Assessing and managing breast cancer risk: Clinicians%26apos; current practice and future needs

作者：Collins Ian M; Steel Emma; Mann G Bruce; Emery Jon D; Bickerstaffe Adrian; Trainer Alison; Butow Phyllis; Pirotta Marie; Antoniou Antonis C; Cuzick Jack; Hopper John; Phillips Kelly Anne; Keogh Louise A^*

来源：Breast, 2014, 23(5): 644-650.

DOI：10.1016/j.breast.2014.06.014

• Breast cancer
• BRCA
• Risk reduction
• Clinical decision support
• Needs assessment

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%26apos; 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.

• 出版日期2014-10