scholarly journals Women’s Views on Multifactorial Breast Cancer Risk Assessment and Risk-Stratified Screening: A Population-Based Survey from Four Provinces in Canada

2021 ◽  
Vol 11 (2) ◽  
pp. 95
Author(s):  
Cynthia Mbuya Bienge ◽  
Nora Pashayan ◽  
Jennifer Brooks ◽  
Michel Dorval ◽  
Jocelyne Chiquette ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Perceived Risk ◽  
Online Survey ◽  
Comfort Level ◽  
Cancer Risk Assessment ◽  
Questionnaire Response ◽  
Breast Cancer Risk Assessment ◽  
History Of ◽  
Screening Frequency

Risk-stratified screening for breast cancer (BC) is increasingly considered as a promising approach. However, its implementation is challenging and needs to be acceptable to women. We examined Canadian women’s attitudes towards, comfort level about, and willingness to take part in BC risk-stratified screening. We conducted an online survey in women aged 30 to 69 years in four Canadian provinces. In total, 4293 women completed the questionnaire (response rate of 63%). The majority of women (63.5% to 72.8%) expressed favorable attitudes towards BC risk-stratified screening. Most women reported that they would be comfortable providing personal and genetic information for BC risk assessment (61.5% to 67.4%) and showed a willingness to have their BC risk assessed if offered (74.8%). Most women (85.9%) would also accept an increase in screening frequency if they were at higher risk, but fewer (49.3%) would accept a reduction in screening frequency if they were at lower risk. There were few differences by province; however, outcomes varied by age, education level, marital status, income, perceived risk, history of BC, prior mammography, and history of genetic test for BC (all p ≤ 0.01). Risk-based BC screening using multifactorial risk assessment appears to be acceptable to most women. This suggests that the implementation of this approach is likely to be well-supported by Canadian women.

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.

scholarly journals SNPs for breast cancer risk assessment

Oncotarget ◽  
2017 ◽  
Vol 8 (59) ◽  
pp. 99211-99212 ◽  
Author(s):  
Jack Cuzick ◽  
Adam Brentnall ◽  
Mitchell Dowsett
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Risk Assessment ◽  
Breast Cancer Risk Assessment

scholarly journals Bayesian joint ordinal and survival modeling for breast cancer risk assessment

2016 ◽  
Vol 35 (28) ◽  
pp. 5267-5282 ◽  
Author(s):  
C. Armero ◽  
C. Forné ◽  
M. Rué ◽  
A. Forte ◽  
H. Perpiñán ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Risk Assessment ◽  
Breast Cancer Risk Assessment ◽  
Survival Modeling

scholarly journals Commentary ACOG Practice Bulletin July 2017: Breast Cancer Risk Assessment and Screening in Average-Risk Women

2018 ◽  
Vol 91 (1090) ◽  
pp. 20170907 ◽  
Author(s):  
Victoria Mango ◽  
Yolanda Bryce ◽  
Elizabeth Anne Morris ◽  
Elisabetta Gianotti ◽  
Katja Pinker
Keyword(s):  
Breast Cancer ◽  
Risk Assessment ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Risk Assessment ◽  
Average Risk ◽  
Breast Cancer Risk Assessment
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