通过在线调查报告的乳腺癌风险评估和查实践
Sydney M Record1, Samantha M Thomas2,3, Tori Chanenchuk1
1Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Annals of surgical oncology
|July 17, 2023
概括
提供者对乳腺癌风险评估和查的做法有很大差异. 时间和教育是关键障碍,凸显了医疗保健提供者需要更好的资源和培训的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 预防医学 预防医学
背景情况:
- 乳腺癌查指南表现出组织间的差异,导致实践变化.
- 提供者层面的因素是风险评估和查实践变化的主要驱动因素.
- 了解提供者的观点对于优化乳腺癌查协议至关重要.
研究的目的:
- 确定与乳腺癌风险评估和查实践相关的提供者特征.
- 评估提供者在提供风险评估和查时遇到的感知障碍.
- 为改善遵守基于证据的乳腺癌查指南的策略提供信息.
主要方法:
- 美国的医疗保健提供者接受了一项在线调查.
- 数据收集发生在2022年1月至8月期间.
- 受访者包括照顾患有乳腺癌风险的成年女性的提供者.
主要成果:
- 虽然97%的人讨论了查,但只有90%的人订购了乳房造影;风险评估是常见的 (93%).
- 时间 (77%) 和教育 (55%) 是提供风险评估的最常被引用的障碍.
- 障碍在家庭实践/OB/GYN提供者和学术环境中的提供者中更为普遍.
结论:
- 乳腺癌风险评估和查实践在提供者之间显示出相当大的差异.
- 解决时间限制和加强提供者教育对于改善查实践至关重要.
- 初级保健和专门的癌症组织之间的合作可以提供宝贵的资源.
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