045). 63% expressed interest in education about breast cancer prevention. Conclusions: Breast cancer risk assessment and chemoprevention use by VA primary care is limited by lack of comfort and familiarity. Women's health providers are more comfortable and knowledgeable about breast cancer risk models and chemoprevention, offering an opportunity for partnership with high-risk oncologists to improve breast cancer risk assessment and chemoprevention use among female Veterans.[Table: see text]

scholarly journals Breast Cancer Risk Assessment and Chemoprevention Use Among Veterans Affairs Primary Care Providers: A National Online Survey

2019 ◽  
Vol 185 (3-4) ◽  
pp. 512-518
Author(s):  
Balmatee Bidassie ◽  
Amanda Kovach ◽  
Marissa A Vallette ◽  
Joseph Merriman ◽  
Yeun-Hee Anna Park ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Primary Care ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Primary Care Providers ◽  
Comfort Level ◽  
Cancer Risk Assessment ◽  
Care Providers ◽  
Breast Cancer Risk Assessment

Abstract Introduction Breast cancer is the most common cancer diagnosed among women and the second most common cause of cancer death among women. There are ways to reduce a woman’s risk of breast cancer; however, most eligible women in the United States are neither offered personalized screening nor chemoprevention. Surveys have found that primary care providers are largely unaware of breast cancer risk assessment models or chemoprevention. This survey aims to investigate Veterans Health Administration primary care providers’ comfort level, practice patterns, and knowledge of breast cancer risk assessment and chemoprevention. Materials and Methods An online, Research Electronic Data Capture-generated survey was distributed to VHA providers in internal medicine, family medicine, and obstetrics/gynecology. Survey domains were provider demographics, women’s health experience, comfort level, practice patterns, barriers to using risk models and chemoprevention, and knowledge of chemoprevention. Results Of the 167 respondents, 33.1% used the Gail model monthly or more often and only 2.4% prescribed chemoprevention in the past 2 years. Most VHA primary care providers did not answer chemoprevention knowledge questions correctly. Designated women’s health providers were more comfortable with risk assessment (P &lt; 0.018) and chemoprevention (P &lt; 0.011) and used both breast cancer risk models (P &lt; 0.0045) and chemoprevention more often (P &lt; 0.153). Reported barriers to chemoprevention were lack of education and provider time. Conclusions VHA providers and women Veterans would benefit from a system to ensure that women at increased risk of breast cancer are identified with risk modeling and that risk reduction options, such as chemoprevention, are offered when appropriate. VHA providers requested risk reduction education, which could improve primary care provider comfort level with chemoprevention.

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