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Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey.

Publication ,  Journal Article
Record, SM; Thomas, SM; Chanenchuk, T; Baker, JA; Grimm, LJ; Plichta, JK
Published in: Ann Surg Oncol
October 2023

BACKGROUND: Breast cancer screening guidelines differ between organizations, and significant variations in practice patterns exist. Previous evidence suggests that provider-level factors are the greatest contributors to risk assessment and screening practice variability. This study aimed to characterize provider factors associated with breast cancer risk assessment and screening practice patterns, and to assess perceived barriers to providing risk assessment. METHODS: An online survey was distributed to providers at a single academic institution and to providers publicly via social media (January to August 2022). Respondents in the United States who care for adult women at risk for the development of breast cancer were included. RESULTS: Most of the respondents in the 143 completed surveys were white/Caucasian (79%) females (90%) age 50 years or younger (79%), and whereas 97% discuss breast cancer screening with their patients, only 90% order screening mammograms. Risk factor assessment was common (93%), typically performed at the first visit (51%). Additional training in genetics or risk assessment was uncommon (17%), although the majority were interested but did not have the time or resources (55%). Although most (64%) did not perceive barriers to providing risk assessment or appropriate screening, the most common barriers were time (77%) and education (55%). Barriers were more common among family practice or obstetrics and gynecology (OB/GYN) providers and those who worked in an academic setting (all p < 0.05). CONCLUSIONS: Breast cancer risk assessment and screening practices are highly variable. Although time is the major barrier to providing risk assessment, providers also need education. Primary care organizations could partner with breast cancer-focused societies for additional resources.

Duke Scholars

Published In

Ann Surg Oncol

DOI

EISSN

1534-4681

Publication Date

October 2023

Volume

30

Issue

10

Start / End Page

6219 / 6229

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Risk Assessment
  • Practice Patterns, Physicians'
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mass Screening
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Record, S. M., Thomas, S. M., Chanenchuk, T., Baker, J. A., Grimm, L. J., & Plichta, J. K. (2023). Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey. Ann Surg Oncol, 30(10), 6219–6229. https://doi.org/10.1245/s10434-023-13903-8
Record, Sydney M., Samantha M. Thomas, Tori Chanenchuk, Jay A. Baker, Lars J. Grimm, and Jennifer K. Plichta. “Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey.Ann Surg Oncol 30, no. 10 (October 2023): 6219–29. https://doi.org/10.1245/s10434-023-13903-8.
Record SM, Thomas SM, Chanenchuk T, Baker JA, Grimm LJ, Plichta JK. Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey. Ann Surg Oncol. 2023 Oct;30(10):6219–29.
Record, Sydney M., et al. “Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey.Ann Surg Oncol, vol. 30, no. 10, Oct. 2023, pp. 6219–29. Pubmed, doi:10.1245/s10434-023-13903-8.
Record SM, Thomas SM, Chanenchuk T, Baker JA, Grimm LJ, Plichta JK. Breast Cancer Risk Assessment and Screening Practices Reported Via an Online Survey. Ann Surg Oncol. 2023 Oct;30(10):6219–6229.
Journal cover image

Published In

Ann Surg Oncol

DOI

EISSN

1534-4681

Publication Date

October 2023

Volume

30

Issue

10

Start / End Page

6219 / 6229

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Risk Assessment
  • Practice Patterns, Physicians'
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mass Screening
  • Male
  • Humans
  • Female